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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 TableNH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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.
$7.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$5.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
77.7%*Fiscal year ending 12/2022These 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
Life Care Center of Carrollton is a nursing home in Carrollton, Missouri, offering skilled nursing and memory care. Skilled nursing provides licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for residents living with Alzheimer’s disease or dementia. The combination may suit a resident whose care needs change over time while remaining in one community.
The community has 120 beds. Total nurse staffing is 3 hours and 52 minutes per resident per day, representing the daily nursing time allocated to each resident. Payment options include Medicare, Medicaid, and private pay, giving families several ways to cover eligible care costs.
Rehabilitation services are available as part of the care provided at the community. Residents can arrange grooming at the on-site beauty salon and barber shop rather than leaving the community for those appointments. Doreen Hasenbeck serves as administrator, and United Investors Limited Partnership operates Life Care Center of Carrollton.
A Walk Score of 46 places the area in a car-dependent setting, so most errands require a car or a ride. Residents who no longer drive would need transportation for routine trips beyond the community.
Overview of Northland Rehabilitation & Health Care
Northland Rehabilitation and Healthcare Center is a community that proudly elevates the recovery experience of its residents. Awarded the AHCA/NCA National Quality 2020 Bronz Award, a persistent delivery of quality service by its dedicated staff helps with a smooth and seamless transition to nursing care; they ensure that residents are able to feel safe and comfortable in the home-like environment. Northland Rehabilitation and Healthcare Center have exceedingly reinvented the meaning of recovery which has contributed to the excellence it boasts today. Driven by compassion, care, and solutions, Northland reintroduces a top-notch level of skilled nursing and rehabilitation in North Kansas City; through its personalized care plan that offers a range of services and programs that lead to a speedy recovery: wound care, IV therapy, 24-hour licensed nursing, and ADLs.
Wilshire at Lakewood Rehab Center, situated in Lee’s Summit, is renowned for fostering a wholesome atmosphere. Providing both long and short-term care, the center has gained trust from families due to its genuine concern for the overall well-being of individuals, prioritizing not just their physical needs but their holistic health. With a team of competent and skilled nursing professionals, the center offers cutting-edge therapy, medication management, wound care, podiatry, optometry, dental services, and counseling.
The facility’s commitment to resident comfort is evident in its thoughtfully designed floor options, offering support and ensuring seniors’ well-being. Wilshire at Lakewood boasts state-of-the-art rehabilitation services and provides a delightful dining experience. Residents also benefit from personalized laundry services, reflecting the center’s dedication to creating a comfortable and supportive environment. The nursing staff, characterized by both professionalism and warmth, is deeply committed to providing exceptional nursing home care. For those seeking a long-term care home that values holistic well-being, Wilshire at Lakewood stands out as a reliable choice.
Life Care Center of Waynesville is a nursing home offering skilled nursing and memory care in Waynesville, MO. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation services support recovery or maintenance of daily function. Memory care is provided in a secured Alzheimer’s and dementia care unit with supervision, so the community may be a good fit for someone living with dementia who needs a secure setting.
The home has 120 beds. Total nurse staffing is 3h 52m per resident/day, representing the daily hands-on nursing time assigned per resident. Medicare, Medicaid, and private pay are accepted, giving families those payment routes for care. Melissa Schuettler is the administrator, and Waynesville Medical Investors operates the community.
A Walk Score of 51 / 100 places the area in the somewhat walkable band, where some errands can be done on foot. For a resident who no longer drives, that can allow some errands to be handled independently.
A beauty salon and outdoor spaces give residents access to on-site grooming and time outdoors. Meals are prepared according to physicians’ orders and supervised by a registered dietitian, while rehabilitation services are available to support recovery or daily functioning.
College St Healthcare LLC, owner of College St Consulting LLC, and administrator Ashlee Siard handle the daily routines at Avalon View Health and Wellness, a 140-bed skilled nursing center located on West College Street in Liberty, Missouri. Families managing payment logistics can process care costs through standard accounts like private funds, Medicaid, and Medicare. If you plan to drop by for a visit, the neighborhood scores a 69 out of 100 for walkability, showing that the local setup is moderately friendly to pedestrians and lets you run a few quick errands on foot.
The building stays around 84 percent full, providing continuous care lines for residents who require ongoing medical attention or rehabilitation. To manage daily health schedules and treatments, the 24-hour shift framework provides an average of 2 hours and 13 minutes of direct nursing care per resident each day, utilizing a combined staff of registered nurses, practical nurses, and nurse aides.
Since this building opened its doors in 2024, regular survey evaluations and foundational oversight checks have focused on monitoring baseline clinical capabilities and early employee routines, keeping the total citation rate above zero.
Interested individuals can look into the on-site physical therapy services, clinical capabilities, and shared social lounges. The daily program relies on partnerships with local medical providers to manage active recovery tracks, combining these health services with standard amenities like managed laundry assistance and central housekeeping. Anyone checking out regional care choices can call the admissions desk directly to check current bed openings, verify insurance network rules, or set up a regular tour.
Hickory Manor offers nursing home care, hospice care, respite care, and skilled nursing in Licking, MO. Nursing home care provides a residential setting for people who need ongoing nursing support, while skilled nursing provides licensed nursing care on site around the clock. Hospice care focuses on comfort and support at the end of life. Respite care provides a short stay for someone whose usual caregiver needs time away.
Hickory Manor may be a good fit for a resident who needs continuous nursing support or a family arranging hospice or short term respite services. The community has 60 beds, giving it a defined capacity for residents receiving these forms of care. Rehabilitation services are available, so residents can receive rehabilitation as part of their care without arranging a separate program elsewhere.
Medicare, Medicaid, and private pay are accepted. Families can use public coverage when eligible or pay directly. Tina Caudill serves as administrator, and Licking No 1 operates Hickory Manor.
McClay Senior Care operates a 60-bed center in Saint Peters, Missouri, delivering nursing home care, skilled nursing, and memory care. Specialized memory care programs feature Functional Dementia Therapy, which adapts activities to align with everyday cognitive abilities. Additional options include respite care, short-term rehabilitation, Hospital to Home Care Services, and Restorative Therapy.
Under administrator Rachel Goetz and operator Mcclay Health And Rehab, the facility records an average of 4 hours and 34 minutes of total daily nurse staffing per resident. Property features include rehabilitation spaces alongside a secured outdoor courtyard equipped with shaded porches, walking paths, and water features. Located in a car-dependent area with a 45 walk score, the location requires driving for most off-site errands.
Interested residents can get in touch with McClay Senior Care to discuss admissions, schedule a walkthrough of the grounds, and review funding options using Medicare, Medicaid, or private pay.
McKnight Place Extended Care is a 70 bed nursing home in Saint Louis, Missouri, offering skilled nursing care with licensed nurses on site around the clock. That level of staffing supports ongoing clinical needs that require more than help with daily tasks. Total nurse staffing is 5 hours and 45 minutes per resident each day, representing the daily hands on nursing time allocated across residents’ care.
Respite care and short term rehabilitation are available. The home may suit a family needing temporary care while a primary caregiver travels or recovers, or a resident rebuilding skills after an illness. Medicare can cover short term skilled care after a hospital stay, while private pay covers costs directly. Michael Barth serves as the administrator.
Physical, occupational, speech and restorative therapies are available on site, so residents can receive rehabilitation through the community instead of arranging separate transportation for each therapy service. Dentistry, podiatry, ophthalmology and psychiatry are also available within the community. Restaurant style dining offers meal choices without requiring residents to cook or clean up, and the salon and spa provide on site grooming. Transportation is available, and pets are allowed, so a resident may bring a pet to the community.
Maries Manor provides nursing home, Adult Day Care, Hospice Care, Respite Care, and Skilled Nursing in Vienna, Missouri. Nursing home and skilled nursing services provide licensed nursing care on site around the clock. Adult Day Care offers daytime care, while Respite Care supports a short stay when a usual caregiver needs temporary coverage. Hospice Care focuses on comfort for someone nearing the end of life.
These services may suit families whose care needs range from daytime support to skilled nursing, respite, or hospice care. Maries Manor has 98 beds. Physical and occupational therapies, along with rehabilitation services, give residents access to therapy as part of their care, while behavioral and Alzheimer’s care supports residents with those needs. Dietitians are also part of the care services, and the Resident Transportation program provides transportation for residents who need it.
Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. Total nurse staffing is 4h 32m per resident per day, representing the daily nursing time allocated to each resident. Trina Gunter serves as administrator, and Vienna Nursing & Rehab operates the community.
Experience exceptional care at Moore-Few Care Center, a trusted community in Nevada, MO, offering skilled nursing, memory care, long-term care, respite care, and in-house therapy. A compassionate and highly trained team provides the highest quality of care tailored to residents’ needs. 108 purposely built and welcoming accommodations are provided in a nurturing environment, ensuring residents can feel at ease during their stay.
Residents celebrate every moment with a thoughtfully curated calendar of fun recreational activities and enriching programs. Open dining with an anytime menu is also available, ensuring residents have the finest dining experience that caters to their dietary needs and preferences. Occupational therapy, speech therapy, and wound care are also provided for the residents’ convenience and safety. With its wide range of care and state-of-the-art amenities, residents are guaranteed to spend their golden years without worries.
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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