Page 9 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 AL (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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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.
The Bishop Spencer Place, Inc
NH
AL
IL
MC
RC
SNF
Kansas City
118
Facility 118
MO AVG 96
Rank #143 / 450
--
5.97
Facility 5.97
MO AVG 3.74
Rank #5 / 268
-30%+60%
$8.0k
Facility $8.0k
MO AVG $76.9k
Rank #155 / 276
24
Facility 24
MO AVG 36.5
Rank #97 / 274
3.4
Facility 3.4
MO AVG 5.7
Rank #42 / 274
121-
94
Facility 94
MO AVG 46
Rank #5 / 545
Saint Lukes Health System Inc
$13.3MFiscal year ending 12/2023
Facility $13.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #18 / 251
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #13 / 251
57.4%Fiscal year ending 12/2023
Facility 57.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #90 / 251
265768
Community Manor
NH
HOS
MC
PC
RC
SNF
Farmington
99
Facility 99
MO AVG 96
Rank #184 / 450
98.0%
Facility 98.0%
MO AVG 66.5%
Rank #7 / 407
+47%
2.82
Facility 2.82
MO AVG 3.74
Rank #230 / 268
+4%-25%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
28
Facility 28
MO AVG 36.5
Rank #120 / 274
7.0
Facility 7.0
MO AVG 5.7
Rank #212 / 274
-97-
77
Facility 77
MO AVG 46
Rank #53 / 545
Miss Ouri Nursing & Rehab, LLC
$8.1MFiscal year ending 12/2023
Facility $8.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #72 / 251
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
MO AVG $3.9M
Rank #80 / 251
50.7%Fiscal year ending 12/2023
Facility 50.7%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #154 / 251
265798
Delmar Gardens of O’fallon
NH
ADC
AL
MC
SNF
O'fallon
240
Facility 240
MO AVG 96
Rank #4 / 450
62.5%
Facility 62.5%
MO AVG 66.5%
Rank #243 / 407
-6%
4.91
Facility 4.91
MO AVG 3.74
Rank #26 / 268
-43%+31%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
38
Facility 38
MO AVG 36.5
Rank #178 / 274
6.3
Facility 6.3
MO AVG 5.7
Rank #187 / 274
1150-
65
Facility 65
MO AVG 46
Rank #124 / 545
Teresa Reiter
$18.9MFiscal year ending 03/2024
Facility $18.9MFiscal year ending 03/2024
MO AVG $7.4M
Rank #7 / 251
$10.8MFiscal year ending 03/2024
Facility $10.8MFiscal year ending 03/2024
MO AVG $3.9M
Rank #7 / 251
57.1%Fiscal year ending 03/2024
Facility 57.1%Fiscal year ending 03/2024
MO AVG 54.9%
Rank #95 / 251
265792
Glendale Gardens Nursing & Rehab
NH
HOS
SNF
Cherokee Springfield
120
Facility 120
MO AVG 96
Rank #87 / 450
77.5%
Facility 77.5%
MO AVG 66.5%
Rank #130 / 407
+17%
3.43
Facility 3.43
MO AVG 3.74
Rank #163 / 268
+14%-8%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
24
Facility 24
MO AVG 36.5
Rank #97 / 274
3.4
Facility 3.4
MO AVG 5.7
Rank #42 / 274
-93-
94
Facility 94
MO AVG 46
Rank #5 / 545
Brian Sharp
$7.8MFiscal year ending 12/2023
Facility $7.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #75 / 251
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #91 / 251
49.5%Fiscal year ending 12/2023
Facility 49.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #168 / 251
265473
Life Care Center of Waynesville
NH
MC
SNF
Waynesville
120
Facility 120
MO AVG 96
Rank #87 / 450
63.3%
Facility 63.3%
MO AVG 66.5%
Rank #240 / 407
-5%
3.87
Facility 3.87
MO AVG 3.74
Rank #99 / 268
+12%+4%
$22.1k
Facility $22.1k
MO AVG $76.9k
Rank #194 / 276
31
Facility 31
MO AVG 36.5
Rank #141 / 274
5.2
Facility 5.2
MO AVG 5.7
Rank #136 / 274
176A+
51
Facility 51
MO AVG 46
Rank #240 / 545
Kimberly Coyne
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #114 / 251
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #76 / 251
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #27 / 251
265373
The Manor
NH
MC
SNF
Poplar Bluff
90
Facility 90
MO AVG 96
Rank #225 / 450
77.8%
Facility 77.8%
MO AVG 66.5%
Rank #127 / 407
+17%
3.69
Facility 3.69
MO AVG 3.74
Rank #129 / 268
+61%-1%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
26
Facility 26
MO AVG 36.5
Rank #109 / 274
8.7
Facility 8.7
MO AVG 5.7
Rank #253 / 274
-70A+
67
Facility 67
MO AVG 46
Rank #102 / 545
Tammy Loughary
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #174 / 251
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #190 / 251
47.4%Fiscal year ending 12/2023
Facility 47.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #187 / 251
265442
Living Community of St Joseph
NH
AL
IL
RC
SNF
Saint Joseph
131
Facility 131
MO AVG 96
Rank #74 / 450
58.8%
Facility 58.8%
MO AVG 66.5%
Rank #278 / 407
-12%
4.13
Facility 4.13
MO AVG 3.74
Rank #77 / 268
-6%+11%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
36
Facility 36
MO AVG 36.5
Rank #170 / 274
9.0
Facility 9.0
MO AVG 5.7
Rank #256 / 274
277-
76
Facility 76
MO AVG 46
Rank #62 / 545
Living Community Of St Joseph
$11.2MFiscal year ending 06/2024
Facility $11.2MFiscal year ending 06/2024
MO AVG $7.4M
Rank #40 / 251
$7.0MFiscal year ending 06/2024
Facility $7.0MFiscal year ending 06/2024
MO AVG $3.9M
Rank #19 / 251
62%Fiscal year ending 06/2024
Facility 62%Fiscal year ending 06/2024
MO AVG 54.9%
Rank #58 / 251
265784
Oakdale Care Center
NH
AL
RESC
SNF
Poplar Bluff
166
Facility 166
MO AVG 96
Rank #37 / 450
20.5%
Facility 20.5%
MO AVG 66.5%
Rank #407 / 407
-69%
2.54
Facility 2.54
MO AVG 3.74
Rank #238 / 268
-45%-32%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
35
Facility 35
MO AVG 36.5
Rank #167 / 274
8.8
Facility 8.8
MO AVG 5.7
Rank #255 / 274
-34-
67
Facility 67
MO AVG 46
Rank #102 / 545
Jeff Newman
$5.3MFiscal year ending 12/2023
Facility $5.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #142 / 251
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
MO AVG $3.9M
Rank #69 / 251
81.6%Fiscal year ending 12/2023
Facility 81.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #7 / 251
265556
Independence Manor Care Center
NH
HOS
MC
RC
SNF
Independence
99
Facility 99
MO AVG 96
Rank #184 / 450
54.5%
Facility 54.5%
MO AVG 66.5%
Rank #310 / 407
-18%
4.01
Facility 4.01
MO AVG 3.74
Rank #88 / 268
+23%+7%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
28
Facility 28
MO AVG 36.5
Rank #120 / 274
9.3
Facility 9.3
MO AVG 5.7
Rank #262 / 274
-54-
81
Facility 81
MO AVG 46
Rank #43 / 545
Independence Manor Inc
$6.0MFiscal year ending 11/2023
Facility $6.0MFiscal year ending 11/2023
MO AVG $7.4M
Rank #118 / 251
$3.4MFiscal year ending 11/2023
Facility $3.4MFiscal year ending 11/2023
MO AVG $3.9M
Rank #123 / 251
56.8%Fiscal year ending 11/2023
Facility 56.8%Fiscal year ending 11/2023
MO AVG 54.9%
Rank #96 / 251
265682
Miller County Care and Rehabilitation Center
NH
MC
SNF
Tuscumbia
86
Facility 86
MO AVG 96
Rank #251 / 450
69.8%
Facility 69.8%
MO AVG 66.5%
Rank #183 / 407
+5%
4.07
Facility 4.07
MO AVG 3.74
Rank #77 / 268
+3%+9%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
15
Facility 15
MO AVG 36.5
Rank #44 / 274
5.0
Facility 5.0
MO AVG 5.7
Rank #121 / 274
-60-
9
Facility 9
MO AVG 46
Rank #506 / 545
Linda Beckham
$5.2MFiscal year ending 09/2023
Facility $5.2MFiscal year ending 09/2023
MO AVG $7.4M
Rank #144 / 251
$3.4MFiscal year ending 09/2023
Facility $3.4MFiscal year ending 09/2023
MO AVG $3.9M
Rank #119 / 251
66%Fiscal year ending 09/2023
Facility 66%Fiscal year ending 09/2023
MO AVG 54.9%
Rank #39 / 251
265713

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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Nursing Home Explorer
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Overview of The Bishop Spencer Place

Bishop Spencer Place, Inc., a member of the Saint Luke’s Health System, operates Bishop Spencer Place at 4301 Madison Avenue in Kansas City, Missouri. The administrative team structures patient accounts through standard funding tracks, processing care expenses via Medicare, Medicaid, and private payments. Guests planning regular visits will find a highly pedestrian-friendly setting with a walkability score of 94 out of 100, which lets family members run errands or walk to nearby services easily without a car.

The 118-bed skilled nursing center maintains a short-term, intensive rehabilitation focus, with resident stays averaging 34 days. This quick operational loop points to a daily schedule built around post-hospital recovery, surgical healing, and transitional respite stays rather than permanent residential placements. To monitor individual therapy targets and clinical needs, the 24-hour staffing framework provides an average of 5 hours and 28 minutes of total daily nursing care per resident, dividing shift duties among registered nurses, practical nurses, and aides.

A primary feature of the campus is its structured culinary program, which provides residents with a $500 monthly credit toward chef-prepared meals. The kitchen staff provides a wide selection of appetizers, main dishes, and desserts across multiple formats, including formal dining room service, casual options, carryout, and direct room delivery. The facility balances this dining plan with standard support tracks like regular local transportation, continuous housekeeping, internal utility management, and on-site concierge services.

Interested individuals can evaluate the physical therapy infrastructure and short-term recovery programs to see how the clinical teams manage transitional care. The internal layout combines these specialized medical spaces with comfortable social lounges and common dining areas.

Contact The Bishop Spencer Place, Inc

Community Manor

783 Weber Road, Farmington, MO 63640-3318
Overview of Community Manor

Community Manor manages a 99-bed skilled nursing environment on Weber Road in Farmington, Missouri, under operator Missouri Nursing & Rehab, LLC and owner Missouri Nursing. Administrative systems clear accounts through standard financing streams, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility sits in a pedestrian-friendly neighborhood with a walkability score of 77 out of 100, which means visiting relatives can complete local tasks and errands entirely on foot.

Data records show a 98 percent occupancy rate paired with an average length of stay of 144 days, confirming a daily schedule balanced between short-term post-hospital therapy and extended residential care. Daily medical needs and physical assistance are monitored through an around-the-clock shift framework that averages 2 hours and 41 minutes of total nursing care per resident each day. This clinical rotation splits tasks among registered nurses, licensed practical nurses, and nurse aides who supervise continuous treatment schedules.

Public administrative charts show that recent surveys identified specific procedural dings concerning standard care processes and clinical documentation maintenance, meaning the facility’s long-term cumulative citations-per-inspection rate is above zero.

Interested individuals can evaluate the campus layout to see how the enclosed floor plan and rehabilitation gym align with physical recovery goals. The everyday program combines occupational, physical, and speech therapies with gourmet dining selections, lifestyle enrichment events, behavioral health services, and an on-site resident banking system.

Contact Community Manor

Overview of Delmar Gardens of O’fallon

Delmar Gardens West operates a large 321-bed nursing campus on South Outer 40 Road in Town and Country, Missouri, under the direction of Richard Taylor and Delmar Gardens West Operating, LLC. Financial setups are straightforward, with the office taking payment through Medicare, Medicaid, and private pay. If you check out the local neighborhood, the walkability score sits at a very low 3 out of 100, meaning families visiting the site will find a car necessary for all trips and errands.

The facility focuses heavily on short-term recovery, which shows in their average length of stay of just 26 days for the 189 residents currently living there. Because patients cycle through quickly after hospital visits, the daily schedule is geared toward intensive therapy rather than permanent placement. To back this up, the nursing staff provides an average of 4 hours and 21 minutes of daily care per resident, dividing the workload between registered nurses, practical nurses, and aides to maintain steady medical oversight.

State files show that the building maintains an excellent regulatory track record with local health departments. Recent licensing surveys and safety checks came back clear, which keeps the property’s cumulative citations-per-inspection rate at zero.

Prospective representatives will find a clinical setup featuring an on-staff physician, physical, occupational, and speech therapy programs, and short-term respite care. Accommodations include private or semi-private rooms built with safety grab bars and emergency call systems, plus communal features like a beauty salon, main dining area, and recreational lounges.

Contact Delmar Gardens of O’fallon

Overview of Glendale Gardens Nursing & Rehab

Glendale Gardens Nursing & Rehab is a skilled nursing facility located on East Cherokee in Springfield, Missouri. The 120-bed home is operated by N & R Of Springfield East, LLC and owned by Brian Sharp. Medicare, Medicaid, and private pay are accepted, giving families different options for covering short-term rehabilitation and longer-term skilled nursing care. The surrounding area has a Walk Score of 94, so it’s highly walkable and convenient for family members visiting the facility.

As a newer community, Glendale Gardens strongly focuses on rehabilitation and provides ongoing skilled nursing care. Residents have access to physical, occupational, and speech therapy, and there’s a doctor who is on staff. Structured rehabilitation programs and 24-hour staffing support residents throughout their recovery.

Daily nurse staffing averages 3 hours and 30 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses work together to provide hands-on care and supervision throughout the day.

The facility’s occupancy rate is 78%. Residents an average of 93 days, including post-acute rehabilitation residents recovering from surgery, hospitalization, or medical events. Residents who need longer-term placement have access to independent living apartments if they want to stay in the community after their acute care needs are resolved.

Residents have access to amenities including housekeeping and laundry services, semi-private and private room options, and on-site pharmaceutical services. The facility offers free CNA and CMT classes for those interested in training or certification in the health professions. The home has a range of rehabilitation therapies and on-site medical oversight, helping residents regain function and independence during their stay.

State inspections identified findings related to communication and care procedures. Families touring the home may want to ask how staff handles timely notification with families and physicians when health changes occur, as well as how fall prevention and infection control are managed daily.

Contact Glendale Gardens Nursing & Rehab

Barnes-Jewish Extended Care

401 Corporate Park Dr, Saint Louis, MO 63105-4201
Overview of Barnes-Jewish Extended Care
Barnes-Jewish Extended Care is a facility located in St. Louis, MO. It offers various services related to long-term care. The facility is part of the Missouri Health Care Association.

Contact Barnes-Jewish Extended Care

Overview of Community Springs Healthcare Facility
Community Springs Healthcare Facility is located in El Dorado Springs, Missouri. It provides various healthcare services to its residents. The facility is part of the Missouri Health Care Association, which supports long-term care facilities across the state.

Contact Community Springs Healthcare Facility

Overview of Life Care Center of Waynesville

Life Care Center of Waynesville is a 120-bed skilled nursing facility at 700 Birch Lane in Waynesville, Missouri. It’s operated by Waynesville Medical Investors, LLC, in Pulaski County. Medicare, Medicaid, and private pay are welcome, with a mix of short-term rehabilitation and long-term care stays. A secured Alzheimer’s and dementia unit exists.

CMS scores the facility 1 star, 62 percent below Missouri average, driven by below-average health inspection and staffing sub-ratings. Quality measures run modestly above state average, the one positive in an otherwise poor sub-rating picture. Across 6 health inspections since 2022, the facility recorded 31 total citations, including 1 serious finding, with a $22,000 federal fine issued in March 2025. No immediate jeopardy findings or payment denials are on record. Nurse hours reach 3h 45m per resident per day, roughly aligned with Missouri average. At 64 percent occupancy near Missouri’s 66.6 percent average, the facility generally has availability.

Amenities include a community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a fine dining program. In place are full-time certified activity director and active resident council.

The secured dementia unit and rehabilitation capacity makes the facility best for memory care residents and post-acute stays in Pulaski County.

Contact Life Care Center of Waynesville

The Manor

2071 Barron Rd, Poplar Bluff, MO 63901-1903
Overview of The Manor

The Manor is a 90-bed skilled nursing and rehabilitation center at 2071 Barron Rd in Poplar Bluff, Missouri, operated by Poplar Bluff No 1, Inc. in Butler County. Medicare, Medicaid, and private pay are accepted, serving a mix of short-term rehabilitation and long-term residents with an average stay of 121 days. A secure memory care unit, physical and occupational and speech therapy, IV therapy, and oxygen therapy are confirmed services.

The facility is graded 3 stars by CMS, 14.1 percent above Missouri’s average, with the health inspection sub-rating running 37.9 percent above state average. Across 3 inspections since 2022, the facility recorded 26 total citations all moderate in severity and from standard inspections, with no critical or serious findings, fines, and payment denials. Staffing and quality measures run below state average and are the primary drag on the overall rating. Nurse hours reach 3h 12m per resident daily, 16 percent below Missouri’s average. At 65 percent occupancy aligned with Missouri’s 66.6 percent average, the facility has some availability.

The Rehab to Home program is a named care track. An active resident council and on-site nurse aide training are present.

The Manor is best for residents needing skilled nursing, secure memory care, or short-term post-acute rehabilitation in Poplar Bluff.

Contact The Manor

Overview of Living Community of St Joseph

Living Community of St. Joseph is a 131-bed skilled nursing and rehabilitation facility offering independent and assisted living at 1202 Heartland Road in Saint Joseph, Missouri. It’s operated by voluntary non-profit Living Community of St Joseph in Buchanan County. The facility accepts Medicare, Medicaid, and private pay, sits within a full-continuum CCRC, and sees most residents for short-term rehabilitation, with an average stay of 54 days.

CMS grades the facility 4 stars, 52.1 percent above Missouri average, with staffing running 131.5 percent above state average, ranked 56th out of 276 Missouri skilled nursing facilities for total nurse hours. Physical therapist hours run 250 percent above state average, reflecting the facility’s rehabilitation orientation. Across 4 inspections since 2020, the facility totaled 36 citations including 2 serious findings, with no critical citations, fines, and payment denials. The community at 89 percent occupancy, ranked 48th out of 283 Missouri facilities, operates near capacity. It’s been recognized as St. Joseph’s “Best of” senior living community three times and a News-Press Now Readers’ Choice honoree eight years running.

With staffing levels and physical therapy capacity among the strongest in Missouri, Living Community of St. Joseph is well-suited for short-term Medicare rehabilitation within a full-continuum non-profit facility in Saint Joseph.

Contact Living Community of St Joseph

Overview of Oakdale Care Center

Oakdale Care Center is a newly opened residential nursing facility in Poplar Bluff, Missouri, operated by Palladian Senior Care. Owner Jeff Newman and administrator Misty Ulmer lead a community that serves a range of care needs, including assisted living, residential care, and therapy services. Medicare, Medicaid, and private pay are accepted, so families have multiple options to access care.

The 166-bed facility is built for scale to accommodate short-term rehabilitation residents and those seeking longer-term care. Most stay an average of 163 days. The community is moderately walkable, with a score of 67. Visiting families and residents can easily navigate nearby errands on foot.

Nursing and care staffing averages approximately 2 hours and 29 minutes of direct care per resident each day. Care is provided by registered nurses, licensed practical nurses, and nurse aides. This staffing structure supports residents with their routine care needs around the clock.

When the facility was inspected, inspectors identified issues related to medication management, infection control practices, and resident assessment procedures. These are common areas of focus for regulatory oversight. Residents and families evaluating the facility can take a tour and ask how the center addresses these protocols daily.

Oakdale is a newly opened facility, so it’s in its growth phase and building its resident base. Families visiting the facility should check the physical plant, meet staff, and understand how the center approaches care planning and daily operations in its early years.

Contact Oakdale Care Center

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.