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Why trust this guide?
Our editorial team analyzed 301 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 301 on this page. See how we rank facilities
Rooms at Heart of the Ozarks Healthcare Center come private or semi-private, so a resident picks a door of their own or one with company. The center holds 120 beds in Ava, Missouri.
Adult day care and residential nursing operate under the same roof here. A person can spend weekdays in the building and go home at night, while their neighbor lives here full-time. That arrangement gives working caregivers somewhere to leave a parent during office hours. Respite extends the same idea to a stretch of days or weeks when relief has to last longer.
Skilled nursing oversight covers 24 hours of the day, which puts a licensied nurseaccountable overnight rather than merely awake somewhere in the building. Rehabilitation services are part of care at the center.
Recreation and activities are on the schedule. Medicare, Medicaid, and private pay are accepted, whichever a family qualifies for. Ave No. 1, Inc. operates the center, and Randee Jo Evans serves as administrator.
Lincoln Community Care Center provides nursing home, skilled nursing, assisted living, and memory care in Lincoln, MO. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while assisted living offers help with daily tasks such as dressing, bathing, and medication while a resident maintains a private living space.
Memory care provides a secured setting with supervision for someone at risk of wandering. That structure may make the community a good fit for a resident living with dementia who needs it. The community opened in 1972 and has 80 beds.
Lincoln Community Nursing Home District operates Lincoln Community Care Center, and Jennifer Howard serves as the administrator. Medicaid, Medicare, and private pay are accepted. Medicaid can help families whose savings may not cover a long stay, while Medicare covers short term skilled care after a hospital stay rather than long term residence. Private pay means paying directly for care.
Total nurse staffing is 4h 36m per resident/day, representing the daily hands on nursing time allocated to each resident. Rehabilitation services and sub acute care are available for residents who need recovery focused support.
Restaurant style meals with extended dining hours allow residents to eat within a broader service window. Outdoor courtyards provide space to spend time outside, and an onsite beautician provides grooming services without requiring a trip away from the community.
StoneBridge Senior Living Oak Tree offers nursing home, assisted living, and memory care in Jefferson City, MO. Nursing home care includes licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Memory care provides a secured setting with supervision for a resident who may be at risk of wandering. Having all three care levels in one community can support a resident whose needs grow without requiring a move elsewhere.
The community has 42 beds, creating a smaller setting where staff and residents can get to know one another. Housing includes studios, one bedroom apartments, and two bedroom apartments. The two bedroom option may suit a couple moving together or someone who wants a companion, and pets are allowed, so a resident may be able to continue living with a pet.
Medicare, Medicaid, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence, while Medicaid may help cover an extended stay when personal savings are limited. Private pay means paying directly for care. Total nurse staffing is 4 hours and 20 minutes per resident per day, representing the daily hands on nursing time allocated per resident.
Rose Ridnour serves as the administrator, and Eldercare Of Mid Missouri Viii operates the community. StoneBridge Senior Living Oak Tree may be a good fit for someone whose care needs could change over time because nursing home, assisted living, and memory care are available in one community.
The Linden Woods Village offers different levels of care for its residents: independent living, assisted living, short-term rehabilitation, and long-term care. Focusing on its nursing services, Linden Woods is able to provide a community that is warm and welcoming in a cozy and nurturing environment. Linden Woods is the home where residents are looking for “purpose, passion, and joy in life”. Linden Woods offers an array of comprehensive services that cater to different levels of care. Residents of short-term rehabilitation and long-term care are eligible for a list of stimulating and results-driven activities that focus on recovery. Independent living and assisted living residents are also given ADLs; and community features for all housing options get seamless access to exciting social activities, quality dining, and outdoor spacious areas.
Life Care Center of St Louis is a nursing home offering skilled nursing care in Saint Louis, MO. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation services support residents working toward recovery or greater independence. The combination may be a good fit for someone who needs nursing support and rehabilitation in the same setting.
The community has 100 beds, giving families a clear sense of its overall capacity. Total nurse staffing is 3 hours 55 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several ways to cover care, including Medicaid for someone whose savings may not cover a long stay and Medicare for eligible short-term skilled care after a hospital stay.
A community re-entry program supports residents preparing to return to community living after rehabilitation. The beauty salon and barber shop provide on-site grooming services, and transportation is available for residents who need help traveling beyond the community. Katlyn Boehle serves as administrator, and C.m.c. Extended Care Center operates the community.
Puxico Nursing & Rehabilitation Center in Puxico, Missouri, offers nursing home care, skilled nursing support, hospice services, and short-term respite stays. Short-term respite stays assist families by providing temporary care when primary caregivers need time off, while hospice programs offer dedicated end-of-life care.
Established in 1974, the 60-bed center is operated by Puxico #1 under administrator Bobbi King. Staffing records show an average of 3 hours and 20 minutes of daily nursing care assigned per resident. Payment accepted includes Medicare for short-term recovery post-hospitalization, Medicaid for extended residence, and direct private pay.
Prospective representatives researching short-term caregiver breaks or continuous nursing care can connect with Puxico Nursing & Rehabilitation Center to check room availability or request a site visit.
Three care types are named at Elsberry Missouri Health Care Center in Elsberry, MO. Assisted living, skilled nursing, and nursing home care share an address. Assisted living here means help with bathing, dressing, and taking medication on time.
That list is short on purpose, and it’s meant to fit someone who handles most of an ordinary day on their own, unaided. Skilled nursing is the wider level, with licensed nursing on the floor day and night. A resident whose needs grow past assisted living does not have to find a second building to move to.
Sixty-eight beds are under the license. Three hours and 47 minutes of nursing go to each resident every day.
Christina Kuntz is the administrator. Medicaid, Medicare, and private pay are all taken here, so a family’s funding route is likely to be one of the three. A Walk Score of 47 marks the area as car-dependent, which means an errand runs through whoever has keys. The license names an Assisted Living Facility and a Skilled Nursing Facility.
In Richland, MO, Richland Care Center is licensed for hospice care, respite care, nursing home care, and skilled nursing. Licensed nursing is on duty around the clock, which matters because a nursing need does not check what time it is. Hospice care happens on the premises, so the last stretch is not a separate arrangement to make.
Respite care handles short stays, and booking one is a different act from arranging a move. Ongoing nursing support and temporary care are both reasons a family arrives here.
Eighty-six beds belong to the center. Three hours and 41 minutes is the daily nursing total per resident. Payment can come from Medicaid, from Medicare, or from a family directly.
Inpatient and outpatient rehabilitation therapy is available on site. Beauty and barber services are listed too, and worship services, bingo, movies, and special event parties make up the activity list. Beverly Derrickson is the administrator.
Seasons Rehab and Healthcare Center in Kansas City, Missouri, provides a broad spectrum of services, including 24-hour skilled nursing, memory care, adult day programs, hospice, and respite stays. Secured memory care environments protect residents prone to wandering, daytime programs assist individuals who do not live on site full-time, and respite stays offer temporary relief to primary caregivers.
Seasons Operator manages the 78-bed facility under administrator Jennifer Boyer. Care statistics reflect an average of 3 hours and 38 minutes of direct nursing time per resident daily. Medical oversight includes an attending staff doctor, while rehabilitation programs provide dedicated physical therapy. Additional amenities include customized dining with snacks, a barbershop and salon, and a 94 walk score location that allows residents to run routine errands nearby without driving. Accepted payment routes cover Medicare, Medicaid, and private funds.
Families needing structured daily support or specialized medical care can contact Seasons Rehab and Healthcare Center to inquire about room availability, explore payment methods, or schedule a tour.
Overview of Scenic Wellness and Rehabilitation Center
In Herculaneum, MO, Scenic Wellness and Rehabilitation Center is licensed for nursing home care, skilled nursing, and palliative care. Residential nursing is the long version: an address with clinical help attached. Skilled nursing adds a layer on top, and licensed nurses work every shift, overnight included. Palliative care answers a different question: its job is symptom control, so pain and breathing get managed rather than treated toward a cure.
The building holds 189 beds. Each resident draws 2 hours and 48 minutes of daily nursing time. Private pay, Medicare, and Medicaid are all billed, and families cover with their own money whatever neither program reaches.
Rehabilitation belongs to that same service list. A doctor works here as well. Respite covers the short stay, and the caregiver who needs it is often not absent so much as worn through, still willing, and too long past a full night’s rest. Lewis Schweizer administers the home for Scenic Wellness & Rehabilitation.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Missouri
What's the difference between assisted living and a nursing home in Missouri?
Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Missouri Medicaid cover nursing home care?
Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 301 nursing homes in Missouri. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Missouri?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Missouri?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Missouri at a glance
Avg Overall CMS Rating:2.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Missouri. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Missouri. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Missouri. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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