Page 6 of Best Nursing Homes in Missouri

Why trust this guide? Our editorial team analyzed 289 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every nursing home provider in Missouri.
289 homes
Other senior care options in Missouri:
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

Compare Nursing Homes around Missouri

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 to lowest based on our ranking 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 Table 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. 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.
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.
Delta South Nursing &Amp; Rehabilitation
NH
HOS
PC
RC
SNF
Sikeston
60
Facility 60
MO AVG 96
Rank #340 / 450
88.3%
Facility 88.3%
MO AVG 66.5%
Rank #46 / 407
+33%
3.89
Facility 3.89
MO AVG 3.74
Rank #99 / 268
+81%+4%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
34
Facility 34
MO AVG 36.5
Rank #158 / 274
11.3
Facility 11.3
MO AVG 5.7
Rank #270 / 274
-53-
73
Facility 73
MO AVG 46
Rank #70 / 545
Delta South Skilled Nursing And Rehabilitation LLC
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
MO AVG $7.4M
Rank #190 / 251
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #166 / 251
62.1%Fiscal year ending 12/2023
Facility 62.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #57 / 251
265862
Houston House
NH
SNF
Houston
96
Facility 96
MO AVG 96
Rank #199 / 450
79.2%
Facility 79.2%
MO AVG 66.5%
Rank #114 / 407
+19%
3.79
Facility 3.79
MO AVG 3.74
Rank #116 / 268
-27%+1%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
22
Facility 22
MO AVG 36.5
Rank #85 / 274
4.4
Facility 4.4
MO AVG 5.7
Rank #92 / 274
-76-
40
Facility 40
MO AVG 46
Rank #324 / 545
Jodi Shafer
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #115 / 251
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
MO AVG $3.9M
Rank #156 / 251
45%Fiscal year ending 12/2023
Facility 45%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #206 / 251
265470
Monroe City Manor Care Center
NH
HOS
SNF
Monroe City
60
Facility 60
MO AVG 96
Rank #340 / 450
90.0%
Facility 90.0%
MO AVG 66.5%
Rank #33 / 407
+35%
5.24
Facility 5.24
MO AVG 3.74
Rank #21 / 268
+23%+40%
$37.1k
Facility $37.1k
MO AVG $76.9k
Rank #211 / 276
8
Facility 8
MO AVG 36.5
Rank #8 / 274
2.0
Facility 2.0
MO AVG 5.7
Rank #5 / 274
154-
48
Facility 48
MO AVG 46
Rank #261 / 545
Rosanne Hays
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #187 / 251
$2.7MFiscal year ending 12/2023
Facility $2.7MFiscal year ending 12/2023
MO AVG $3.9M
Rank #158 / 251
63.1%Fiscal year ending 12/2023
Facility 63.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #53 / 251
265574
Seasons Rehab and Healthcare Center
NH
ADC
HOS
MC
RC
SNF
Kansas City
78
Facility 78
MO AVG 96
Rank #276 / 450
--
3.64
Facility 3.64
MO AVG 3.74
Rank #140 / 268
-10%-3%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
21
Facility 21
MO AVG 36.5
Rank #76 / 274
5.3
Facility 5.3
MO AVG 5.7
Rank #143 / 274
-151-
94
Facility 94
MO AVG 46
Rank #5 / 545
Angela Grogan
$7.3MFiscal year ending 12/2023
Facility $7.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #89 / 251
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #108 / 251
49.4%Fiscal year ending 12/2023
Facility 49.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #171 / 251
265850
Heart of the Ozarks Healthcare Center
NH
ADC
RC
SNF
Ava
120
Facility 120
MO AVG 96
Rank #87 / 450
59.2%
Facility 59.2%
MO AVG 66.5%
Rank #274 / 407
-11%
3.24
Facility 3.24
MO AVG 3.74
Rank #191 / 268
+27%-13%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
23
Facility 23
MO AVG 36.5
Rank #92 / 274
4.6
Facility 4.6
MO AVG 5.7
Rank #102 / 274
-71-
55
Facility 55
MO AVG 46
Rank #188 / 545
Ava Exempt Tr
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #111 / 251
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
MO AVG $3.9M
Rank #174 / 251
39.2%Fiscal year ending 12/2023
Facility 39.2%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #234 / 251
265254
McDonald County Living Center
NH
SNF
Anderson
96
Facility 96
MO AVG 96
Rank #199 / 450
58.3%
Facility 58.3%
MO AVG 66.5%
Rank #283 / 407
-12%
3.16
Facility 3.16
MO AVG 3.74
Rank #191 / 268
+5%-15%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
15
Facility 15
MO AVG 36.5
Rank #44 / 274
3.8
Facility 3.8
MO AVG 5.7
Rank #61 / 274
156-
36
Facility 36
MO AVG 46
Rank #347 / 545
N & R Of Anderson, LLC
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #168 / 251
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
MO AVG $3.9M
Rank #137 / 251
64.1%Fiscal year ending 12/2023
Facility 64.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #49 / 251
265447
Clearview Nursing Center
NH
HOS
SNF
Sikeston
98
Facility 98
MO AVG 96
Rank #187 / 450
60.2%
Facility 60.2%
MO AVG 66.5%
Rank #266 / 407
-10%
4.89
Facility 4.89
MO AVG 3.74
Rank #26 / 268
+18%+31%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
24
Facility 24
MO AVG 36.5
Rank #97 / 274
6.0
Facility 6.0
MO AVG 5.7
Rank #173 / 274
-59-
73
Facility 73
MO AVG 46
Rank #70 / 545
Sandra Mcmullin
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
MO AVG $7.4M
Rank #206 / 251
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #191 / 251
56.3%Fiscal year ending 12/2023
Facility 56.3%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #99 / 251
265614
Cypress Point
NH
HOS
SNF
Dexter
79
Facility 79
MO AVG 96
Rank #273 / 450
83.0%
Facility 83.0%
MO AVG 66.5%
Rank #83 / 407
+25%
4.11
Facility 4.11
MO AVG 3.74
Rank #77 / 268
+26%+10%
$73.7k
Facility $73.7k
MO AVG $76.9k
Rank #234 / 276
13
Facility 13
MO AVG 36.5
Rank #31 / 274
2.6
Facility 2.6
MO AVG 5.7
Rank #17 / 274
166-
43
Facility 43
MO AVG 46
Rank #309 / 545
John Langley
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #76 / 251
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #109 / 251
46.5%Fiscal year ending 12/2023
Facility 46.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #192 / 251
265367
Riverview Nursing Center
NH
HOS
SNF
C Mokane
60
Facility 60
MO AVG 96
Rank #340 / 450
61.7%
Facility 61.7%
MO AVG 66.5%
Rank #250 / 407
-7%
3.42
Facility 3.42
MO AVG 3.74
Rank #163 / 268
+14%-8%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
13
Facility 13
MO AVG 36.5
Rank #31 / 274
3.3
Facility 3.3
MO AVG 5.7
Rank #32 / 274
-37A-
16
Facility 16
MO AVG 46
Rank #464 / 545
Joshua Cross
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MO AVG $7.4M
Rank #239 / 251
$1.5MFiscal year ending 12/2023
Facility $1.5MFiscal year ending 12/2023
MO AVG $3.9M
Rank #234 / 251
58.1%Fiscal year ending 12/2023
Facility 58.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #81 / 251
265434
Hillcrest Care Center, Inc
NH
SNF
De Soto
120
Facility 120
MO AVG 96
Rank #87 / 450
70.0%
Facility 70.0%
MO AVG 66.5%
Rank #179 / 407
+5%
3.88
Facility 3.88
MO AVG 3.74
Rank #99 / 268
+13%+4%
$10.8k
Facility $10.8k
MO AVG $76.9k
Rank #166 / 276
24
Facility 24
MO AVG 36.5
Rank #97 / 274
4.0
Facility 4.0
MO AVG 5.7
Rank #71 / 274
184-
50
Facility 50
MO AVG 46
Rank #243 / 545
Cindy Tindall
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #132 / 251
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
MO AVG $3.9M
Rank #141 / 251
54.3%Fiscal year ending 12/2023
Facility 54.3%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #121 / 251
265620

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 289 on this page.

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Overview of Delta South Nursing & Rehabilitation

Sikeston, Missouri, is home to Delta South Nursing & Rehabilitation, a 60-bed skilled nursing facility situated on Colonel George E Day Parkway and managed by administrator Darlene Portwood under Delta South Skilled Nursing and Rehabilitation, LLC. Payment processing is set up through standard healthcare channels, accepting Medicare, Medicaid, and private pay. Neighbors and visitors benefit from a highly pedestrian-friendly environment, as the location scores a 73 out of 100 for walkability, allowing family members to run local errands or walk to nearby spots on foot.

Daily records indicate a stable census of 53 residents, matching an 88 percent occupancy rate at the building. Stays here average roughly 81 days, pointing to an operational model focused heavily on short-term medical rehab and post-hospital recovery rather than multi-year residential placements. To monitor physical therapy goals and clinical treatments, the around-the-clock shift schedule averages 4 hours of total nursing care per resident each day, utilizing a combined rotation of registered nurses, licensed practical nurses, and nurse aides.

State regulatory files from public health charts track the property’s compliance history and regular licensing checkups. While specific citation categories are not outlined in the summary logs, current public records indicate the building’s total cumulative citations-per-inspection rate is not zero, and remaining items continue to be monitored through standard state quality reviews.

Prospective representatives can evaluate a clinical catalog featuring specialized orthopedic care, joint replacement recovery tracks, post-surgical therapy, and complex infusion or palliative care services. The facility integrates these clinical loops with daily medical assessments, temporary respite care options, and direct family training programs.

Contact Delta South Nursing &Amp; Rehabilitation

Houston House

1000 North Industrial Dr, Houston, MO 65483-9400
Overview of Houston House

Located in Houston, Missouri, Houston House is a nursing facility operated by Houston #1, Inc, and owned by Jodi Shafer. The 96-bed home is located at 1000 North Industrial Drive and accepts Medicare, Medicaid, and private pay, giving families flexibility in covering care costs. The facility has an occupancy rate of 79%, with 76 residents.

The home provides rehabilitation services. Nurse staffing averages 3 hours and 55 minutes per resident per day, comprising registered nurses, licensed vocational nurses, licensed practical nurses, and nurse aides. The level of around-the-clock care supports residents recovering from acute events or managing ongoing medical needs. Most stay for an average of 183 days, including short-term post-acute patients and longer-stay residents.

The neighborhood around Houston House is somewhat walkable, with a Walk Score of 40. Some nearby services may be accessible on foot, but most visits and errands require transportation. This setting is best for residents and families who want a quieter and less congested environment outside a city center.

State inspections identified areas for improvement related to documentation accuracy, food service safety, resident care procedures, and infection control practices. These recur across multiple inspection cycles, so there’s ongoing attention to operational standards. Families considering Houston House should take a tour and ask how the facility addresses these operational areas.

Contact Houston House

Monroe City Manor Care Center

1010 Highway 24 & 36 East, Monroe City, MO 63456-1116
Overview of Monroe City Manor Care Center

Operated by Monroe City Manor Care Center, Inc, Monroe City Manor Care Center is a nursing home in Missouri, owned by Rosanne Hays and administered by Brittany Vanlandingham. The 60-bed home accepts Medicaid, Medicare, and private pay, giving families multiple options to cover short-term rehabilitation and longer-term nursing care. Its current occupancy is 90% due to its strong engagement with the community.

Rehabilitation is the main focus of the facility’s care program. There are on-site therapy services, a doctor on staff, and specialized programs that include a dedicated Special Care Unit. Total nurse staffing averages 4 hours and 23 minutes per resident each day, providing hands-on assistance and medical oversight. Residents stay for an average of 140 days, including post-acute residents recovering from hospitalization and those requiring ongoing skilled nursing support.

Residents can choose from a range of options for their comfort and daily living. Restaurant-style dining offers numerous meal options every day. There are specialized menus for individual preferences and needs. Private rooms are available, and the building is smoke-free.

Additional amenities include beauty shop services, complimentary cable television, laundry and internet services, and a full schedule of activities coordinated by a dedicated Activities Director seven days a week.

The home’s location has a Walkability Score of 48 out of 100. Some nearby services are accessible on foot, while most trips require transportation. This can be convenient for visiting family members who drive to the facility. Residents who need assistance getting to appointments or activities can access transportation services. Flexible visiting hours are available, and the home has regular community outings to keep residents engaged with the wider neighborhood.

Families interested in the facility may want to tour to see the private room options and learn more about the dining program, activity schedule, and other routines.

Contact Monroe City Manor Care Center

Overview of Seasons Rehab and Healthcare Center

Seasons Operator LLC and owner Angela Grogan handle the daily management at Seasons Rehab and Healthcare Center, a 78-bed medical nursing facility located at 15600 Woods Chapel Road in Kansas City, Missouri. The billing office coordinates standard accounts across Medicare, Medicaid, and typical private pay options. Relatives planning visits can expect a pedestrian-friendly layout scoring 94 out of 100 for walkability, which means guests can manage immediate errands or walk to nearby spots entirely on foot.

Rosters show that the building maintains a high 95 percent occupancy level, while residents stay an average of 199 days. This operating schedule reveals that the medical teams split their attention between multi-month residential care and short-term post-hospital therapy programs. Nursing personnel coordinate treatments and daily medical routines on around-the-clock schedules, providing an average of 3 hours and 32 minutes of direct nursing care per resident each day through a team of registered nurses, practical nurses, and aides.

Recent inspection documents noted several areas that required correction, which included standard administrative guidelines, Medicaid notification paperwork timelines, and basic resource protocols, keeping the building’s overall cumulative citation rate above zero.

Prospective residents can explore the on-site physical rehabilitation setup, specialized adult day care options, and geriatric psychiatric tracks under continuous medical direction. The property pairs these clinical divisions with routine short-term respite stays, hospice coordination, an internal salon space, and managed laundry assistance.

Contact Seasons Rehab and Healthcare Center

Overview of Heart of the Ozarks Healthcare Center

Owned by Ava Exempt Trust, Heart of the Ozarks Healthcare Center is a 120-bed skilled nursing facility located on Crestview Street in Ava, Missouri. The center is operated by Ava No 1, Inc. It accepts Medicare, Medicaid, and private pay, providing families with multiple ways to access short-term rehabilitation and longer-term nursing care.

The facility has 24-hour staffing. Total nurse staffing averages 3 hours and 13 minutes per resident each day. Registered nurses on staff provide 36 minutes per resident daily, alongside nurse aides and licensed practical nurses. The community supports residents who need skilled nursing oversight and rehabilitation services. Residents stay an average of 138 days, including post-acute recovery residents and those remaining for ongoing care.

The community’s occupancy rate is 59%, with 71 residents. Ava’s location has a Walk Score of 55, so it’s a moderately walkable area where some errands can be done on foot; however, most trips still require driving.

State inspections reviewed the facility’s staffing training, clinical documentation, and care protocols around medication management and resident monitoring. Families touring Heart of the Ozarks should ask how the center complies with these operational standards.

Residents can choose from private and semi-private room options. The home promotes a family-oriented environment and provides emotional and spiritual support alongside medical care. There are engaging recreational and social activities as part of daily life. Those evaluating skilled nursing care in the Ava area may find Heart of the Ozarks a practical option as it’s a straightforward option with solid staffing-to-resident ratios and a stable operational presence in the region.

Contact Heart of the Ozarks Healthcare Center

Overview of McDonald County Living Center

McDonald County Living Center is a nursing home in Anderson, Missouri. It is operated by N & R of Anderson, LLC, under the administration of Susan Woods. The 96-bed community provides skilled nursing care and rehabilitation. It accepts Medicare, Medicaid, and private pay to help families access care.

There are currently 56 residents. The facility has an occupancy rate of 58%, so there’s availability for those seeking admission without needing to wait.

Rehabilitation services are offered on-site. The home also has a doctor on staff to support patients under short-term recovery and those with longer-term skilled nursing needs. Total daily nurse staffing averages close to 3 hours per resident. The nursing team includes registered nurses, nursing aides, and licensed practical nurses. Residents stay an average of 122 days, including post-acute rehabilitation patients and those who stay for ongoing care.

The home’s location on Patterson Street in Anderson has a Walk Score of 36, which means some nearby services are reachable on foot, but families and residents should drive for most trips. The neighborhood setting is best for families looking for a quieter and more residential area.

Residents can choose from a variety of nutritious meal and snack options tailored to their preferences, which may benefit those with dietary needs or specific dietary preferences. Beyond meals, the facility provides transportation and professional medical care available around the clock. Housekeeping and laundry services are also available to reduce the burden on residents and families.

State inspections by Missouri’s Department of Health and Senior Services identified areas related to medication management, pressure ulcer care, and food safety protocols. The facility implements staff education and corrective measures in response to these findings. Families can ask about these areas during a tour to understand the home’s current practices and monitoring.

Contact McDonald County Living Center

Overview of Clearview Nursing Center

Clearview Nursing Center is a 98-bed skilled nursing home on Salcedo Road in Sikeston, Missouri, owned by Sandra McMullin and run by N & R Of Sikeston At Clearview, Inc. The business department processes billing accounts through Medicare, Medicaid, and private pay. For visitors, the property features a highly accessible neighborhood layout with a walkability score of 73 out of 100, which means family members can easily complete errands or access local services on foot during visits.

Data profiles show that the facility operates at a 60 percent occupancy rate, with an average resident stay of 156 days. This operational timeline reflects a daily clinical caseload divided between temporary post-hospital therapy tracks and multi-month skilled nursing placements. To manage daily health protocols and direct assistance, the 24-hour staffing framework provides an average of 5 hours and 10 minutes of total nursing care per resident each day, backed by an on-staff physician who monitors clinical needs across all shifts.

State records from the Missouri Department of Health and Senior Services track how the administration maintains regulatory compliance. Public licensing surveys indicate that recent evaluations identified standard compliance deficiencies relating to documentation practices, physical plant environmental standards, staff training, assessment accuracy, and infection control, which means the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing quality tracking.

Prospective representatives can access specialized clinical programs, including physical, occupational, and speech therapies, alongside tracheostomy care, wound management, IV therapy, tube feedings, and dedicated behavior and Alzheimer’s care. The campus is equipped with an on-site beauty shop and barbershop, structured activity sessions, and a transportation vehicle for resident transit.

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Overview of Cypress Point

Ideally settled in the tranquil area of Dexter, MO, Cypress Point is a dedicated senior living community that offers rehabilitation, skilled nursing, hospice care, and home health care. Residents can comfortably recover in their bright and airy studio apartments with convenient access to 24-hour care and assistance. The community’s team of care professionals ensure residents fully recover and avoid being readmitted to the hospital through individualized care plans and a wide array of rehabilitation therapies.

Residents can get back to their old hobbies or discover new ones with a wide array of planned activities and events conducted both on-site and offsite. The community also offers a wide range of health & wellness initiatives, including nutritious meals, and a selection of fun fitness programs and meditation classes. Here, residents are empowered to get back on their routines and fully recover with a range of services that focuses on all aspects of well-being.

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Overview of Riverview Nursing Center

Riverview Nursing Center is a 60-bed skilled nursing facility at 10303 State Road C in Mokane, Missouri, operated by Mokane #1, Inc. in Callaway County. Accepted are Medicare, Medicaid, and private pay, with most residents on long-term stays averaging 142 days.

CMS rates the facility 4 stars, 52.1 percent above Missouri average, with health inspection performance running 72.4 percent above state average. Across 5 inspections since 2023, the facility recorded 13 total citations, all low severity, no critical or serious findings, with no fines and no payment denials. Nurse hours run 3h 25m per resident per day, 10 percent below Missouri average, and are the primary factor behind the staffing sub-rating offset. The facility typically has availability at 62 percent occupancy, modestly below Missouri’s 66.6 percent average.

Respite care is available alongside long-term skilled nursing. An active resident council and on-site nurse aide training exist. Confirmed on-site clinical services include physical, occupational, and speech therapy; wound care; podiatry; psychiatric services; and laboratory.

The facility is well-suited for long-term skilled nursing residents in rural Callaway County who want a clean inspection record and broad clinical services.

Contact Riverview Nursing Center

Overview of Hillcrest Care Center

Operated by Hillcrest Care Center, Hillcrest Care Center is a skilled nursing home in De Soto, Missouri. The facility owned by Cindy Tindall is on Clarke Street in a moderately walkable neighborhood. It has a Walkability Score of 50, so some local errands are accessible on foot while most trips will require a car.

The 120-bed community has 70% occupancy, with residents typically staying about 119 days. Medicare, Medicaid, and private pay are accepted, offering families multiple ways to cover rehabilitation and longer-term nursing care.

Residents have access to a full range of skilled nursing and rehabilitation services. Physical and occupational therapy are available on-site, along with diagnostic imaging and laboratory services, and a doctor on staff who provides medical oversight.

The home also offers specialized behavioral, Alzheimer’s care, and hospice services for residents nearing the end of life. Daily nurse staffing averages 3 hours and 43 minutes per resident. Residents are supported by registered nurses, licensed practical nurses, and nurse aides to deliver hands-on care and monitoring.

Meals and snacks prepared through a complete dining program that accommodates individual preferences and dietary needs. Amenities include a barber and beauty shop, as well as laundry services. There’s also a restorative nursing program to help residents maintain and improve function. The home has 24-hour staffing to ensure consistent care and supervision all day and night.

Regulatory inspections by Missouri’s Department of Health and Senior Services identified concerns related to financial safeguarding, resident supervision, documentation practices, training, and environmental safety. These findings show areas that need more attention. Families should ask how these areas are managed and monitored when evaluating the quality of care and administrative practices.

Contact Hillcrest Care Center, Inc

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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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 289 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.