Page 45 of Best Senior Care in Missouri

Located at 601 West Morgan Street in Tipton, Missouri, Tipton Oak Manor is a skilled nursing facility that provides comprehensive nursing care and rehabilitation. The home is operated by N & R of Tipton, LLC, owned by Tiffany Sponcier and administered by Christin Petree. It accepts Medicaid, Medicare, and private pay, offering families multiple ways to cover short-term rehab and ongoing care.

The 66-bed home operates at 71% occupancy. Residents stay an average of 127 days, including post-acute rehabilitation and longer-term care placements. Daily nurse staffing averages 3 hours and 50 minutes per resident. A doctor is on staff, and licensed professional staffing works 24 hours a day to support medical oversight and resident safety.

Rehabilitation is a major focus of the home’s care program, supported by contract providers for physical, occupational, and speech therapy. There’s respite care for families who need temporary support. Residents with memory impairment have access to a dedicated Alzheimer’s Special Care Unit.

The facility pays attention to residents’ meals and social life. They receive various nutritious meals and snacks tailored to their individual preferences and dietary needs. Residents can participate in creative activities, religious services, arts and crafts, family and resident socials, parties, and outings. Transportation can also be arranged for residents and visiting family members when needed.

The facility is in a Moderately Walkable residential area of Tipton with a Walk Score of 53. Some errands can be done on foot, while most require transportation. Contract services for laboratory work, pharmacy, and X-ray imaging are available on-site so residents won’t have to leave the facility for routine testing and diagnostic work.

Located at 415 Sidney St in Saint James, Missouri, St James Living Center is a nursing home with 90 beds. The facility is operated by N & R Of St James, LLC, under the administration of Anita Carroll. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.

Residents stay for an average of 102 days, including post-acute rehabilitation stays alongside longer-term placements. The facility’s current occupancy rate is 48%. Clinically, St James focuses on rehabilitation services. There’s 24-hour staffing and a doctor on-site, as it is an active rehabilitation setting for patients recovering from surgery, an acute illness, or a hospital stay.

Total nurse staffing averages 4 hours per resident each day. They are supported by registered nurses, nurse aides, and licensed practical nurses working across the schedule.

The neighborhood has a Walkability Score of 65 out of 100, which means some errands can be done on foot while most trips require a short drive. This may suit families who want easier access when visiting or running nearby errands.

The Department of Health and Senior Services regularly examines care processes at St James. It has focused on areas such as care documentation, physician communication and incident response, resident supervision and safety measures, medication handling and security, and related clinical protocols. These examinations help ensure the home maintains standards in resident care and administrative operations.

Residents can choose meals through a complete dining program made from their individual preferences. Transportation, housekeeping, laundry services, 24-hour medical care, and a dedicated special care unit are also available. Together, these services make it easier for residents and families by reducing some of the daily tasks they might otherwise need to do on their own.

Fulton Manor, Inc. runs the day-to-day operations at Fulton Manor Care Center, a 52-bed nursing home over at 520 Manor Drive in Fulton, Missouri. Paying for care is simple since they take Medicare, Medicaid, and private pay. If you’re coming to visit, the neighborhood is walkable enough to run a few quick errands on foot, but you’ll still need a car for most things.

The building is usually about 87 percent full, and people stay for around 145 days on average. This means the staff splits their time pretty evenly between short-term rehab and long-term care. To keep up with everything, the nurses and aides spend about 3 hours and 21 minutes helping each resident every day, all under the watch of an on-site doctor.

State inspectors drop by regularly to check that the building is meeting health and safety codes. Recent visits turned up a few areas that need more attention from management, specifically when it comes to staff oversight, following clinical care plans, passing out medications properly, and basic resident safety. These findings keep the facility’s total citation count above zero.

Older adults can look into the specialized rehab programs, quiet common lounges, and dedicated guest rooms for visiting family members. The daily schedule pairs these therapy routines with regular meals and a monthly activities calendar to help everyone stay social. Anyone checking out local care options can contact the admissions office directly to check on open beds, verify insurance coverage, or set up a time to walk through the building.

Clinton No 1, Inc. and owner Clinton Exempt Trust manage operations at Clinton Healthcare and Rehabilitation Center, located at 1009 East Ohio Street in Clinton, Missouri. The administrative team structures accounts through conventional avenues, taking Medicare, Medicaid, and private funds. Guests dropped off for visits will find a moderately walkable grid where some nearby errands are manageable on foot, though most regional travel requires a car.

The 120-bed facility maintains a 59 percent occupancy rate, with residents staying an average of 145 days. This operating cycle points to a daily schedule that balances short-term, post-hospital physical therapy programs with ongoing residential placement. To supervise daily medical treatments and individual routines, the around-the-clock shift layout delivers an average of 3 hours and 8 minutes of total nursing care per resident each day, utilizing a combined staff of registered nurses, practical nurses, and aides.

Past survey documents note that state inspectors cited specific procedural areas needing adjustment, including medication safety controls, individual care preference choices, and basic infection prevention protocols, keeping the overall citation rate above zero.

Prospective residents can examine the community layout, which includes shared social spaces, indoor lounges, and specialized therapy wings. The facility balances these rehabilitation tracks with daily amenities like complimentary cable television, building-wide wireless internet, and standard nutritious meals managed by the building staff.

Overview of Livingston Manor Care Center

Livingston Manor, Inc., and administrator Sara Hoover-Shaw coordinate care at Livingston Manor Care Center, a 94-bed skilled nursing community located on East Birch Drive in Chillicothe, Missouri. The business office organizes patient billing through typical setups like Medicare, Medicaid, and private payments. Guests visiting the building can navigate the surrounding area easily on foot, as the neighborhood carries a walkability score of 71 out of 100, letting people handle multiple errands without a car.

On average, residents live in the community for 295 days, a timeframe that highlights a routine balancing continuous residential care with shorter post-hospital recovery schedules. To manage day-to-day medical treatments and physical support, the 24-hour staffing framework provides an average of 3 hours and 25 minutes of total nursing care per resident each day. The building splits this clinical focus across a dedicated Private Medicare Hall and a Special Care Unit designed for individualized rehabilitation.

Inspection reports show that recent surveys cited specific procedural corrections regarding resident banking funds, employee background tracking, nurse staffing adjustments, respiratory care, basic environmental sanitation, and resident safety rules, keeping the overall citation rate above zero.

Older adults can look into the community’s monthly activity setups, social calendars, and tailored rehabilitation programs. The indoor layout is configured to support physical recovery and memory care needs under continuous medical supervision. Families can call the main office directly to look over insurance requirements, ask about specific safety safeguards, or schedule an in-person walkthrough of the residential halls.

Overview of The Groves

Tucked away in Jackson County, Independence, MO, The Groves is an inviting senior living community that offers a continuum of care services, including independent living, assisted living, short-term care, and long-term care. The community offers loving, attentive care in a secure and homey environment with private or semi-private room options and the full spectrum of services. Here, residents feel well-cared for with care services, such as skilled nursing, everyday care, medication management, cutting-edge rehab, wound and physician/dentist/podiatry, as well as professional counseling.

Residents are able to live their lives to the fullest without the hassle of chores like housekeeping, laundry, and meal preparation. Transportation services are also provided so residents can get to their appointments on time, safely, and without the hassles of public commuting. In addition to delectable dining experiences, residents are also offered plenty of opportunities to connect, engage, and learn new things through a vibrant recreational curriculum.

Overview of Seasons Rehab and Healthcare Center

Seasons Operator LLC and owner Angela Grogan handle the daily management at Seasons Rehab and Healthcare Center, a 78-bed medical nursing facility located at 15600 Woods Chapel Road in Kansas City, Missouri. The billing office coordinates standard accounts across Medicare, Medicaid, and typical private pay options. Relatives planning visits can expect a pedestrian-friendly layout scoring 94 out of 100 for walkability, which means guests can manage immediate errands or walk to nearby spots entirely on foot.

Rosters show that the building maintains a high 95 percent occupancy level, while residents stay an average of 199 days. This operating schedule reveals that the medical teams split their attention between multi-month residential care and short-term post-hospital therapy programs. Nursing personnel coordinate treatments and daily medical routines on around-the-clock schedules, providing an average of 3 hours and 32 minutes of direct nursing care per resident each day through a team of registered nurses, practical nurses, and aides.

Recent inspection documents noted several areas that required correction, which included standard administrative guidelines, Medicaid notification paperwork timelines, and basic resource protocols, keeping the building’s overall cumulative citation rate above zero.

Prospective residents can explore the on-site physical rehabilitation setup, specialized adult day care options, and geriatric psychiatric tracks under continuous medical direction. The property pairs these clinical divisions with routine short-term respite stays, hospice coordination, an internal salon space, and managed laundry assistance.

Overview of Medicalodges Nevada

Medicalodges Nevada is a 100-bed skilled nursing facility at 1210 West Ashland Street, Nevada, Missouri, Vernon County. Kayla Shuey is the administrator; Medicalodges, Inc., operates the facility under the ownership of Susan Houser. The facility is 100% employee-owned and primarily serves short-stay rehabilitation residents, though it also accepts long-term private pay and Medicaid admissions.

The facility carries a 2-star CMS overall rating. Health Inspection performance is 24% below Missouri average, and Staffing is 31% below state average. Quality Measures, however, are rated 85.2% above state average. Current occupancy is 39.8%, with 45 residents occupying 100 beds and an average stay of 188 days, indicating a predominantly short-stay rehabilitation model.

Financially, the facility is operating at a loss of $533.3 thousand against $3.2 million in revenue, a margin of -16.9%, with payroll consuming 63.5% of gross revenue.

Nursing staffing is a mixed picture. Weekend RN coverage is actually 5% above state average at 21 minutes per resident per day, and LPN staffing is a genuine strength at 1 hour 3 minutes per day (54% above state average of 41 minutes). Certified Nursing Aides average 2 hours 50 minutes per resident per day, 22% above state average. Total nursing care reaches 5 hours 10 minutes per resident per day, 36% above state average.

However, weekday RN hours are 26 minutes per resident per day, 7% below state average of 28 minutes. Weekend nursing total of 3 hours 32 minutes per day runs 16% above state average, suggesting weekend staffing is actually adequate despite concerns about daytime RN presence.

Quality outcomes reveal conflicting patterns. Long-stay residents experience hospitalizations at 1.96 per 1,000 days (6% better than state) and emergency department visits at 1.24 per 1,000 days (47% better than state)—notably low. Yet walking ability declined in 25.7% of long-stay residents, 25% worse than state average. Weight loss affects 8.9% (60% worse than state average of 5.6%), pressure ulcers occur in 6.1% of high-risk residents (21% worse than state), and bowel or bladder incontinence affects 22.1% of low-risk residents (22% worse than state).

On the positive side, depressive symptoms appear in only 5.9% (54% better than state), urinary tract infections are 1.4% (50% better than state), and falls with major injury are 2.0% (51% better than state). Vaccination rates are 86.9% for pneumococcal and 92.5% for influenza, both in line with state benchmarks.

Inspections from August 2019 through August 2025 include eight health surveys and complaint investigations with 27 total citations, all of moderate severity, and zero critical or serious citations. This is 3.38 citations per inspection versus Missouri average of 5.67 (41% better). However, the inspection record reveals a recurring pattern of deficiencies across multiple years. August 2019 found inadequate activities programming and improper side rail assessments.

June 2022 cited infection control gaps and staffing documentation. June 2024 health inspection identified 16 deficiencies covering medication management, pharmacy oversight, nursing documentation, and administrator licensing. A concurrent complaint investigation the same month cited 8 additional deficiencies. Subsequent complaint investigations in September 2023, December 2024, April 2025, and August 2025 repeatedly address administrator licensing compliance and infection prevention.

The administrator’s license expired and was not renewed in a timely manner, constituting a governance failure that has triggered multiple complaint reviews.

The facility’s low occupancy (39.8%) and operating loss of $533.3 thousand suggest financial strain, though payroll as a percentage of revenue is reasonable at 63.5%. The facility is moderately walkable (Walk Score 59) and offers Medicare rehabilitation, Medicaid long-term care, and private pay services with access to Missouri financial assistance programs.

Families evaluating Medicalodges Nevada should ask directly about corrective actions taken following the April 2025 infection control citation and verify current administrator license status.

Magnolia Wellness Center is a 120-bed skilled nursing facility at 3421 Gasconade Street, Saint Louis City, Saint Louis County, Missouri, operated by Sage Nursing & Rehab LLC under the administration of Michael Kleissler. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing services. It has a walk score of 92, placing it in a walkable urban location where daily errands do not require a car.

Registered nurses provide only 12 minutes per resident per day, representing a 57% reduction compared to Missouri’s state average of 28 minutes. This level of RN coverage is substantially below typical skilled nursing facilities. Licensed practical nurses provide 42 minutes per day, matching the state average. Certified nursing aides provide 2 hours 14 minutes per day, slightly below state average.

Weekend total nursing hours are 2 hours 39 minutes per day (13% below state average). Weekend RN presence drops further to 11 minutes per day, which is 45% below the state average of 20 minutes.

Quality outcomes for long-stay residents show concerning patterns. Long-stay hospitalization rates are 3.15 per 1,000 days, representing a 51% increase over Missouri’s state average of 2.08. Long-stay emergency department visits average 1.55 per 1,000 days, which is 34% better than the state average.

Short-stay rehabilitation outcomes are substantially weaker. Re-hospitalization rates are 34.5% (36% worse than the state average of 25.3%), meaning more than one in three discharged residents returns to the hospital following their nursing home stay. This metric suggests either insufficient rehabilitation progress, inadequate discharge planning, or gaps in transitional care protocols. Short-stay emergency department visits occur in 10.0% of residents (25% better than state average of 13.4%).

Falls with major injury occur in 0.0% of residents (100% better than state average of 0.8%), reflecting strong fall prevention measures.

The facility provides rehabilitation services, respite care, and beauty and barber services. Meals are nutritionally balanced and accommodate both medical and faith-based dietary requirements. Health care and dietary management are listed as specific programs.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.

Families should request written documentation of RN staffing rationale and detailed explanation for elevated hospitalization and re-hospitalization rates before admission.