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Americare
Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Independent Living, Memory Care, Respite Care & Skilled Nursing · Sikeston, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

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Americare

Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Independent Living, Memory Care, Respite Care & Skilled Nursing · Sikeston, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
214 N Scott St, Sikeston, MO 63801 View map
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Americare accepts Medicare, Medicaid, and private pay.
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Americare accepts Medicare, Medicaid, and private pay.

Overview of Americare

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Americare offers nursing home, adult day care, assisted living, hospice care, independent living, memory care, respite care, and skilled nursing in Sikeston, MO. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident maintains an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, while independent living offers private living with community services and no daily care.

Nursing home and skilled nursing provide licensed nursing care on site around the clock. Adult day care provides daytime support without a residential stay, hospice care supports end of life needs, and respite care provides a short term stay. Several care levels can suit a resident whose needs may grow over time without requiring a move to a different community.

Americare accepts Medicare, Medicaid, and private pay, giving families those payment methods for covered care or residential costs. Pets are allowed, so a resident can continue living with a pet. A Walk Score of 46/100 places the area in a car dependent setting where most errands require a car or a ride, so a resident who no longer drives would need transportation for most errands. The community has a barber and salon for on site personal grooming, and religious services are available.

Facility Direct Line (573) 442-5188
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 53.0% Above MO avg. ▲ 53.0% Above MO avg.MO average: 2.6Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 41.8% Above MO avg. ▲ 41.8% Above MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 81.2% Above MO avg. ▲ 81.2% Above MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 37.6% Above MO avg. ▲ 37.6% Above MO avg.MO average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Nursing care per resident per day and state rankings: CMS Provider Information.

Total nursing care per resident / day Info This nursing home is ranked 68th out of 275 nursing homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
↑ 16% · MO 3h 39mThis facility: 4h 13m per resident per day, 16% above the Missouri average of 3h 39m (among Missouri facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #68 / 275Nurse hours — State benchmarked This nursing home is ranked 68th out of 275 nursing homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 275 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
4h 13m

Standout metric: Registered nurse (RN) is +39% above Missouri average

1 of 6 metrics below Missouri average

By The Numbers

Community insights.

Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #172 / 294Walk Score — State benchmarked This nursing home is ranked 172nd out of 294 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
46 / 100
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
67

Source: CMS Provider Information, average daily residents (data as of Oct 2026)

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
111 days

About This Community

Additional Services

1 service
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.

Additional Policies & Features

Pets Allowed

Amenities & Lifestyle

Beauty Salon
Flourish WellnessAmericare’s signature wellness program supports whole-person well-being across seven dimensions, with activities that promote purpose, connection, physical health and fulfillment.
Signature ProgramsHometown Hospitality®
Touring HoursMonday, Tuesday, Wednesday, Thursday, Friday 08:00-17:00

Contact Americare
Enforcement

Penalties and fines About penalties and fines Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database · Data as of Oct 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Oct 2023.

Clean record
Total fines
$0 MO avg $84KMissouri average: $83,906. Average among the 213 Missouri facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0 MO avg 1.79Missouri average: 1.79. Average among the 213 Missouri facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 MO avg 0.72Missouri average: 0.72. Average among the 213 Missouri facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2024.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.3MFiscal year ending 12/2024
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.2MFiscal year ending 12/2024
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.3MFiscal year ending 12/2024 Rank #92 / 270Net patient revenue — State benchmarked This nursing home is ranked 92nd out of 270 nursing homes we track in Missouri for net patient revenue. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.2MFiscal year ending 12/2024
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$3.8KFiscal year ending 12/2024
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #121 / 270Payroll costs — State benchmarked This nursing home is ranked 121st out of 270 nursing homes we track in Missouri for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$3.8MFiscal year ending 12/2024 46% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #205 / 270Payroll % of net patient revenue — State benchmarked This nursing home is ranked 205th out of 270 nursing homes we track in Missouri for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.3MFiscal year ending 12/2024
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.1MFiscal year ending 12/2024
How we calculate these figures

This home is owned by John Langley

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265367

Show certification details

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
198 admissions · FY2024 Residents admitted during the year.
Medicare 129 · 65%
Medicaid 12 · 6%
Private pay & other 57 · 29%
Shows care patterns over time; not used to rate this facility.

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Typical stay

Medicare 1 - 2 months Medicaid 2 - 3 years Private pay & other 4 months

Places of interest near Americare

Address 0.2 miles from city center Info Estimated distance in miles from Sikeston's city center to Americare's address, calculated via Google Maps.

Calculate Travel Distance to Americare

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Address

Compare Nursing Homes around Columbia

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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
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: 55.0% 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.
Columbia Post Acute ★ ★ ★ ★ ★
NH
SNF
Columbia
70
Facility 70
MO AVG 112
Rank #228 / 287
95.0%
Facility 95.0%
MO AVG 69.5%
Rank #10 / 265
+37%
3.97
Facility 3.97
MO AVG 3.65
Rank #93 / 275
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ +9%+9%
$0
Facility $0
MO AVG $89.7k
Rank #1 / 279
12
Facility 12
MO AVG 36.1
Rank #29 / 277
3.0
Facility 3.0
MO AVG 5.6
Rank #18 / 277
167-
98
Facility 98
MO AVG 50
Rank #1 / 294
Columbia Post Acute, LLC
$13.7MFiscal year ending 12/2024
Facility $13.7MFiscal year ending 12/2024
MO AVG $8.1M
Rank #26 / 270
$7.0MFiscal year ending 12/2024
Facility $7.0MFiscal year ending 12/2024
MO AVG $4.2M
Rank #29 / 270
50.7%Fiscal year ending 12/2024
Facility 50.7%Fiscal year ending 12/2024
MO AVG 55%
Rank #154 / 270
265868
Heritage Hall ★ ★ ★ ★ ☆
NH
HOS
SNF
Centralia
60
Facility 60
MO AVG 112
Rank #243 / 287
72.0%
Facility 72.0%
MO AVG 69.5%
Rank #122 / 265
+4%
3.85
Facility 3.85
MO AVG 3.65
Rank #116 / 275
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ -26%+6%
$0
Facility $0
MO AVG $89.7k
Rank #1 / 279
9
Facility 9
MO AVG 36.1
Rank #9 / 277
2.3
Facility 2.3
MO AVG 5.6
Rank #9 / 277
-43-
30
Facility 30
MO AVG 50
Rank #233 / 294
Christina Redmond
$4.5MFiscal year ending 12/2024
Facility $4.5MFiscal year ending 12/2024
MO AVG $8.1M
Rank #210 / 270
$2.1MFiscal year ending 12/2024
Facility $2.1MFiscal year ending 12/2024
MO AVG $4.2M
Rank #229 / 270
46.3%Fiscal year ending 12/2024
Facility 46.3%Fiscal year ending 12/2024
MO AVG 55%
Rank #202 / 270
265385
The Neighborhoods by TigerPlace ★ ★ ☆ ☆ ☆
NH
HOS
MC
SNF
Columbia
120
Facility 120
MO AVG 112
Rank #76 / 287
74.5%
Facility 74.5%
MO AVG 69.5%
Rank #112 / 265
+7%
5.16
Facility 5.16
MO AVG 3.65
Rank #17 / 275
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -77%+41%
$64.8k
Facility $64.8k
MO AVG $89.7k
Rank #234 / 279
27
Facility 27
MO AVG 36.1
Rank #120 / 277
3.0
Facility 3.0
MO AVG 5.6
Rank #18 / 277
389-
20
Facility 20
MO AVG 50
Rank #260 / 294
Lisa Byergo
$13.2MFiscal year ending 12/2024
Facility $13.2MFiscal year ending 12/2024
MO AVG $8.1M
Rank #33 / 270
$6.0MFiscal year ending 12/2024
Facility $6.0MFiscal year ending 12/2024
MO AVG $4.2M
Rank #43 / 270
45.5%Fiscal year ending 12/2024
Facility 45.5%Fiscal year ending 12/2024
MO AVG 55%
Rank #216 / 270
265840
Parkside Manor ★ ☆ ☆ ☆ ☆
NH
AL
MC
RC
Columbia
120
Facility 120
MO AVG 112
Rank #76 / 287
66.6%
Facility 66.6%
MO AVG 69.5%
Rank #149 / 265
-4%
4.38
Facility 4.38
MO AVG 3.65
Rank #51 / 275
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -16%+20%
$0
Facility $0
MO AVG $89.7k
Rank #1 / 279
59
Facility 59
MO AVG 36.1
Rank #244 / 277
4.5
Facility 4.5
MO AVG 5.6
Rank #99 / 277
180-
98
Facility 98
MO AVG 50
Rank #1 / 294
N & R Of Columbia, LLC
$5.1MFiscal year ending 12/2024
Facility $5.1MFiscal year ending 12/2024
MO AVG $8.1M
Rank #180 / 270
$2.9MFiscal year ending 12/2024
Facility $2.9MFiscal year ending 12/2024
MO AVG $4.2M
Rank #172 / 270
56.1%Fiscal year ending 12/2024
Facility 56.1%Fiscal year ending 12/2024
MO AVG 55%
Rank #111 / 270
265302

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 4 on this page. See how we rank facilities

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Financial assistance

Programs that may help with care and living costs in Missouri

Americare is in Sikeston, Missouri. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.

Get financial aid guidance
Cash support · residential care

Missouri Supplemental Nursing Care (SNC)

MO SNC

Income limit
Income is assessed against the applicable facility charge and program rules.

Eligibility

General
Eligible aged, blind or disabled adults age 21 or older in approved residential/assisted-living or other qualifying licensed settings, with insufficient income for the applicable facility charge.
MO specifics
SNC is not restricted to people age 65 and older.

What it provides

  • Monthly cash assistance toward approved residential living expenses; actual grant depends on facility level and resident income.
Cash support · veterans

VA Aid and Attendance (A&A) and Housebound Benefits

VA Pension Aid and Attendance and Housebound Benefits (Federal)

Who it is for
Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
Income limit
No single monthly income cutoff. VA compares countable annual income, after permitted deductions, with the applicable Maximum Annual Pension Rate for the household and benefit category.
Asset limit
Net-worth limit is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus annual income; exclusions and transfer rules apply.

Eligibility

General
Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.
MO specifics
A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.

What it provides

  • A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.
In-home or residential personal-care support

MO HealthNet State Plan Personal Care Services

Missouri MO HealthNet State Plan Personal Care Services

Eligibility

General
Adults 18 or older with active qualifying Medicaid coverage, assessed nursing-facility-level care needs and authorized personal care. Consumer-directed services additionally require a physical disability and ability to self-direct.

What it provides

  • Authorized assistance with daily activities through agency or consumer-directed services. Qualifying RCF/ALF residents may receive agency personal care for needs beyond the facility’s basic licensing obligations.
In-home & community support

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Eligibility

General
MO HealthNet-eligible people age 63 or older with assessed needs that would require nursing-home care without waiver services.
MO specifics
Minimum age is 63, not 65; current Medicaid financial standards and functional assessment apply.

What it provides

  • Authorized homemaker; chore; respite; home-delivered meals and adult day care.
Live-in caregiver support

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Eligibility

General
Adults age 21 or older with Alzheimer's disease or a related disorder who meet Medicaid and nursing-facility-level-of-care requirements and can receive approved care at home.

What it provides

  • Authorized structured caregiving support in the home under the waiver and provider plan.
Caregiver support

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Eligibility

General
Caregiver living in the same home as a Missouri resident with probable Alzheimer's disease or a related dementia; residents of long-term-care facilities are excluded.
MO specifics
Enrollment is first-come, first-served subject to funding.

What it provides

  • Customized caregiver training; approved respite-related financial relief and assistive technology; availability depends on funding.
Returning home

Show-Me Home

Missouri Show-Me Home

Eligibility

General
People age 63 or older or adults with a physical disability who have lived in a nursing facility for at least 60 days and have qualifying MO HealthNet coverage before transition. Additional Medicare and safe-community-placement rules apply.

What it provides

  • Transition planning; housing search; community support connections and help setting up a home; followed by supports during the transition period.
Health coverage

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Eligibility

General
People meeting MO HealthNet aged, blind or disabled coverage criteria; a need for help with one ADL is not a universal eligibility requirement for medical coverage.
MO specifics
Spenddown may be relevant depending on the coverage category.

What it provides

  • MO HealthNet medical coverage; personal care and other long-term services require their own assessment and authorization.
Medicare costs

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Who it is for
Medicare beneficiaries with limited income who need help with premiums or cost sharing

Eligibility

General
Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.
MO specifics
Applications are administered by the state Medicaid program.

What it provides

  • Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.
Know before you visit

Frequently Asked Questions about Americare

Quick answers from public records and the community's own listing.
01 Is Americare in a walkable area?
Americare has a walk score of 46. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 Are pets allowed at Americare?
Yes, Americare allows residents to bring their pets.
03 Does Americare operate as a for-profit or non-profit?
Americare is registered as a for-profit.
04 What is the overall rating for Americare?
Americare received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
05 What levels of care does Americare provide?
Americare offers Nursing Home, Adult Day Care, Assisted Living, Hospice Care, Independent Living, Memory Care, Respite Care & Skilled Nursing.
06 What is the address of Americare?
Americare is located at 214 N Scott St, Sikeston, MO 63801.
07 What is the phone number of Americare?
(573) 442-5188 will put you in contact with the team at Americare.
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