Best Nursing Homes in Missouri

Bluebird Wellness and Rehabilitation is a 188-bed skilled nursing facility at 9350 Green Park Road, Saint Louis, Saint Louis County, Missouri, operated by Blooming Oaks Wellness & Rehabilitation LLC under the administration of Anita Tillery. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing coverage for residents requiring skilled care and post-acute rehabilitation services.

Staffing composition reveals significant clinical limitations. Registered nurse hours average 14 minutes per resident per day, representing a 50% reduction compared to Missouri’s state average of 28 minutes. This marked RN shortfall constrains clinical assessment capacity and responsiveness to acute changes in resident condition. Weekend RN presence deteriorates further to just 5 minutes per day; 75% below the state average of 20 minutes, creating substantial gaps in clinical oversight during evenings and weekends when administrative support is minimal.

Licensed practical nurses provide 45 minutes per day (10% above state average), delivering consistent hands-on nursing care. Certified nursing aides provide 2 hours 13 minutes per day (4% below state average). Physical therapist hours are 1 minute per day (50% below state average), severely limiting rehabilitation capacity for a facility marketed as a rehabilitation center.

Quality measures for long-stay residents show mixed outcomes. Hospitalization rates are 2.22 per 1,000 days (7% worse than Missouri average). Emergency department visits are 1.85 per 1,000 days (21% better than state average), indicating some strength in managing chronic conditions. Short-stay rehabilitation outcomes are substantially weaker.

Falls with major injury occur at 2.0% of residents; 155% worse than Missouri’s average of 0.8%, reflecting either inadequate fall prevention protocols or a higher-risk admission population. Successful return to home or community is 32.3% (36% worse than state average of 50.6%). Ability to care for self at discharge is 46.7% (13% worse than state average of 53.7%). These discharge metrics suggest residents exit the facility with lower functional capacity than patients at comparable facilities, pointing to either more acute admissions, extended institutional placement, or limited rehabilitation effectiveness.

Short-stay readmission rates are 15.9% (37% better than state average of 25.3%), a positive signal that discharged residents generally remain stable after leaving the facility. Short-stay emergency department visit rates are 14.5% (8% worse than state average of 13.4%).

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable facilities. This unusually sparse inspection history requires explanation. Families must request and review the facility’s current licensing status, actual inspection records from the Missouri Department of Health and Senior Services, and documentation of the reason for the absence of routine regulatory oversight.

Families should request information on weekend RN staffing, emergency response, fall prevention, incident tracking, rehabilitation program outcomes, and below average discharge outcome metrics.

Overview of Pine Grove Manor

Pine Grove Manor is a 77-bed skilled nursing facility at 4359 Taft Avenue, Saint Louis City, Saint Louis County, Missouri, operated by Pine Grove Manor LLC under the administration of Mark Brencick. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing services throughout the week. It is located in a highly walkable urban environment with a walk score of 92, where daily errands do not require a car.

Registered nurses provide 23 minutes per resident per day, representing an 18 percent reduction compared to Missouri’s state average of 28 minutes, which maintains near-benchmark clinical assessment capability with modest shortfall. Licensed practical nurses provide 33 minutes per day, 20 percent below the state average of 41 minutes. Certified nursing aides provide 2 hours 55 minutes per day, 26 percent above the state average of 2 hours 19 minutes, reflecting notably above-standard direct personal care assistance.

Weekend nursing totals 3 hours 31 minutes per day, 15 percent above the state average. Weekend RN presence at 13 minutes per day represents a 35 percent reduction from the state average of 20 minutes.

Long-stay hospitalizations average 1.86 per 1,000 days, representing an 11 percent improvement over Missouri’s state average of 2.08. Emergency department visits for long-stay residents average 1.81 per 1,000 days, 23 percent better than the state average of 2.35.

Rehabilitation services and respite care are available alongside skilled nursing care. Health care and dietary and nutritional needs management are identified as specific programs. Meals are nutritionally balanced and accommodate both medical and faith-based dietary requirements.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits. This payment structure makes the facility accessible to residents with government assistance.

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable skilled nursing facilities. This unusually sparse inspection history requires explanation. Current licensing status and any available regulatory documentation should be reviewed before placement.

Families should verify weekend RN staffing protocols, request rehabilitation outcome data and current inspection records, and clarify the zero-inspection record before admission.

Magnolia Wellness Center is a 120-bed skilled nursing facility at 3421 Gasconade Street, Saint Louis City, Saint Louis County, Missouri, operated by Sage Nursing & Rehab LLC under the administration of Michael Kleissler. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing services. It has a walk score of 92, placing it in a walkable urban location where daily errands do not require a car.

Registered nurses provide only 12 minutes per resident per day, representing a 57% reduction compared to Missouri’s state average of 28 minutes. This level of RN coverage is substantially below typical skilled nursing facilities. Licensed practical nurses provide 42 minutes per day, matching the state average. Certified nursing aides provide 2 hours 14 minutes per day, slightly below state average.

Weekend total nursing hours are 2 hours 39 minutes per day (13% below state average). Weekend RN presence drops further to 11 minutes per day, which is 45% below the state average of 20 minutes.

Quality outcomes for long-stay residents show concerning patterns. Long-stay hospitalization rates are 3.15 per 1,000 days, representing a 51% increase over Missouri’s state average of 2.08. Long-stay emergency department visits average 1.55 per 1,000 days, which is 34% better than the state average.

Short-stay rehabilitation outcomes are substantially weaker. Re-hospitalization rates are 34.5% (36% worse than the state average of 25.3%), meaning more than one in three discharged residents returns to the hospital following their nursing home stay. This metric suggests either insufficient rehabilitation progress, inadequate discharge planning, or gaps in transitional care protocols. Short-stay emergency department visits occur in 10.0% of residents (25% better than state average of 13.4%).

Falls with major injury occur in 0.0% of residents (100% better than state average of 0.8%), reflecting strong fall prevention measures.

The facility provides rehabilitation services, respite care, and beauty and barber services. Meals are nutritionally balanced and accommodate both medical and faith-based dietary requirements. Health care and dietary management are listed as specific programs.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.

Families should request written documentation of RN staffing rationale and detailed explanation for elevated hospitalization and re-hospitalization rates before admission.

Overview of Atrium Place Health and Rehabilitation

Atrium Place Health and Rehabilitation is a 120-bed skilled nursing facility at 2600 Redman Road, Saint Louis, Missouri, in St. Louis County. The privately owned facility, operated by Redman Rd Consulting LLC and administered by Jessica Peebles, serves primarily long-term Medicaid-eligible residents alongside short-term Medicare rehabilitation admissions.

Between October 2019 and January 2026, Atrium Place received three standard health inspections and twelve separate complaint investigations, resulting in 54 deficiencies and 54 citations. In February 2025, a critical Quality of Care citation was issued. Four serious violations have been documented. The facility has incurred nine federal penalties totaling $190,000 in civil fines during the past three years; 160% higher than the Missouri state average of $73,000.

A 14-day payment denial was imposed in April 2024. The top deficiency categories reflect systemic patterns spanning multiple inspections and complaint investigations, indicating persistent rather than isolated problems.

Staffing is substantially below state benchmarks across bedside care roles. Total nursing care averages 1 hour 53 minutes per resident per day versus the Missouri average of 3 hours 48 minutes; a 51% reduction in overall clinical support. Registered Nurse hours are 14 minutes per resident per day, 50% below state (28 minutes). Certified Nursing Assistant hours average 1 hour 19 minutes, 43% below state (2 hours 19 minutes).

Weekend nursing totals 1 hour 52 minutes per resident per day, 39% below state (3 hours 3 minutes). Licensed Practical Nurses average 45 minutes per resident daily, 10% above state, representing the only staffing category above state average. Physical Therapist hours are 3 minutes per resident per day, 50% above state average, indicating stronger rehabilitation-focused therapy.

Quality measure performance is mixed. Long-stay hospitalizations are 1.33 per 1,000 days, 36% better than the state average of 2.08. Emergency department visits are 2.08 per 1,000 days, 11% better than state (2.35). However, pressure ulcer rates among high-risk long-stay residents are 6.9%, 38% worse than Missouri average (5.0%), indicating skin care and positioning gaps.

Depressive symptom prevalence stands at 76.6% of long-stay residents, 496% worse than the state average of 12.8%.

Occupancy is 71.4%, generating above-average revenue relative to capacity. Resident payer mix reflects 60% Medicaid, 35.3% private pay, and 4.7% Medicare, with average length of stay of 797 days indicating primarily long-term rather than short-stay census. CMS star ratings are 2-star overall, 1-star for Health Inspection, 1-star for Staffing, and 2-star for Quality Measures.

Families should request corrective action plans addressing the February 2025 critical citation and substantiated complaint investigations, and protocols for infection control and medication management.

Overview of Mcknight Place Extended Care

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

Overview of Ellisville Rehabilitation and Nursing

Ellisville Rehabilitation and Nursing is a 210-bed skilled nursing facility at 322 Old State Road, Ellisville, Saint Louis County, Missouri, operated by Ellisville Opco LLC under the administration of Mr Cory Sterling. The facility is Medicare and Medicaid certified, maintains 24-hour nursing care, and offers long-term care, short-term rehabilitation, and memory support. Industry recognitions include Top Senior Care provider by St. Louis Magazine and Best Nursing Home by Newsweek.

The walk score is 67, indicating moderate walkability.

Staffing composition reflects substantial strength in direct care and hands-on nursing, with notable support for rehabilitation services. Registered nurses provide 25 minutes per resident per day (11% below Missouri state average of 28 minutes), maintaining near-benchmark clinical oversight. Licensed practical nurses provide 56 minutes per day (37% above state average). Certified nursing aides provide 3 hours 8 minutes per day (35% above state average of 2h 19m), substantially exceeding typical direct care staffing and suggesting robust assistance with activities of daily living.

Weekend nursing coverage is 3 hours 59 minutes per day (31% above state average), maintaining consistent staffing across the calendar week. Weekend RN presence at 16 minutes per day represents a modest 20% reduction from the state average. Physical therapist hours are 2 minutes per day, matching the state benchmark.

Quality outcomes for long-stay residents are aligned with state averages. Hospitalization rates are 2.06 per 1,000 days (in line with state average). Emergency department visit rates are 2.44 per 1,000 days (in line with state average). Short-stay rehabilitation outcomes are substantially weaker.

Readmission rates are 31.8% (26% worse than Missouri average of 25.3%). Falls with major injury occur in 1.4% of short-stay residents (84% worse than state average of 0.8%). Ability to care for self at discharge is 44.6% (17% worse than state average of 53.7%). Successful return to home or community is 39.5% (22% worse than Missouri average of 50.6%).

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven inspections for comparable facilities. This absence of routine inspection oversight warrants explanation. Families must request and review the facility’s current licensing documentation and any available inspection records from the Missouri Department of Health and Senior Services.

The facility provides chef-prepared meals with dietary accommodation, beauty and barber services, transportation, recreational programming including music and pet therapy, gardening and baking clubs, and spiritual care services. The 210-bed capacity supports organized community activities and multiple common areas typical of large regional facilities.

Families should request explanations for the elevated short-stay readmission and fall rates, rehabilitation program outcomes and average length of stay, and licensing and inspection records.

Overview of Stonebridge Desoto

Stonebridge DeSoto is an 80-bed skilled nursing facility at 1550 Villas Drive, De Soto, Missouri, operated by Eldercare Of Mid-Missouri IV, Inc. and administrated by Angela Moore. The facility provides assisted living, rehabilitation, skilled nursing care, short-term rehabilitation, and senior rehabilitation services with Medicare and Medicaid certification. The community received recognition as Missouri’s Best 2021.

It maintains 24-hour staffing with comprehensive clinical services including rehabilitation, physical therapy, occupational therapy, and speech therapy alongside palliative and hospice care.

Staffing composition shows significant variation from Missouri benchmarks. Registered Nurse coverage is 32 minutes per resident daily, running 14% above the state average of 28 minutes, suggesting adequate clinical leadership. However, Licensed Practical Nurse hours average 23 minutes per day, substantially below the state average of 41 minutes; a 44% shortfall that signals reduced hands-on clinical care delivery. Nurse Aide staffing is 2 hours 34 minutes per day, 11% above the state average, providing stronger direct assistance capacity.

Weekend nursing totals 3 hours 15 minutes per day, 7% above the state benchmark, with weekend RN coverage at 25 minutes; 25% above state average. Physical Therapist hours are minimal at 1 minute per day, 50% below the state benchmark of 2 minutes, a notable limitation for rehabilitation-focused care.

Quality outcome data raise substantive concerns. Emergency department visits for short-stay residents are 17.2%, 28% worse than the Missouri average of 13.4%; a marked elevation suggesting either higher-acuity admissions or gaps in preventive care management. Re-hospitalization is 26.5%, 5% worse than the state average of 25.3%. Successful return to home or community is 39.4%, 22% worse than the Missouri average of 50.6%, indicating lower discharge readiness outcomes.

Falls with major injury are 0.0%, a genuine strength relative to the state average of 0.8%. The facility’s overall quality measure rating is significantly below average, indicating systematic performance gaps across multiple care domains.

The walk score of 50 reflects moderately walkable surroundings with some pedestrian-accessible amenities.

Clinical services include in-house X-ray and laboratory, IV therapy, nutrition therapy, medication management, pain and wound management, and palliative care. On-site amenities encompass a beauty and barber shop, housekeeping, dining with special meal options, and recreational programming.

The facility’s zero inspection finding is anomalous given extensive CMS quality measure reporting and requires clarification regarding inspection history and regulatory standing. Missouri residents qualify for multiple assistance programs including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance.

Families should ask for an explanation of quality measure performance deficiencies and elevated ED utilization and re-hospitalization rates, corrective action plans, occupancy, and inspection history.

Overview of Ignite Medical Resort St Peters

Ignite Medical Resort St. Peters is a 91-bed skilled nursing facility at 5101 Executive Centre Parkway, Saint Peters, St. Charles County, Missouri, operated by Ignite St. Peters LLC under the administration of Andrew Lane.

The facility accepts both Medicaid and Medicare, maintains 24-hour staffing, and positions itself as a luxury rehabilitation center with private rooms, a full-service spa, Starbucks café, on-site restaurant with chef-prepared cuisine, on-site chapel, and concierge services. The walk score is 45, indicating somewhat walkable location where a few services are reachable on foot but most trips require transportation.

The facility’s CMS Certification Number and Missouri License Number both display as “0” in available records. Before considering admission, families must verify directly with the Centers for Medicare & Medicaid Services and Missouri Department of Health and Senior Services that the facility holds current and valid Medicare and Medicaid certifications. This verification step is essential.

Ignite Medical Resort specializes in orthopedic rehabilitation, stroke recovery, cardiac care, pulmonary rehabilitation, infection management, and renal disease treatment including in-house dialysis. These specialized programs indicate clinical capacity to manage complex medical conditions and post-acute rehabilitation needs. Without benchmarked staffing information and quality data, families cannot independently assess whether the facility’s clinical resources adequately support the specialized rehabilitation services offered or how the facility’s outcomes compare to peer institutions.

The facility emphasizes lifestyle and recreational elements alongside medical care, with dining options including outdoor courtyard patio and fire pit settings. Religious services are provided.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits. The facility reports no federal penalties in the past three years, which is a positive indicator of regulatory compliance during that period.

Families should verify current Medicare-Medicaid certifications, and request staffing hours per resident per day, CMS ratings, and quality outcome measures for specialized programs

Overview of Medicalodges Nevada

Medicalodges Nevada is a 100-bed skilled nursing facility at 1210 West Ashland Street, Nevada, Missouri, Vernon County. Kayla Shuey is the administrator; Medicalodges, Inc., operates the facility under the ownership of Susan Houser. The facility is 100% employee-owned and primarily serves short-stay rehabilitation residents, though it also accepts long-term private pay and Medicaid admissions.

The facility carries a 2-star CMS overall rating. Health Inspection performance is 24% below Missouri average, and Staffing is 31% below state average. Quality Measures, however, are rated 85.2% above state average. Current occupancy is 39.8%, with 45 residents occupying 100 beds and an average stay of 188 days, indicating a predominantly short-stay rehabilitation model.

Financially, the facility is operating at a loss of $533.3 thousand against $3.2 million in revenue, a margin of -16.9%, with payroll consuming 63.5% of gross revenue.

Nursing staffing is a mixed picture. Weekend RN coverage is actually 5% above state average at 21 minutes per resident per day, and LPN staffing is a genuine strength at 1 hour 3 minutes per day (54% above state average of 41 minutes). Certified Nursing Aides average 2 hours 50 minutes per resident per day, 22% above state average. Total nursing care reaches 5 hours 10 minutes per resident per day, 36% above state average.

However, weekday RN hours are 26 minutes per resident per day, 7% below state average of 28 minutes. Weekend nursing total of 3 hours 32 minutes per day runs 16% above state average, suggesting weekend staffing is actually adequate despite concerns about daytime RN presence.

Quality outcomes reveal conflicting patterns. Long-stay residents experience hospitalizations at 1.96 per 1,000 days (6% better than state) and emergency department visits at 1.24 per 1,000 days (47% better than state)—notably low. Yet walking ability declined in 25.7% of long-stay residents, 25% worse than state average. Weight loss affects 8.9% (60% worse than state average of 5.6%), pressure ulcers occur in 6.1% of high-risk residents (21% worse than state), and bowel or bladder incontinence affects 22.1% of low-risk residents (22% worse than state).

On the positive side, depressive symptoms appear in only 5.9% (54% better than state), urinary tract infections are 1.4% (50% better than state), and falls with major injury are 2.0% (51% better than state). Vaccination rates are 86.9% for pneumococcal and 92.5% for influenza, both in line with state benchmarks.

Inspections from August 2019 through August 2025 include eight health surveys and complaint investigations with 27 total citations, all of moderate severity, and zero critical or serious citations. This is 3.38 citations per inspection versus Missouri average of 5.67 (41% better). However, the inspection record reveals a recurring pattern of deficiencies across multiple years. August 2019 found inadequate activities programming and improper side rail assessments.

June 2022 cited infection control gaps and staffing documentation. June 2024 health inspection identified 16 deficiencies covering medication management, pharmacy oversight, nursing documentation, and administrator licensing. A concurrent complaint investigation the same month cited 8 additional deficiencies. Subsequent complaint investigations in September 2023, December 2024, April 2025, and August 2025 repeatedly address administrator licensing compliance and infection prevention.

The administrator’s license expired and was not renewed in a timely manner, constituting a governance failure that has triggered multiple complaint reviews.

The facility’s low occupancy (39.8%) and operating loss of $533.3 thousand suggest financial strain, though payroll as a percentage of revenue is reasonable at 63.5%. The facility is moderately walkable (Walk Score 59) and offers Medicare rehabilitation, Medicaid long-term care, and private pay services with access to Missouri financial assistance programs.

Families evaluating Medicalodges Nevada should ask directly about corrective actions taken following the April 2025 infection control citation and verify current administrator license status.