Page 44 of Best Senior Care in Missouri

MeadowView Memory Care, located in Arnold, MO, is a specialized memory care community by RSP Senior Living. They offer quality memory care services in the comfort of a home-like setting where residents are guaranteed round-the-clock security, and a full spectrum of healthcare and non-healthcare related services. As part of their memory care services, residents are provided 24/7 staff availability for supervision, as well as assistance with daily living activities.
Additionally, the staff also provides assistance with medication management, to ensure that residents get their medication needs in a timely manner. Their elegant dining room offers three restaurant meals per day, as well as snacks that balance both taste and nutrition. And housekeeping and laundry services offer the convenience of not having to divide one’s time to do energy consuming tasks.

Located in Nixa, Missouri, Nixa Nursing & Rehab is a skilled nursing facility operated by N & R of Nixa, LLC and administered by Adam Knapp. Medicare, Medicaid, and private pay are accepted, giving families flexibility to cover care. The 82-bed community has an occupancy rate of 79%. Its moderate census allows the facility to provide personalized attention through its steady base of residents.

The facility focuses on rehabilitation and skilled nursing care, especially on post-acute recovery. Physical therapy, occupational therapy, and speech therapy are offered on-site. Residents are supported by on-staff doctors, and nursing care is available around the clock. Total nurse staffing averages 3 hours and 47 minutes per resident per day to provide consistent hands-on attention. Residents stay an average of 92 days, including short-term rehabilitation patients and those receiving longer-term skilled nursing support.

Beyond recovery care, the home has behavioral and Alzheimer’s care programs. There are also hospice services for residents needing end-of-life support. The facility provides pharmaceutical services, housekeeping, and laundry so residents won’t have to leave the facility for appointments. Residents can choose from semi-private and private room options for living arrangements.

Nixa Nursing & Rehab is in a moderately walkable neighborhood with a Walk Score of 63. Some errands can be accomplished on foot. However, most trips require driving. The home also offers transportation for residents who need to attend appointments and outings. Free CNA and CMT training classes are occasionally available to those interested in exploring the field.

State inspections identified deficiencies in medication management procedures, resident notification during hospital transfers, and infection control practices. Families touring the facility should ask how these areas are being managed and what steps are in place to address them.

Clearview Nursing Center is a 98-bed skilled nursing home on Salcedo Road in Sikeston, Missouri, owned by Sandra McMullin and run by N & R Of Sikeston At Clearview, Inc. The business department processes billing accounts through Medicare, Medicaid, and private pay. For visitors, the property features a highly accessible neighborhood layout with a walkability score of 73 out of 100, which means family members can easily complete errands or access local services on foot during visits.

Data profiles show that the facility operates at a 60 percent occupancy rate, with an average resident stay of 156 days. This operational timeline reflects a daily clinical caseload divided between temporary post-hospital therapy tracks and multi-month skilled nursing placements. To manage daily health protocols and direct assistance, the 24-hour staffing framework provides an average of 5 hours and 10 minutes of total nursing care per resident each day, backed by an on-staff physician who monitors clinical needs across all shifts.

State records from the Missouri Department of Health and Senior Services track how the administration maintains regulatory compliance. Public licensing surveys indicate that recent evaluations identified standard compliance deficiencies relating to documentation practices, physical plant environmental standards, staff training, assessment accuracy, and infection control, which means the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing quality tracking.

Prospective representatives can access specialized clinical programs, including physical, occupational, and speech therapies, alongside tracheostomy care, wound management, IV therapy, tube feedings, and dedicated behavior and Alzheimer’s care. The campus is equipped with an on-site beauty shop and barbershop, structured activity sessions, and a transportation vehicle for resident transit.

Operated by Carroll House, Inc., Carroll House is a skilled nursing home in Carrollton, Missouri. It is set on Grand Street in a residential setting with moderate walkability. The home provides nursing care and rehabilitation and accepts Medicaid, Medicare, and private pay, which gives families flexibility in how they cover care.

The 63-bed community has a modest footprint, with a current occupancy rate of 89%. Residents stay an average of 143 days, including rehabilitation residents and those needing longer-term nursing care. Daily nurse staffing is substantial, with total care averaging 4 hours and 10 minutes per resident each day. That level of hands-on attention is the backbone of the facility’s focus on daily living support.

The home can accommodate residents with Alzheimer’s disease or related memory impairments, with a dedicated special care unit for those needs. Beyond memory care, the facility has rehabilitation services and has a doctor on staff, which can reduce the need for off-site medical appointments. Daily support includes 24-hour staffing, van transportation for appointments and outings, and complete dining services tailored to residents’ preferences.

Amenities include a beauty salon, barber services, and housekeeping. Religious services are available because the home is committed to spiritual care, which may appeal to residents and families who value the same thing.

State inspections by the Department of Health and Senior Services identified issues related to resident safety and protection, timely incident reporting, care processes, infection control practices, staff training, kitchen safety, and resident dignity. These findings are areas that need attention as part of the facility’s ongoing management.

The facility offers a home-like environment with semi-private and private room options. Many families will find it reassuring when searching for a place that balances medical oversight with residential comfort.

Located at 700 East Urbandale Drive in rural Randolph County, Aspire of Moberly operates as a skilled nursing facility with integrated memory care services in Moberly, Missouri. The facility is privately owned under a corporate structure.

Currently census at 64 residents within a 120-bed licensed capacity, the facility admits patients across multiple payment sources: Medicare (40% of new admissions, typical 1–2 month stays), Medicaid (22% of new admissions, typical 2-year stays), and private pay (37% of new admissions, typical 5–6 month stays). Current resident population reflects 7.8% Medicare, 53.1% Medicaid, and 39.1% private pay. Occupancy of 57.3% sits notably below the state benchmark of 66.6%, with an average length of stay of 364 days indicating a predominantly long-term care population despite the short-stay rehabilitation admissions pattern.

The one-star CMS overall rating reflects substantial performance gaps across regulatory categories. Health inspections score 59.7% below Missouri averages, staffing measures run 54.3% below state norms, and quality metrics fall 24.7% below state performance.

Registered nurse staffing provides 12 minutes per resident per day, 57% below the Missouri average of 28 minutes. Weekend RN coverage drops to 11 minutes, 45% below state average. Physical therapy services represent an exception: 9 minutes per resident per day, running 350% above state benchmarks. The facility operates with 82 total staff members (79 employees, 3 contractors), including 31 certified nursing assistants, 16 medication aides, 11 licensed practical nurses, and 5 registered nurses.

Federal enforcement actions reflect $111,000 in accumulated civil money penalties over the past three years, with a recent penalty of $95,000 imposed in September 2025. A Medicare/Medicaid payment denial occurred September 18, 2024, lasting 2 days.

Long-stay residents show elevated rates of urinary tract infections (6.5%, 138% worse than state average) and pressure ulcers (6.9%, 38% worse). However, the facility reports no falls with major injury among short-stay residents (0.0%), superior depression screening outcomes (4.9%, 62% better than state average), and strong functional outcome measures. Self-care capacity at discharge reaches 81.8%, 52% better than state benchmarks.

Though it has substantial regulatory concerns, the facility fits Medicaid-funded long-term care residents and Medicare-eligible rehabilitation patients.

Warrenton Manor is a skilled nursing home in Wright City, Missouri, providing services such as comprehensive post-acute rehabilitation or longer-term nursing care. The facility is operated by N & R Of Warrenton, Inc., owned by Brandon Bysor. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to access coverage. With 120 beds and a 74% occupancy rate, the home operates to support individualized attention.

Residents stay for an average of 98 days, including short-term rehabilitation stays and residents transitioning to longer-term placement. From a clinical standpoint, the home has a full range of rehabilitation services, including short-term rehab, respite care, and on-site medical support with a doctor on staff and 24-hour nursing coverage. Residents recovering from surgery, an acute illness, or a hospital stay who need structured nursing support and therapy services will find this facility a good fit.

Total nurse staffing averages 4 hours and 9 minutes per resident daily, so there’s substantial hands-on support throughout the day. The home also provides dialysis and IV therapy services, so residents won’t have to leave the facility for specialized care. The van is available to residents who need to attend appointments and community outings.

Amenities available on-site include complete dining services with meals to accommodate individual preferences, beauty and barber services, housekeeping and laundry support, and on-site pharmacy services. The home also supports religious and community involvement, and families can participate. Its location in the Wright City area has a walkability score of 34; the setting is best for residents who prefer a quieter, more rural environment where most trips are by transportation rather than on foot.

Maple Grove Wellness & Rehabilitation is a 144-bed skilled nursing and rehabilitation facility in Fenton, St. Louis County, Missouri, administrated by Jodie Pate and privately owned. The facility provides skilled nursing care, rehabilitation services, and respite care serving Medicare, Medicaid, and private-pay residents with an average length of stay of 643 days, indicating a primarily long-term care population.

Total nursing care averages 2 hours 46 minutes/resident/day, 27% below the average. Registered nurse coverage of 8 minutes/day is critically deficient at 71% below average. Certified Nursing Aide hours are 21% below benchmark. Weekend registered nurse presence of 7 minutes/day is 65% below average.

Staff-to-resident ratio of 1.45 to 1 is 15% worse than state norms. Contractor staffing comprises 8.7% of total hours, predominantly Licensed Practical Nurses.

Pressure ulcer prevention is effective at 3.5% of high-risk residents affected (31% better than state). Urinary tract infection rates of 0.6% are 77% better than state. However, long-stay hospitalization rates of 4.33/1,000 days are 108% worse than benchmark of 2.08. Low-risk residents with incontinence at 23.4% are 29% worse than state.

Antipsychotic use at 32.0% is 46% worse than average. Pneumococcal vaccination for long-stay residents reaches only 59.5% (30% worse than state), and influenza vaccination is 24% worse than state. Short-stay vaccination rates are critically deficient with pneumococcal at 7.0% and influenza at 11.4%.

The facility reported a $941,000 operating loss in fiscal 2023 (profit margin of negative 14.5%) against $6.5 million revenue. Payroll represents 69.2% of revenue, above sustainable levels. Occupancy is 61.2%, below average.

Six inspections since December 2022 identified 44 citations including one serious violation and 39 moderate citations. Citations/inspection average 7.33, exceeding Missouri’s average. No federal penalties were imposed.

June 2025 complaint investigation documented a serious pharmacy deficiency with actual patient harm. Multiple residents with diabetes did not receive ordered insulin injections. A Licensed Practical Nurse, running late on medication pass, withdrew morphine sulfate and lorazepam intended for one resident, entered another resident’s room, called out the wrong resident’s name, and when that resident aroused, administered both medications without confirming identity. The nurse was terminated the next day.

Complaint investigations in March 2025 and July 2024 documented additional infection control and quality of care deficiencies. The cumulative inspection record demonstrates systemic failures in pharmacy operations, medication administration safety, infection control, and vaccination administration.

The facility maintains physical therapy, occupational therapy, and speech pathology services. Walk Score of 54 reflects moderately walkable surroundings. CMS ratings are 1/5 overall, 2/5 for health inspection, 1/5 for staffing, and 2/5 for quality measures.

The serious pharmacy deficiency and medication error resulting in patient hospitalization, combined with the facility-wide failure to administer ordered medications and critical nursing staffing shortages, represent substantial patient safety concerns.

Families should carefully review pharmacy procedures and medication oversight protocols before considering placement.

Overview of The Arbors at Bluff Creek Terrace

The Arbors at Bluff Creek Terrace is a 48-bed nonprofit memory care and assisted living community at 3104 Bluff Creek Drive in Columbia, Boone County, Missouri, operated by Columbia Residential LLC under administrator Jessica Bankhead and owner Christina Benton. The facility carries a 1-star CMS overall rating and has faced substantive inspection challenges over the past four years.

Since 2021, the community recorded 39 health citations across 12 inspections.

In November 2024, an unannounced survey identified an infection-control violation with critical severity; meaning the noncompliance posed immediate risk of serious harm to residents. That citation was corrected. Two months earlier, a complaint investigation documented serious deficiencies in pharmacy documentation and quality-of-care practices; both were resolved. Resident-rights violations comprise the largest category (9 of 39 citations), followed by quality-of-life concerns (8 citations).

The facility incurred $38,000 in federal penalties between November 2024 and January 2025.

Nursing hours per resident are at 4 hours 22 minutes daily and exceed the Missouri average by 17 percent, the facility’s strongest marker. The staff roster includes 19 RNs, 20 LPNs, and 96 CNAs, with additional therapy contractors. Occupancy of 89.4 percent signals sustained demand in the local market.

Long-stay residents report declines in mobility and activities-of-daily-living independence at rates 48–54 percent worse than state average. Urinary tract infection prevalence runs 81 percent above state benchmark. Short-stay residents’ influenza vaccination lags 53 percent below state rates.

On-site nurse aide training, an active resident council, and memory care programming are available.

The Arbors is oriented toward short-term Medicare rehabilitation and private-pay stays, with occupancy and staffing investment indicating operational stability, though quality-decline measures and recent critical findings require consideration.

Overview of Sunnyhill Independence Center

Sunnyhill Independence Center, located at 3343 Armbruster Road in De Soto, Missouri, is a 32-bed community designed specifically for adults who have or are suspected of having a developmental disability diagnosed before age 22. Led by administrator Megan Shoults and operated by Sunnyhill, Inc., the home focuses entirely on individualized, person-centered support rather than traditional retirement care.

Daily life here centers on building independence and life skills. The community provides recreational trips through Adventures Camp & Travel, behavioral coaching via ABA Behavioral Supports, and daily meals in The Sunlit Kitchen. Families also have access to guidance through Advocacy & Family Navigation, while day-to-day independent living services are coordinated through local networks like Greater STL and JeffCo Residential Supports.

The center stays close to full capacity with a 97 percent occupancy rate. Its neighborhood has a walkability score of 50 out of 100, meaning residents can manage some regular walks and short errands on foot, while medical appointments and major shopping require a vehicle. If you want to see the campus, the staff hosts in-person tours Monday through Friday during regular business hours.

Prospective residents or family members interested in specialized developmental care can contact the De Soto office directly to ask about open beds.

Overview of Medicalodges Neosho

Located on Lyon Drive in Neosho, Missouri, Medicalodges Neosho is a skilled nursing home operated by Medicalodges, Inc, and owned by Mecca Belty. The 114-bed facility accepts Medicare and private pay, providing multiple options for families navigating payment during short-term rehabilitation and longer-term care stays. Most residents stay for an average of 127 days, reflecting its focus on post-acute and transitional care rather than permanent residence.

The facility focuses on rehabilitation services. Respite care and short-term rehab programs support residents recovering from surgery, hospitalization, or illness. Daily nurse staffing averages 3 hours and 28 minutes per resident, which is composed of registered nurses, nurse aides, and licensed practical nurses. They provide consistent hands-on care throughout the day.

Documented concerns focused on procedures related to physician notification following falls, infection control practices during wound care, and medication administration accuracy. Families evaluating the facility should ask how these areas are managed in daily operations and what safeguards are in place.

Residents have access to social areas and family spaces where they can gather and receive visits. The home offers dining with a wide selection of menu choices and special diet preparations. There are also barbershop and salon services, spiritual services including weekly Bible studies and church services, and transportation.

With a Walk Score of 55, the neighborhood is moderately walkable. Some errands can be accomplished on foot, but most trips require a vehicle.