Page 7 of Best Nursing Homes in Missouri

Cuba Manor. handles the daily operations at Cuba Manor, a 90-bed skilled nursing center located on internal streets in Cuba, Missouri. The administrative team keeps the billing process straightforward by accepting standard payment routes, including private funds, Medicaid, and Medicare. Family members checking out the neighborhood will find a walkability score of 61 out of 100, which means the surrounding area is moderately pedestrian-friendly, so you can easily manage a few quick errands on foot when dropping by.

The building runs at about 66 percent occupancy, and residents stay here for an average of 120 days. This timeline shows that the staff balances their regular routines between short-term post-hospital rehab tracks and extended residential care. To keep up with daily medical treatments, the 24-hour shift framework averages 3 hours and 25 minutes of direct nursing care per resident each day, with a dedicated staff physician coordinating clinical goals alongside registered nurses, practical nurses, and nurse aides.

Files from the state health department track how well the building matches up with safety and licensing guidelines. Past inspection reports have highlighted a few recurring operational areas needing some attention from the staff, specifically regarding basic building maintenance, clinical infection control habits, and general care coordination protocols, keeping the total citation rate above zero.

Older adults can take a look at the full therapy gym, specialized Alzheimer’s care wings, behavioral support programs, and short-term respite stays. The indoor layout offers both private and semi-private rooms, paired with convenient extras like tailored daily meals, weekly barber services, religious services, and regular local transportation.

Overview of Elsberry Missouri Health Care Center

Located on Highway B in Elsberry, Missouri, Elsberry Missouri Health Care Center offers dual-licensed accommodations managed by administrator Christina Kuntz. Financial setups are clear through typical payment channels like Medicare, Medicaid, and private funds. With a neighborhood walkability score of 47 out of 100, the immediate area is only somewhat friendly to pedestrians, meaning family members will generally want a car to get around and run errands during visits.

Beds at the campus stay about 79 percent full, with people staying an average of 282 days. This operational track shows that the daily routine divides its time between short-term medical rehab following hospital visits and permanent residential placement. Registered nurses, practical nurses, and aides split standard daily clinical workflows, combining to provide an average of 3 hours and 30 minutes of direct hands-on nursing care per resident each day.

Oversight files from the Missouri Department of Health and Senior Services track how the building handles regulatory protocols over time. Recent evaluation sweeps noted that staff needed to make procedural adjustments regarding general care records, basic infection prevention steps, medication logging systems, and employee training profiles, which keeps the total citation rate above zero.

Families can explore the combined assisted living layout and skilled medical nursing wings to see how daily routines adjust across different care brackets. The property features a communal activity center for social events, along with routine housekeeping, laundry help, and freshly prepared daily meals managed by the building staff.

Ashley Manor Health & Rehabilitation LLC, owner Tina Wells, and administrator Heather Johnson run Ashley Manor Health & Rehabilitation at 1630 Radio Hill Road in Boonville, Missouri. Payment tracking runs smoothly through traditional methods, accepting standard accounts like private funds, Medicaid, and Medicare. Family members checking the local neighborhood will find a walkability score of 66 out of 100, meaning you can handle a few small errands on foot, but keeping a vehicle handy is best for most daily trips.

Rosters show that 45 residents live in the 52 certified beds, keeping the building at an 87 percent occupancy level. Individuals stay an average of 243 days, indicating that the care teams spend their time balancing post-hospital physical therapy loops with permanent residential placements. Daily medical treatments and nursing schedules are maintained around the clock, providing an average of 3 hours and 44 minutes of direct nursing care per resident each day through a rotation of registered nurses, licensed practical nurses, and nurse aides.

Regular survey evaluations over its initial year have tracked general staffing practices, nursing documentation habits, and standard infection control routines as ongoing areas for employee updates, keeping the overall citation rate above zero.

Prospective residents can explore the physical rehabilitation rooms, regular activity lounges, and shared social areas. The internal calendar pairs these therapy tracks with casual group events like arts, crafts, and bingo, alongside practical extras like an on-site beauty shop and wheelchair-accessible local transportation.

Bertrand Nursing and Rehab Center is a 60-bed skilled nursing facility at 603 West Highway 62 in Bertrand, Mississippi County, Missouri, administrated by Don Chance and privately operated. Established to focus on short-term rehabilitation and long-term care, it serves Medicare, Medicaid, and private-pay residents with an average census of 47 beds (79% occupancy) and typical stay of 185 days.

All 60 clinical and support staff are direct employees with zero contractor hours. Registered nurse time averages 24 minutes/resident/day, substantially above Missouri benchmarks. Licensed Practical Nurses contribute approximately 45 minutes daily. Certified Nursing Aides provide 2 hours 30 minutes/day, bringing total nursing care to 3 hours 39 minutes/day (just below the average of 3 hours 48 minutes).

Weekend total nursing reaches 2 hours 53 minutes/day, only 4% below Missouri’s average.

Long-stay residents show exceptional outcomes in preventing decline: functional decline scores stand at 14.1 (28% better than state average), need for increased assistance affects 14.0% (29% better than state), walking ability decline impacts 17.2% (16% better than state), and falls with major injury occur in 3.2% (22% better than state). Pressure ulcer prevention is also strong at 4.5% of high-risk residents affected (10% better than average). Conversely, weight loss in long-stay residents reaches 13.4%, more than double the average of 5.6%. Urinary tract infections occur in 3.9% of residents (44% worse than average of 2.7%).

Short-stay residents show a concerning 4.3% initiation rate for antipsychotic medications (94% worse than average of 2.2%). Vaccination rates are strong: influenza vaccination reaches 100% of long-stay residents (10% better than state), and pneumococcal coverage stands at 83.1% (near average).

Occupancy of 79% places the facility above the Missouri average of 66.6%. The facility carries payroll at 47.3% of revenue, below the 60-71% benchmark for well-operated facilities.

Regulatory compliance shows a clean recent record with no complaint investigations, enforcement actions, or penalties in the past three years. Three standard health inspections since April 2023 identified 10 total moderate citations with zero critical and zero serious violations. The most recent July 25, 2025 inspection cited deficiencies in psychotropic medication documentation, mobility rail maintenance inspections, infection control procedures during wound care, and bed equipment maintenance. All findings were classified as minimal harm or potential for actual harm affecting few residents.

Citations per inspection average 3.33, substantially better than Missouri’s average of 5.67, ranking Bertrand 31st among 261 Missouri nursing homes.

Bertrand offers short-term rehabilitation, palliative care, physical and speech therapy, occupational therapy, respiratory therapy, and dental services. An on-site nurse aide training program and active resident council support engagement. Religious services are available.

Medicare acceptance (70% of admissions), Medicaid coverage (8%), and private-pay options (21%) provide payer flexibility.

CMS assigned a 5/5 overall rating (90.1% above Missouri average), 5/5 for health inspection (72.4% above average), 5/5 for staffing (38.9% above average), and 2/5 for quality measures (28.3% below average).

Families should ask about corrective actions taken following the July 2025 medication documentation and infection control findings before placement.

Lincoln Community Care Center is an 80-bed skilled nursing facility at 205 Timberline Drive in Lincoln, Missouri. At 69 percent occupancy in line with Missouri’s 66.6 percent average, the facility has some availability. It’s operated by governmental entity Lincoln Community Nursing Home District, serving Benton County since 1972. Welcome are Medicare, Medicaid, and private pay, averaging a stay length of 447 days reflecting a predominantly long-term Medicaid population.

CMS scores the facility 3 stars, 14.1 percent above Missouri’s average. Staffing is the defining positive sub-rating at 85.2 percent above Missouri’s average, nurse hours reach 4h 9m per resident daily, ranked 84th out of 276 Missouri skilled nursing facilities. Across 4 inspections since 2020, the facility recorded 15 total citations, including a substantiated immediate jeopardy finding in October 2023 tied to COVID-19 infection control failures involving improper cohorting of positive and negative residents; a $14,000 federal fine followed. The IJ was removed after corrective actions; no further enforcement recorded.

Amenities include outdoor courtyards, a recreation room, live entertainment, and an onsite beautician. Sub-acute care is a program alongside skilled nursing and dementia care.

Operated as a community-owned facility, Lincoln Community Care Center is built for long-term Medicaid skilled nursing and dementia care in rural Benton County.

Located at 601 West Morgan Street in Tipton, Missouri, Tipton Oak Manor is a skilled nursing facility that provides comprehensive nursing care and rehabilitation. The home is operated by N & R of Tipton, LLC, owned by Tiffany Sponcier and administered by Christin Petree. It accepts Medicaid, Medicare, and private pay, offering families multiple ways to cover short-term rehab and ongoing care.

The 66-bed home operates at 71% occupancy. Residents stay an average of 127 days, including post-acute rehabilitation and longer-term care placements. Daily nurse staffing averages 3 hours and 50 minutes per resident. A doctor is on staff, and licensed professional staffing works 24 hours a day to support medical oversight and resident safety.

Rehabilitation is a major focus of the home’s care program, supported by contract providers for physical, occupational, and speech therapy. There’s respite care for families who need temporary support. Residents with memory impairment have access to a dedicated Alzheimer’s Special Care Unit.

The facility pays attention to residents’ meals and social life. They receive various nutritious meals and snacks tailored to their individual preferences and dietary needs. Residents can participate in creative activities, religious services, arts and crafts, family and resident socials, parties, and outings. Transportation can also be arranged for residents and visiting family members when needed.

The facility is in a Moderately Walkable residential area of Tipton with a Walk Score of 53. Some errands can be done on foot, while most require transportation. Contract services for laboratory work, pharmacy, and X-ray imaging are available on-site so residents won’t have to leave the facility for routine testing and diagnostic work.

Overview of Gasconade Manor Nursing Home

Located in Owensville, Missouri, Gasconade Manor Nursing Home is a skilled nursing facility operated by Gasconade Manor Nursing Home District and administered by Alexus Strothkamp. The home accepts Medicare, Medicaid, and private pay, offering multiple options for families to cover short-term rehabilitation and ongoing nursing care. The facility’s 79 private rooms have an occupancy rate of 77%. It serves rehabilitation residents and those who need longer-term care, and most stay for an average of 145 days.

Rehabilitation services and aquatic therapies are central parts of the home’s care program. It is paired with clinical support and lifestyle amenities that help residents through recovery and daily living. Daily nurse staffing averages 4 hours and 8 minutes per resident. Nurse aide support provides about 3 hours per day. This anchors hands-on personal care as a core part of the setting.

Aside from therapy spaces, residents have access to a pool and two outdoor courtyards. Several private rooms also include dine-in kitchenettes, so residents have more flexibility and independence when it comes to meals.

State inspections identified recurring issues related to operational compliance, including documentation practices, infection control protocols, medication management, and food safety procedures. These findings relate to the daily systems and operational processes. Families touring the home can observe how the home approaches these functions during their visit.

Owensville’s Walkability Score is 59 out of 100. Some nearby errands are within walking distance, while most outings require a short drive. Families nearby will find that the location offers convenient access to the home without being in a busier urban environment.

Surrey Place St. Luke’s Hospital Skilled Nursing is a 130-bed skilled nursing facility at 14701 Olive Blvd, Chesterfield, Missouri, in St. Louis County, operated by St. Luke’s Episcopal-Presbyterian Hospital and administered by Tracy Imhoff.

The facility accepts Medicare, Medicaid, and private-pay residents and holds CMS certification number 265414.

A serious medication error occurred during a September 11, 2024 complaint investigation. This deficiency was cited as a failure to ensure residents were free from significant medication errors and resulted in a moderate citation marked as corrected. Prior to this incident, an August 1, 2024 health inspection found deficiencies in infection control and in the absence of a water system management program to prevent Legionella growth. A December 2022 inspection documented failure to assist a resident with grooming and personal hygiene.

RNs provide 1 hour 50 minutes per resident daily (293% above Missouri’s 28-minute state average); LPNs deliver 1 hour 10 minutes daily (71% above state average); CNAs provide 2 hours 24 minutes daily (4% above state average). Weekend nursing totals 4 hours 29 minutes per resident per day, 47% above the Missouri state average. Physical therapy staffing is unusually comprehensive at 17 minutes per resident daily (751% above state average). RN weekend coverage specifically is 1 hour 6 minutes daily, 230% above state average.

Long-stay residents experienced zero falls with major injury (100% better than state baseline), zero urinary tract infections (100% better), and pneumococcal vaccination rates of 100% (17% better than state). Functional decline for long-stay residents is 1.7 (91% better than state). However, two quality metrics are concerning: long-stay residents with pressure ulcers stand at 9.1% (81% worse than Missouri’s 5% average), and weight loss in long-stay residents is documented at 25% (349% worse than Missouri’s 5.6% baseline). Short-stay re-hospitalization is 27.5% (9% worse than state average of 25.3%), and ability to care for self at discharge is 40.3% (25% worse than state’s 53.7%).

The CMS overall rating is 3 stars (14.1% above state average). Health Inspection rating is 2 stars (31% below state average). Staffing receives 5 stars (131.5% above state average). Quality Measures are rated 4 stars (43.4% above state average).

The facility received designation as Best Nursing Home 2026 by U.S. News and World Report and America’s Best Nursing Homes 2025 by Newsweek.

Inspection history since 2019 includes four health inspections with 16 total citations (4 citations per inspection, compared to Missouri average of 5.67). Zero citations are critical or serious severity. Of 16 citations, 15 are moderate and 1 is minor. No federal penalties have been imposed in the past three years.

Current occupancy is approximately 62% (80 residents in 130 beds). The facility is located less than 3 miles from St. Luke’s Hospital. Walk score is 39, indicating the neighborhood is somewhat walkable with most trips requiring transportation.

Families should ask about corrective measures implemented following the September 2024 medication allergy management failure, specifically regarding how the facility now documents allergy severity.

Puxico Nursing & Rehabilitation Center is a skilled nursing home in Puxico, Missouri, operated by Puxico #1, Inc., owned by Chelsey Van De Ven, with Bobbi King serving as administrator. The facility accepts Medicare, Medicaid, and private pay, giving families several options to cover rehabilitation and ongoing nursing care. The 60-bed community has a current occupancy rate of 67%. Most residents stay an average of 122 days, with placements spanning post-acute rehabilitation and longer-term care.

The facility provides a solid level of daily nursing support. Daily nurse staffing averages 3 hours and 13 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses work across the day, so residents can receive consistent hands-on support. This staffing mix supports the kind of close monitoring families expect in skilled nursing.

State inspections have identified areas related to food safety, medication administration, infection control, and documentation. These are common areas of review in nursing home inspections. Families touring the facility can ask how these areas are monitored and managed daily.

Located on Highway 51 in Puxico, the facility is in a somewhat walkable area with a Walk Score of 45. Some errands can be handled on foot, while most trips will require a vehicle. The area is can be accessed by families visiting from out of town.