Best Nursing Homes in St. Louis, MO

Why trust this guide? Our editorial team analyzed 9 nursing homes in St Louis, 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 St Louis, MO our team has analyzed — not a count of every nursing home provider in St Louis, MO.
9 homes
Other senior care options in St Louis:

Compare Nursing Homes around St Louis

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 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
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.
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.
Cottages of Lake St. Louis ★ ★ ★ ★ ★
NH
SNF
Lake St Louis (Lake Saint Louis)
60
Facility 60
MO AVG 110
Rank #243 / 288
B+
92.0%
Facility 92.0%
MO AVG 67.8%
Rank #67 / 272
+36%
6.59
Facility 6.59
MO AVG 3.63
Rank #3 / 267
★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -32%+81%
$17.7k
Facility $17.7k
MO AVG $86.2k
Rank #192 / 275
8
Facility 8
MO AVG 36.1
Rank #5 / 274
2.0
Facility 2.0
MO AVG 5.6
Rank #5 / 274
155-
13
Facility 13
MO AVG 50
Rank #275 / 296
Fsc Of Lake St Louis, LLC
$9.3MFiscal year ending 12/2024
Facility $9.3MFiscal year ending 12/2024
MO AVG $8.0M
Rank #73 / 267
$4.8MFiscal year ending 12/2024
Facility $4.8MFiscal year ending 12/2024
MO AVG $4.2M
Rank #75 / 267
51.5%Fiscal year ending 12/2024
Facility 51.5%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #145 / 267
265860
Laclede Groves ★ ★ ★ ★ ☆
NH
AL
IL
MC
SNF
St. Louis
251
Facility 251
MO AVG 110
Rank #3 / 288
?
39.6%
Facility 39.6%
MO AVG 67.8%
Rank #249 / 272
-42%
1.19
Facility 1.19
MO AVG 3.63
Rank #19 / 267
★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ +48%-67%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 275
9
Facility 9
MO AVG 36.1
Rank #8 / 274
4.5
Facility 4.5
MO AVG 5.6
Rank #97 / 274
-100-
35
Facility 35
MO AVG 50
Rank #217 / 296
John Komlos
$23.5MFiscal year ending 12/2024
Facility $23.5MFiscal year ending 12/2024
MO AVG $8.0M
Rank #4 / 267
$29.3MFiscal year ending 12/2024
Facility $29.3MFiscal year ending 12/2024
MO AVG $4.2M
Rank #2 / 267
124.8%Fiscal year ending 12/2024
Facility 124.8%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #3 / 267
265600
Ascension Living Sherbrooke Village ★ ★ ☆ ☆ ☆
NH
ADC
AL
HC
IL
MC
SNF
St. Louis
149
Facility 149
MO AVG 110
Rank #48 / 288
C+
84.3%
Facility 84.3%
MO AVG 67.8%
Rank #172 / 272
+24%
3.94
Facility 3.94
MO AVG 3.63
Rank #59 / 267
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -34%+9%
$38.5k
Facility $38.5k
MO AVG $86.2k
Rank #216 / 275
48
Facility 48
MO AVG 36.1
Rank #213 / 274
6.0
Facility 6.0
MO AVG 5.6
Rank #182 / 274
2126-
29
Facility 29
MO AVG 50
Rank #239 / 296
-
$14.4MFiscal year ending 06/2025
Facility $14.4MFiscal year ending 06/2025
MO AVG $8.0M
Rank #18 / 267
$8.2MFiscal year ending 06/2025
Facility $8.2MFiscal year ending 06/2025
MO AVG $4.2M
Rank #12 / 267
57%Fiscal year ending 06/2025
Facility 57%Fiscal year ending 06/2025
MO AVG 54.9%
Rank #103 / 267
265417
Creve Coeur Manor ★ ☆ ☆ ☆ ☆
NH
St. Louis
149
Facility 149
MO AVG 110
Rank #48 / 288
C+
52.3%
Facility 52.3%
MO AVG 67.8%
Rank #221 / 272
-23%
2.43
Facility 2.43
MO AVG 3.63
Rank #246 / 267
★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -34%-33%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 275
69
Facility 69
MO AVG 36.1
Rank #258 / 274
7.7
Facility 7.7
MO AVG 5.6
Rank #238 / 274
378-
30
Facility 30
MO AVG 50
Rank #234 / 296
Jeanne Dirschuweit
$5.4MFiscal year ending 12/2024
Facility $5.4MFiscal year ending 12/2024
MO AVG $8.0M
Rank #165 / 267
$3.5MFiscal year ending 12/2024
Facility $3.5MFiscal year ending 12/2024
MO AVG $4.2M
Rank #134 / 267
63.7%Fiscal year ending 12/2024
Facility 63.7%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #54 / 267
265720
Estates of Hidden Lake ★ ☆ ☆ ☆ ☆
NH
AL
HOS
RC
St. Louis (Spanish Lake)
67
Facility 67
MO AVG 110
Rank #233 / 288
?
93.0%
Facility 93.0%
MO AVG 67.8%
Rank #85 / 272
+37%
2.60
Facility 2.60
MO AVG 3.63
Rank #246 / 267
★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -57%-29%
$123.6k
Facility $123.6k
MO AVG $86.2k
Rank #254 / 275
83
Facility 83
MO AVG 36.1
Rank #268 / 274
6.9
Facility 6.9
MO AVG 5.6
Rank #222 / 274
762-
29
Facility 29
MO AVG 50
Rank #239 / 296
Estates Of Hidden Lake, LLC
$4.7MFiscal year ending 12/2024
Facility $4.7MFiscal year ending 12/2024
MO AVG $8.0M
Rank #197 / 267
$3.1MFiscal year ending 12/2024
Facility $3.1MFiscal year ending 12/2024
MO AVG $4.2M
Rank #153 / 267
66.4%Fiscal year ending 12/2024
Facility 66.4%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #41 / 267
265735
St Louis Altenheim ★ ☆ ☆ ☆ ☆
NH
AL
IL
MC
RC
SNF
St. Louis (Carondelet)
48
Facility 48
MO AVG 110
Rank #277 / 288
?
93.3%
Facility 93.3%
MO AVG 67.8%
Rank #23 / 272
+38%
3.97
Facility 3.97
MO AVG 3.63
Rank #88 / 267
★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -+9%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 275
---45A+
39
Facility 39
MO AVG 50
Rank #199 / 296
Malik St Louis LLC---26A484

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 9 analyzed for St Louis. See how we rank facilities

Overview of Cottages of Lake St. Louis

Cottages of Lake St. Louis provides nursing home and skilled nursing care in Lake St. Louis, Missouri. Skilled nursing means licensed nursing care is available on site around the clock, which can suit a resident who needs ongoing clinical support.

The community has 60 beds and private rooms. Each resident has a private room rather than shared accommodations. Medicare and private pay are accepted: Medicare can cover short-term skilled care after a hospital stay, while private pay means paying directly for care. Total nurse staffing is 6 hours and 35 minutes per resident each day, representing the daily nurse time counted for each resident. Brandi Smith serves as administrator, and Fsc Of Lake St. Louis operates the community.

Contact Cottages of Lake St. Louis

Laclede Groves

723 S Laclede Station Rd, St. Louis, MO 63119
Overview of Laclede Groves

Laclede Groves offers skilled nursing, assisted living, independent living, and memory care in St. Louis, MO. Skilled nursing includes licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Independent living offers private living with community services and no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

Several care levels share one community here. That may suit a resident whose needs grow over time, since moving to a different level of care can happen without leaving Laclede Groves. The home has 251 beds, making it a larger community with more residents, staff, and usually more programming, and EverTrue operates the home.

Total nurse staffing is 1 hour and 11 minutes per resident each day, which represents the daily hands-on nursing time available per resident. Payment options include Medicare, Medicaid, and private pay. Medicare applies to short-term skilled care after a hospital stay rather than long-term residence, while Medicaid may help when savings do not cover a long stay. A Walk Score of 35 places the area in a car-dependent setting, so most errands require a car or a ride.

Contact Laclede Groves

Overview of Ascension Living Sherbrooke Village

Ascension Living Sherbrooke Village in St. Louis, Missouri, offers nursing home, adult day care, assisted living, home care, independent living, memory care, nursing care, and skilled nursing. The home has 149 beds and a 62% occupancy rate, so its listed capacity is not fully occupied. Assisted living helps with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.

Independent living provides private living with community services and no daily care, while adult day care offers daytime care without an overnight stay. Home care delivers care in a person’s residence, and nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock. The range of care types may be a good fit for families considering different levels of support, from independent living or adult day care to memory care or skilled nursing.

Medicare and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence, while private pay uses the resident’s or family’s funds. Total nurse staffing is 3h 57m per resident per day, representing the daily hands on nurse time allocated per resident. Pets are allowed, so a resident may keep a pet while living at the community, and rehabilitation services provide access to therapy as part of care.

Contact Ascension Living Sherbrooke Village

Overview of Creve Coeur Manor

Creve Coeur Manor is a nursing home in St. Louis, MO, with nursing support available on site. Residents can receive ongoing care within the community, rather than arranging that support elsewhere.

The home has 149 beds, and its 52% occupancy means it was operating below full capacity when measured. Payment options include Medicare, Medicaid, and private pay: Medicare can cover short term skilled care after a hospital stay, Medicaid provides a payment route when savings may not cover a long stay, and private pay means paying directly. Total nurse staffing is 2 hours and 26 minutes per resident per day, representing the daily nursing time available for each resident.

Contact Creve Coeur Manor

Overview of Estates of Hidden Lake

Estates of Hidden Lake offers nursing home, assisted living, hospice care, nursing care, and respite care in St. Louis, MO. Nursing home and nursing care support residents who need ongoing nursing attention, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Hospice care focuses on comfort for a person nearing the end of life, and respite care provides a short stay when a usual caregiver needs temporary relief.

With several care types in one community, Estates of Hidden Lake may suit a resident whose needs change over time or a family seeking temporary care during a caregiver’s recovery or travel. The community is in the Spanish Lake neighborhood and has 67 beds. Total nurse staffing is 2 hours and 36 minutes per resident per day, representing the daily amount of nurse staffing assigned across each resident.

Medicare, Medicaid, and private pay are accepted. Medicare applies to eligible short-term skilled care rather than long-term residence, Medicaid is a payment route for eligible residents, and private pay means paying directly. Sharon Wooten serves as the administrator.

Contact Estates of Hidden Lake

Overview of St Louis Altenheim

St Louis Altenheim provides nursing home, assisted living, independent living, memory care, respite care, and skilled nursing in St. Louis, Missouri. Nursing home and skilled nursing care include licensed nursing on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Independent living offers private living with community services but no daily care, and memory care provides a secured setting with supervision for someone at risk of wandering.

Respite care offers a short stay when a resident’s usual caregiver needs time away. Having these care levels in one community can support a resident whose needs grow over time without requiring a move or the loss of familiar social connections. With 48 beds, St Louis Altenheim is a smaller community where staff and residents can get to know one another. Private rooms provide a single private living space, and residents may bring a pet.

St Louis Altenheim opened in 1972 in St. Louis’s Carondelet neighborhood. Jean Bardwell serves as administrator, and Malik St Louis operates the community. Total nurse staffing is 3 hours and 58 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.

A patio overlooks the Mississippi River, and the grounds include landscaping and gardens. Residents can also use an on site salon and attend religious services. Dining includes restaurant quality food and service, with menu options for dietary restrictions, while the rehabilitation, recreational, wellness, Supported Living, and Bavaria Memory Care programs provide structured services and activities.

A Walk Score of 39 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 errands. The range of care can make St Louis Altenheim a fit for someone who may need assisted living, memory care, nursing home, skilled nursing, or respite care as circumstances change.

Contact St Louis Altenheim

Overview of McKnight Place

McKnight Place is a nursing home in St. Louis, Missouri, offering assisted living, memory care, and skilled nursing. Assisted living includes help with daily tasks such as bathing, dressing, and medication while the resident keeps a private apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, while skilled nursing includes licensed nursing care on site around the clock. The range of care levels can suit a resident whose needs grow over time without requiring a move to another community.

McKnight Place is in the University City neighborhood. A Walk Score of 52 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach select destinations independently while other trips may require transportation. Respite care offers short stays when a usual caregiver needs to travel or recover. Transportation is also available.

The starting price is $10,650 per month, giving families a baseline for monthly budgeting. Payment options include Medicare for short term skilled care after a hospital stay, rather than long term residence, as well as private pay. Restaurant style dining lets residents eat within the community, and the fitness facility supports exercise without arranging an off site visit.

A full service beauty salon and barber shop provides grooming services on site, while the outdoor patio and walking paths offer designated places to spend time outside. Short term rehabilitation and therapy classes provide recovery focused services and structured exercise, and regular on site medical visits allow residents to receive that care within the community. The daily schedule includes activities, entertainment, and religious services.

Starting Price $9,750/Month Info Pricing updated on October 7th, 2026

Contact McKnight Place

Overview of Garden Villas South

Garden Villas South sits at 13457 Tesson Ferry Rd in South St. Louis County, about 14 miles from the city center and less than 2 miles from Mercy Hospital South. Administrator Michelle Miller leads the operation under Garden Villas of South County, Inc. The 83-bed community spans four care levels: nursing home, assisted living, independent living, and memory care. With a Walk Score of 5, the location is essentially car-dependent where outings require a vehicle or arranged transportation.

Current occupancy is 49 of 83 beds, a 59% fill rate. Families should weigh that figure when assessing the community’s trajectory.

The residential setup leans toward the full-service end of the spectrum. Apartments come with fully equipped kitchens. An Executive Chef prepares three meals a day, and there’s a 24-hour concierge on hand. Valet parking and grocery delivery are available. Included services cover weekly maid service, personal laundry, flat linen service, scheduled transportation, personal grooming assistance, medication reminders, and an in-house escort service.

Recreation spans social, educational, and cultural programs and outings. The indoor swimming pool and hot tub, fitness center, and wellness program fill out the amenity picture.

Memory care is available on-site within the broader care mix.

Garden Villas South is a full-service, amenity-dense community in suburban St. Louis suited to older adults across a wide care range who prioritize residential comfort and on-site services over walkability or urban proximity.

Contact Garden Villas South

Overview of The Gatesworth

The Gatesworth offers nursing home, skilled nursing, assisted living, memory care, independent living, and continuing care retirement community services in St. Louis, MO. Its range of care levels can suit a resident whose needs may grow over time without requiring a move to a different community.

Housing includes one-bedroom, two-bedroom, and three-bedroom residences, giving individuals and couples options based on the space they need. The area has a Walk Score of 52, meaning it is somewhat walkable and some errands are possible on foot, so a resident who no longer drives may be able to reach nearby destinations independently.

Starting Price $4,950/Month Info Pricing updated on October 8th, 2026

Contact The Gatesworth

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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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Nursing Homes in St Louis at a glance

Avg Overall CMS Rating: 2.4/ 5The average Overall CMS Rating for all CMS-certified nursing homes in St Louis, MO. 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: 2.0/ 5The average Staffing Rating across all CMS-certified nursing homes in St Louis, MO. 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: 2.4/ 5The average Health Inspection Rating across all CMS-certified nursing homes in St Louis, MO. 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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Frequently Asked Questions about Nursing Homes in St. Louis, MO

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 9 nursing homes in St. Louis, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in St. Louis, MO?

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 St. Louis, MO, 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 St. Louis, MO?

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.