Best Nursing Homes in Washington, MO

Why trust this guide? Our editorial team analyzed 2 nursing homes in Washington, MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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We analyzed These are the facilities in Washington, MO our team has analyzed — not a count of every nursing home provider in Washington, MO.
2 homes
Other senior care options in Washington:
Avg Overall CMS Rating: 2.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Washington, 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 Washington, 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: 3.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Washington, 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

Compare Nursing Homes around Washington

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 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. RC (Respite Care): Short-term temporary care that gives family caregivers a break.
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.
Grandview Healthcare Center
NH
RC
SNF
Washington
102
Facility 102
MO AVG 96
Rank #167 / 450
47.1%
Facility 47.1%
MO AVG 66.5
Rank #343 / 407
-29%
3.78
Facility 3.78
MO AVG 3.74
Rank #116 / 268
-55%+1%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
27
Facility 27
MO AVG 36.5
Rank #113 / 274
5.4
Facility 5.4
MO AVG 5.7
Rank #152 / 274
148A+
84
Facility 84
MO AVG 46
Rank #42 / 545
Shelia Lawson
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #171 / 251
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #151 / 251
60%Fiscal year ending 12/2023
Facility 60%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #72 / 251
265374
Cedarcrest Manor-
NH
Washington
177
Facility 177
MO AVG 96
Rank #30 / 450
--------------
41
Facility 41
MO AVG 46
Rank #319 / 545
$366.5k*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.$201.9k*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.55.1%*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.265202

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 2 analyzed for Washington.

Overview of Grandview Healthcare Center

Grandview Healthcare Center is a skilled nursing facility in Washington, Missouri. It is set on Grand Avenue in a very walkable neighborhood, so most daily errands can be done on foot. The facility is operated by Washington N & R, LLC, owned by Shelia Lawson, and administered by Christina Jean Gill. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover rehabilitation stays and longer-term nursing care. The 102-bed community has been operating for 28 years and has an occupancy rate of 47%.

The home focuses on rehabilitation and short-term recovery. There are on-site physicians, physical and occupational therapists, and dietitians on staff. This means residents have access to coordinated medical care and won’t need to leave the facility for appointments.

The facility’s specialized services include wound management, IV therapy, complex diabetes management, and ostomy care, making it a practical choice for those recovering from surgery or managing complex medical needs. Families seeking flexible arrangements have access to respite care and hospice services.

Daily nurse staffing averages 2 hours and 56 minutes per resident. Registered nurses, nurse aides, and LPNs work around the clock to support residents. This staffing level helps residents receive hands-on assistance and supervision throughout their stay, particularly during recovery or illness.

Residents also have access to on-site beauty and barber services, as well as a dining program that provides meals tailored to their preferences. A full schedule of daily activities helps keep residents engaged. Laundry and housekeeping services are also available to maintain resident rooms and common areas.

Families managing orthopedic recovery, neurological conditions, amputation rehabilitation, or Alzheimer’s and behavioral care may find the facility’s specialized programs and seasoned staff well-suited to their needs. The home’s clinical services and hands-on support provide a strong foundation while focusing on dignity and daily comfort.

Contact Grandview Healthcare Center

Overview of Cedarcrest Manor

Cedarcrest Manor is a nursing home in Washington, MO, offering long-term care, memory care, hospice care, personal care, palliative care, and rehabilitation. With a warm and nurturing environment, the community ensures older adults are well-cared for throughout their stay. Residents also receive exceptional services, including 24-hour care, nutritious meals, and maintenance services, ensuring they can maintain their independence with ease. Through an evidence-based approach to care, the community focuses on residents’ holistic welfare.

Light exercises, social events, and games provide residents with more opportunities to explore new hobbies and gain meaningful experiences. Residents can also relax and connect with their surroundings, with cozy living areas and lively gathering areas. With its ideal setting in the tree-lined neighborhood of Washington, near restaurants and shops, residents experience a laid-back lifestyle. This nursing home has high standards of care, making it one of the best options for senior living in Missouri.

Contact Cedarcrest Manor

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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Washington Nursing Home Facilities Overview

  • Avg payroll costs: $11,258,653.00 (Missouri avg: $2,926,201.52)
  • Avg home costs: $18,839,853.50 (Missouri avg: $3,978,324.34)
  • Avg occupancy: 85.65% (Missouri avg: 70.55%)
  • Avg bed count: 241 (Missouri avg: 113)
  • Avg home revenue: $44,955,053.25 (Missouri avg: $7,637,217.66)
View Chart Data Table
MetricWashingtonMissouri
Avg payroll costs$11,258,653.00$2,926,201.52
Avg home costs$18,839,853.50$3,978,324.34
Avg occupancy85.65%70.55%
Avg bed count241113
Avg home revenue$44,955,053.25$7,637,217.66
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Frequently Asked Questions about Nursing Homes in Washington, 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 2 nursing homes in Washington, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Washington, 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 Washington, 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 Washington, 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.