Page 5 of Best Nursing Homes in Missouri

Overview of New Haven Care Center

New Haven Care Center is a nonprofit nursing home in New Haven, Missouri, with 106 beds. It is operated by New Haven Care Center, Inc., under administrator Charles Tritch. Community-owned and operating for more than 40 years, the facility provides long-term care, short-term rehabilitation, and outpatient rehabilitation to residents in Franklin County. It accepts Medicare, Medicaid, and private pay.

CMS gives the facility a 3-star overall rating. Nursing staffing averages 4 hours and 0 minutes per resident per day, modestly above Missouri’s average of 3 hours and 48 minutes, a meaningful margin for residents with daily care needs. Four of the facility’s six quality measures fall below state averages, a signal worth weighing for long-stay placements.

Since 2022, New Haven Care Center has undergone three inspections, averaging 5 deficiencies per year, close to Missouri’s average of 5.5, roughly in line with peers. The annual inspection in 2023 cited personal hygiene care, mechanical lift safety, and infection control. A March 2025 focused inspection later identified deficiencies in medication administration, including insulin handling and oxygen orders. Neither inspection resulted in fines or enforcement actions.

The facility’s programs include therapy services, pain management, podiatry, optometry, and dental services. It also operates its own hospice program, New Haven Hospice, and provides memory care and respite care, with 24-hour staffing.

New Haven Care Center suits residents seeking long-term skilled nursing or short-term post-acute rehabilitation in a community-based, nonprofit setting in Franklin County, particularly those who may need in-house hospice access and end-of-life care in the same facility.

Overview of Medicalodges Butler

Medicalodges Butler is a 105-bed skilled nursing facility at 103 East Nursery, Butler, Bates County, Missouri, operated by Medicalodges, Inc. and administered by Misty Brooks. The facility provides skilled nursing care, short-term rehabilitation, long-term care, and dementia and memory care services for Medicare and private-pay residents.

Emergency department visit rates stand at 36.2% of short-stay residents, 170% worse than the average of 13.4%. Falls with major injury during stay affect 2.5% of short-stay residents, 225% worse than the average of 0.8%. Re-hospitalization occurs in 28.8% of short-stay residents discharged, 14% worse than average. Ability to care for self at discharge is achieved in 42.9% of residents, 20% worse than the average of 53.7%.

Hospitalization rates are 1.69/1,000 resident days, 19% better than the Missouri average. Successful return to home or community for short-stay residents is 56.3%, 11% better than average.

Registered Nurses provide 36 minutes/resident/day, 29% above the Missouri average of 28 minutes, representing meaningful clinical strength. Licensed Practical Nurses provide 45 minutes/resident/day, 10% above average. Certified Nursing Aides provide 2 hours 27 minutes/resident/day, 6% above average. Total nursing care reaches 4 hours 19 minutes/resident/day, 14% above the average of 3 hours 48 minutes, ranking 60th among 256 Missouri facilities.

Weekend nursing maintains 3 hours 16 minutes/resident/day, 7% above average. Weekend RN coverage is 18 minutes/resident/day, 10% below the average of 20 minutes.

Long-stay falls with major injury occur in 7.8% of residents, 92% worse than the Missouri average of 4.0%. High-risk long-stay residents with pressure ulcers affect only 1.5%, 70% better than the average of 5.0%. Pneumococcal vaccination reaches 100% of long-stay residents, 17% better than average. Influenza vaccination reaches 96.8%, 7% better than average.

Long-stay emergency department visits are 2.01/1,000 resident days, 14% better than average.

Since 2019, the facility has received 4 health inspections from the Missouri Department of Health and Senior Services, Division of Regulation and Licensure with 12 total citations, substantially below the average of 36.5. All citations are moderate severity; the facility has zero critical or serious violations.

The July 2022 health inspection revealed deficiencies in food safety practices and water-borne pathogen prevention. The March 2024 health inspection cited nutrition, environmental, and resident rights issues. The June 2025 complaint investigation found a pharmacy citation. The trajectory of citations/inspection has remained low and stable.

CMS rates the facility 4 stars overall, placing it 52.1% above the Missouri average. Health Inspection is rated 4/5, 37.9% above average. Staffing is rated 4/5, 85.2% above average. Quality Measures are rated 2/5, 28.3% below average.

Occupancy is 66.3%, ranking 166th out of 262 Missouri facilities and slightly below average. Current census includes 54.3% Medicaid, 8.6% Medicare, and 37.1% private pay or other residents.

Average length of stay is 422 days.

No civil money penalties were reported in the past three years.

Medicalodges Butler offers 24-hour nursing staff, rehabilitation services, and on-site state-approved nurse aide training. Resident amenities include dining accommodations, activities programming, and an active resident council where residents meet regularly to discuss facility policies and quality of life.

Families enrolling short-stay residents for rehabilitation should request detailed explanations of the elevated emergency department visit rates and falls injury rates.

Owner Jamiee Allen and administrator Lewis Schweizer run Scenic Wellness and Rehabilitation Center on Scenic Drive in Herculaneum, Missouri. The administrative office handles billing through standard payment channels, including private insurance, Medicaid, and Medicare. Relatives planning regular visits will find a walkability score of 30 out of 100, which indicates a car-dependent neighborhood setup where guests will need a vehicle for almost all errands and transit.

The 189-bed building keeps about 85 percent of its spaces occupied, with residents staying an average of 173 days. This operational timeline points to a daily focus that splits attention between brief post-hospital therapy programs and permanent residential care. To monitor individual medical treatments and physical needs, the around-the-clock staffing plan provides an average of 3 hours and 38 minutes of total nursing care per resident each day, with an on-staff doctor coordinating health goals alongside registered nurses, practical nurses, and aides.

State public health records track how the property aligns with safety guidelines during standard regulatory evaluations. Inspection logs note that past surveys identified specific procedural areas needing adjustment, including general care-plan documentation, medication administration habits, and basic infection-control steps, keeping the building’s overall citation rate above zero.

Older adults can look over the on-site rehabilitation services, short-term respite programs, and specialized dietary dining setups. The interior layout features shared social spaces, standard residential rooms, and therapy areas under continuous medical supervision.

Overview of Daybreak Nursing Center

Under Nancy Driskill’s administration and owned by Dalen Hutchinson, Daybreak Nursing Center is a skilled nursing home in Sikeston, Missouri. The home operated by Daybreak Nursing Center, Llc, accepts Medicare, Medicaid, and private pay, opening multiple pathways for short-term rehabilitation and ongoing nursing care. Found in a highly walkable neighborhood (Walk Score 73), the 70-bed facility on H Road is accessible on foot for daily errands, and visiting family will find the area easy to navigate. Operating for three years, it has a 94 percent occupancy rate and an average stay length of about 164 days. This reflects a mix of post-acute patients and occupants requiring longer-term skilled nursing care.

Staffing levels average 2 hours 52 minutes of total nursing care per resident day, with registered nurses providing 19 minutes daily, nurse aides 2 hours 7 minutes, and LPN/LVNs 39 minutes. That distribution of diligent and licensed support mirrors a resource-intensive approach to daily care delivery. The home serves an array of clinical needs spanning post-surgery care, hospital sitting, respite care, and daily assistance. Staff also provide companionship and nursing-assisted living services. Such programs make the community a practical choice for families needing short-term recovery support or longer-term skilled care for residents with complex medical needs.

Facility state inspections have focused on supervision protocols, medication management, environmental safety, food handling, and sanitation practices. Families touring may want to ask how the center works to uphold safety standards in these areas and what quality checks the team has implemented.

The neighborhood’s walkability and the mix of care options make Daybreak Nursing Center worth considering for people needing skilled nursing services in Sikeston.

Located on West Rolla Street in Hartville, Missouri, Hartville Care Center is a skilled nursing home with 60 beds. It is operated by N & R Of Hartville, LLC, and administered by Matthew Allman. The home serves residents who need nursing care and rehabilitation following hospitalization or surgery, as well as those with longer-term care needs. It accepts Medicaid, Medicare, and private pay, so families have several coverage options.

The facility has been operating for 33 years and currently has 67% occupancy, with residents staying an average of 152 days. Daily nurse staffing takes approximately 3 hours and 23 minutes per resident, with registered nurses, licensed practical nurses, and nursing aides on staff 24 hours a day. This level of hands-on care supports a robust rehabilitation focus, and skilled nursing is available for those with ongoing medical needs.

Clinically, the home offers short-term rehabilitation, along with physical and occupational therapies to help residents regain strength and function. On-site medical services include a doctor on staff, regular physician visits, portable X-ray, and laboratory capabilities. Consultations from a dietitian, pharmacist, and specialists in eye care and podiatry are also available. There are behavioral health support and specialized care for residents with Alzheimer’s disease, and it offers hospice services for end-of-life care.

Residents can choose their meals from prepared dining options. The home also offers housekeeping and on-site laundry services, religious services, and a daily activities program. Amenities include individual room heating and cooling controls, access to satellite television, and on-site beauty and barber services. Transportation is arranged as needed. Hartville is in a car-dependent area, but the home provides arrangement services for residents and families who need local transportation.

State inspections focused on environmental sanitation, food safety procedures, documentation accuracy, and reporting protocols. These are common areas examined during nursing home inspections. The facility addresses all findings through its regulatory compliance and quality assurance processes.

Richland Care Center. manages an 86-bed skilled nursing facility on East Jefferson Avenue in Richland, Missouri, bringing 42 years of regional service to local families. Financial accounts are processed through typical insurance channels, accepting Medicare, Medicaid, and private pay. For those tracking neighborhood accessibility, the property sits in an area with a walkability score of 43 out of 100, meaning the immediate surroundings are only moderately pedestrian-friendly and visitors will mostly rely on cars.

The building houses 35 residents, which equals a 41 percent occupancy rate, while the average length of stay hovers around 121 days. This timeline shows that daily clinical workflows focus on medium-term post-hospital therapy alongside standard extended residential care. Daily health needs are monitored by a nursing team providing an average of 3 hours and 54 minutes of daily care per resident, with registered nurses, practical nurses, and aides handling regular medical rotations and physical checkups.

Official survey charts note that inspectors flagged specific procedural corrections regarding staff background checks, kitchen food temperatures, basic infection control hygiene, and resident bank fund tracking, which means the property’s total cumulative citations-per-inspection rate is not zero.

Older adults can access inpatient and outpatient physical rehabilitation tracks, temporary respite care, and hospice services. The internal schedule balances these clinical offerings with three daily meals, religious services, bingo, movies, and an on-site beauty salon. Rooms are equipped with cable television hookups and building-wide Wi-Fi, backed by routine housekeeping and personal laundry support managed entirely by the facility staff.

Overview of Riverways Manor

Riverways Manor is a skilled nursing home in Van Buren, Missouri, on Watercress Road. It is operated by Van Buren #1, Inc and owned by The Pamela. The 60-bed home has been serving the community for 54 years. It accepts Medicare, Medicaid, and private pay, giving families multiple options to cover short-term rehabilitation and longer-term nursing care. The facility has an occupancy rate of 78%. Residents stay an average of 141 days, including post-acute rehabilitation and those requiring ongoing nursing care.

Riverways Manor focuses on rehabilitation and short-term convalescent care. It offers 24-hour skilled nursing care, formal rehabilitation services, and respite care options. Daily nurse staffing averages 3 hours and 12 minutes per resident, with time split across registered nurses, nurse aides, and licensed practical nurses. This level of hands-on care makes the home a great choice for patients recovering from surgery or illness, as well as those needing structured support during rehabilitation.

State inspections identified issues related to documentation practices, medication management, infection control, and environmental safety. Families should ask about these areas during a tour to understand how the home addresses them daily.

The home’s location is in a somewhat walkable part of Van Buren, with a Walk Score of 48 out of 100. Some nearby services may be accessible on foot, but most trips require a car.

Amenities on-site are free cable TV, WiFi, transportation services, religious services, laboratory and vision services, and custom nutritional programs. Dining is served with well-balanced meals, a selective menu, and flexible dining schedule. Residents can join in motivational activities and crafts.

Overview of McKnight Place Extended Care

McKnight Place Extended Care is a 70-bed skilled nursing facility at Two McKnight Place in Saint Louis, Missouri. Administered by Ms. Glenda Knittel and operated by McKnight Place Extended Care, LLC, the community holds Medicare certification. The facility was recognized as a Best Long-Term Care provider by U.S.

News & World Report in 2026 and received the STL Headliner Award for Best Skilled Nursing in 2024.

The facility provides six hours twenty-five minutes of combined nursing care per resident per day, placing it third among 256 Missouri SNFs and 69% above the Missouri average of three hours forty-eight minutes. RN coverage runs 14% above average, LPN hours are 63% above average, and CNA hours are 77% above average. Weekend staffing is 76% above average, with weekend RN hours at 95% above average. Physical therapy support is triple the average.

The facility ranked 41st of 263 Missouri SNFs for total payroll investment. Overall financial performance is stable. Occupancy exceeds the state average.

CMS awarded the facility four stars overall, four stars for Health Inspection, and four stars for Staffing. However, Quality Measures earned only one star.

Among long-stay residents, hospitalizations occur in line with the state average of 2.08. Emergency department visits run 47% better than average. Falls with major injury metrics are 70% better than average. Pressure ulcers stand at 26% worse than average.

Long-stay urinary tract infection rates are 52% better than average.

Re-hospitalization rates are 19% worse than average. The rate of successful return to home or community is 29% worse than average. Ability to care for oneself at discharge is 12% below average.

Inspection history from March 2020 through April 2025 shows five standard inspections and one complaint investigation.

The March 2020 standard inspection identified 26 deficiencies. March 2023 saw a complaint investigation resulting in eight deficiencies. October 2023 brought a standard inspection with nine deficiencies. In May 2024, a second complaint investigation cited nine deficiencies.

Most significantly, April 2025 encompassed both a standard health inspection (29 deficiencies) and a concurrent complaint investigation (eight deficiencies) on the same date.

All citations were moderate or minor, with zero critical or serious severity designations. No federal penalties or civil money penalties have been imposed in the past three years. The facility’s citation rate of 5.4 per inspection ranks 148th of 261 Missouri SNFs.

The neighborhood is somewhat walkable (Walk Score 34), and the facility lies 0.179 miles from the Saint Louis city center.

Amenities include physical, occupational, and speech therapies; on-site dentistry, podiatry, ophthalmology, and psychiatry; art and music therapy; restaurant-style dining; personal care companion services; transportation; salon; hearing aid services; catering; housekeeping; laundry; newspapers; dry cleaning; floral service; patios; walking paths; and an aviary. The facility allows pets and maintains 24-hour staffing with on-site physician services.

Families should verify corrections for the April 2025 deficiencies in medication management and kitchen sanitation, given the combined citation volume within a single survey month.

Pleasant Valley Manor Inc. works alongside administrator Ladonna Vaughan to run Pleasant Valley Manor Care Center, a 102-bed campus located on Sobbie Road in Liberty, Missouri. Families setting up financial coverage can look at standard avenues here, as the office processes billing through Medicare, Medicaid, and private funds. If friends or relatives plan on visiting, the surrounding neighborhood gets a walkability score of 69 out of 100, meaning you can handle a handful of routine errands entirely on foot.

On the operational side, the facility functions at about 61 percent capacity, with typical stays lasting around 421 days. This data suggests the daily routine moves at a steadier, intermediate pace rather than a quick-turnover rehab setup. The home balances this environment with a 24-hour nursing layout that averages 3 hours and 55 minutes of total daily care per resident, with an on-site physician overseeing treatment targets alongside a rotating staff of registered nurses, practical nurses, and aides.

State public health oversight systems document the facility’s adherence to professional standards over time. As a newly established building navigating its first year of operation, the facility’s recent regulatory interactions have focused on tracking early employee routines and foundational administrative workflows, keeping the current citation rate above zero.

Families can look into the restaurant-style dining program, physical therapy setups, and common activity lounges. The internal staff customizes daily schedules based on individual hobbies to maintain an engaging social atmosphere, combining these events with practical services like regular room cleaning and personal laundry support.