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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
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.
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.
$3.7M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$1.8M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
49.3%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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
Tipton Oak Manor in Tipton, Missouri, offers skilled nursing, memory care, hospice care, and short-term rehabilitation services. Clinical programs feature ongoing physician oversight and staff doctor supervision alongside a secured memory care environment for residents requiring extra safety. Respite stays provide short-term care for individuals while primary caregivers are away or resting.
Operating a 66-bed capacity, the community is run by administrator Christin Petree and operator N & R of Tipton. Nursing staff delivers an average of 3 hours and 53 minutes of care per resident each day. Campus resources include wheelchair-accessible transportation vans, and the surrounding neighborhood holds a 53 walk score.
Individuals seeking long-term care or temporary rehabilitation can reach out to Tipton Oak Manor to check current space, discuss payment options, or plan a visit of the facility. Payment choices cover Medicare for qualified care, Medicaid, and private funds.
In Anderson, MO, McDonald County Living Center is licensed for nursing home care and skilled nursing. Licensed nursing is available around the clock for medical needs that don’t cease. Ninety-six beds are licensed here. Nursing time per resident is pegged at 3 hours and 10 minutes a day. A physician is on staff and rehabilitation services are named, which puts the doctoring and therapy work in the same place as the nursing.
Medicare, Medicaid, and private pay are accepted, so a family likely has a route to pay through one of the three. N and R of Anderson operates the community, and Susan Woods is on as administrator.
The person the community is suited for is someone who needs continuing nursing oversight, rather than just a hand with daily chores.
Bertrand Nursing and Rehab Center in Bertrand, Missouri, provides nursing care, skilled nursing, and palliative care. Nursing and skilled nursing services provide licensed nursing care for residents who need ongoing clinical support, while palliative care addresses comfort as part of the care plan. The community has 60 beds and staff are present around the clock for residents receiving care.
Rehabilitation services and short term rehabilitation support residents who need a temporary stay focused on recovery rather than ongoing nursing home care. A doctor is on staff for medical care within the community, and religious services are available on site. Bertrand Nursing and Rehab Center may be a good fit for someone who needs skilled nursing, palliative care, or a short term rehabilitation stay.
Medicaid, Medicare, and private pay are accepted, giving families several ways to cover care based on the resident’s eligibility and financial arrangements. The community focuses on individual care and includes family members in care plan discussions, with Family Assistance among its specific programs. Don Chance serves as the administrator.
Nursing home care, assisted living, and skilled nursing are the three levels on one campus at Fountainbleau Lodge in Cape Girardeau, MO. Skilled nursing covers licensed nursing care in the building. Assisted living covers the daily tasks while the resident keeps an apartment or a room, so what is paid for is the door as much as the help. Both suit someone whose needs increase and who can move between them without leaving.
Eighty-nine beds are on the books. Rehabilitation services are there when therapy belongs in a resident’s care. A courtyard gives outdoor space, and a salon covers grooming on site.
Some errands here go on foot. A Walk Score of 66 is somewhat walkable, which is the difference between an outing that needs planning and one that does not. Activities and transportation are both on the amenity list.
Medicare, Medicaid, and private pay are accepted. Regina King is the administrator, and Fountainbleau of Cape Girardeau runs the operation. A day of nursing split to one resident leaves 5 hours and 27 minutes. The fit is someone needing assisted living support or skilled nursing while staying where more than one level exists.
St Joseph Chateau, situated in Saint Joseph, Missouri, offers skilled nursing care within a specialized facility. Dedicated clinical support addresses ongoing medical needs, while a secured behavioral health setting provides structured supervision for individuals requiring specialized care.
Operated by North 9Th Street Healthcare under administrator James Dilworth, the community houses 69 beds and operates near full capacity with a 99% occupancy rate. Nursing time averages 2 hours and 9 minutes per resident each day. Accepted payment arrangements include Medicare, Medicaid, and direct private pay.
Interested individuals seeking skilled nursing or behavioral health accommodations can reach out to St Joseph Chateau to verify current bed openings, review payment criteria, or schedule an initial consultation.
Overview of James River Nursing and Rehabilitation
James River Nursing and Rehabilitation provides nursing home and skilled nursing care, memory care, and respite care in Springfield, Missouri. Skilled nursing includes licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for someone at risk of wandering.
Respite care is available for a short stay when a family caregiver needs to travel or recover. The community may suit families seeking ongoing nursing support, memory care, or temporary care.
There are 120 beds, with Medicare, Medicaid, and private pay accepted as ways to cover eligible care costs. Total nurse staffing is 3 hours and 59 minutes per resident per day, representing the amount of daily nurse staffing assigned per resident.
Kelsey Long administers the community, which is operated by Jrnrc Ops. Short term rehabilitation takes place on site with support from a therapy gym, so residents can receive rehabilitation services without leaving the community.
Private rooms give each resident a personal room. An outdoor courtyard with a gazebo provides a designated outdoor area, while salon services allow residents to have grooming done on site.
Meals are prepared by a certified dietary manager and cooks, with accommodations for food allergies and preferences. A Walk Score of 94 places the area in the walker’s paradise range, so daily errands do not require a car and a resident who no longer drives can still get out independently.
Experience exceptional care at The Manor at Elfindale, a dedicated community in Springfield, MO, offering memory care, rehabilitation, and skilled nursing. Those with cognitive conditions and complex healthcare needs are guaranteed the highest quality of care with a compassionate and highly trained team available around the clock. Specially designed and secured units are also provided in a nurturing and welcoming environment, so residents can feel at ease during their stay.
Stimulating activities and enriching programs are conducted to keep residents active and socially connected. Delicious and well-balanced meals are available, ensuring residents have the nutrients they need to remain healthy. The community has received several recognitions throughout the years, proving its top-notch quality.
Burrowed in Jackson County, Lee’s Summit, MO, John Knox Village is a wonderful senior living community that offers a wide array of senior living options to cater to residents’ varying needs. The community provides assisted living, skilled nursing, rehabilitation, memory care, and hospice care. Believing that each person deserves dignity, comfort and respect, the community provides its residents with a team of dedicated caregivers focused on providing compassionate care that helps them live their lives to the fullest.
The community is a spacious 120-apartment neighborhood with a wide variety of options and amenities to keep residents enjoy the life they want in the comfort of their snug and sophisticated accommodations. Residents also benefit from 24-hour nursing care, which ensures their care needs are met accordingly. Home maintenance services are also offered so residents can focus instead on lifelong learning opportunities, vibrant entertainment and wellness programs.
Overview of Miller County Care and Rehabilitation Center
Miller County Care and Rehabilitation Center operates an 86-bed facility in Tuscumbia, Missouri, providing nursing home services, skilled nursing, and specialized memory care within a dedicated Alzheimer’s and dementia unit. Accommodations include both private and semi-private room setups. An on-site rehabilitation unit offers inpatient and outpatient therapy, alongside a specialized program aimed at assisting residents who plan to return home. Hospice services and on-staff physician oversight are also available.
The facility maintains a daily nurse staffing average of 4 hours and 4 minutes per resident. Miller County Nursing Home District operates the location under the leadership of administrator Tiffany Shower. Payment choices include Medicare for eligible short-term recovery, Medicaid for long-term residential stays, and private payment options.
Interested families can get in touch with the admissions team at Miller County Care and Rehabilitation Center to check current room availability, discuss personal care needs, and explore financial coverage.
The Neighborhoods at Quail Creek offer a range of living options such as rehabilitation, skilled nursing, hospice care, and home health care– all provided with comprehensive services and professional staff. The staff ensures that their residents can live freely despite their needed assistance; they want their residents to make the most out of their experience at the senior home. Expect The Neighborhoods to be a professional yet pleasant nursing home that is proud to welcome and treat everyone like family.
A range of services and programs are offered at The Neighborhoods, such as community dining, health, and wellness activities, and an on-site pharmacy created by Americare Senior Living.
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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