Preferred Family Healthcare, Inc

Q: Is Preferred Family Healthcare, Inc in a walkable area?

Preferred Family Healthcare, Inc has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

Q: What is the license number of Preferred Family Healthcare, Inc?

According to MO state health department records, Preferred Family Healthcare, Inc's license number is 053466.

Q: When does Preferred Family Healthcare, Inc's license expire?

According to MO state health department records, Preferred Family Healthcare, Inc's license expires on March 8, 2028.

Q: What is the occupancy rate at Preferred Family Healthcare, Inc?

Preferred Family Healthcare, Inc's occupancy is 61%.

Q: Does Preferred Family Healthcare, Inc operate as a for-profit or non-profit?

Preferred Family Healthcare, Inc is registered as a non-profit in MO.

Q: Who is the administrator of Preferred Family Healthcare, Inc?

Walter Winn is the administrator of Preferred Family Healthcare, Inc.

Q: How many beds does Preferred Family Healthcare, Inc have?

Preferred Family Healthcare, Inc has 57 beds.

Nursing Home & Assisted Living · Kirksville, MO

CMS overall rating

900 East Laharpe, Kirksville, MO 63501-4520 View map

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Preferred Family Healthcare, Inc accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Preferred Family Healthcare, Inc accepts Medicare, Medicaid, and private pay.

Overview of Preferred Family Healthcare

Based at 900 East Laharpe in Kirksville, Adair County, Missouri, Preferred Family Healthcare Inc houses 57 residents and serves as one site within a multi-state healthcare organization operating nearly 100 locations. With more than 40 years in operation, the organization focuses on integrated care combining mental health, behavioral health, and addiction recovery services with residential support. Mr Walter (Vince) Winn directs operations at this location.

The service array distinguishes this facility from traditional senior living environments. Residents access addiction recovery programs, employment services, integrated health coordination, supported living arrangements, mental and behavioral health treatment, crisis response services, Dayspring Community Services, trauma-focused cognitive behavioral therapy, and Health Home Services. The residential care classification reflects this behavioral and mental health specialization rather than a medical or skilled nursing orientation.

Kirksville’s city center location yields a walk score of 77, making the facility very walkable. Most daily errands are feasible on foot, and essential services sit within short walking distance. Healthcare facilities, pharmacies, shops, restaurants, and banks cluster nearby without requiring vehicle transportation for routine needs.

The facility’s regulatory classification under the residential care framework differs substantially from traditional skilled nursing homes; this reflects service intensity rather than quality but does mean different state oversight mechanisms apply.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys. Direct inquiry with the facility or the state agency will yield compliance records.

Prospective residents should ask about specific programs, monthly costs and payment terms, and eligibility for state financial assistance based on income, age, and disability status.

Facility Direct Line (660) 665-1962

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident

4h 7m per day

This facility Missouri avg (3h 44m per day)

vs Missouri avg

+10%

1 of 6 metrics below state avg

Standout metric Physical Therapist is +49% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	27m per day	■ Avg State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	50m per day	▲ 21% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 32m per day	▲ 10% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 29m per day	▲ 14% State avg: 3h 3m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	4m per day	▲ 49% State avg: 3m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	19m per day	▼ 5% State avg: 20m per day · National avg: 29m per day

Capacity and availability

92 days

57-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 77 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

61%

Lower than the Missouri average: 66.6%

Occupied beds

35 / 57

Average occupied beds in Missouri homes 72 beds

Facility TypeResidential Care Facility

StatusActive

IssuanceMarch 9, 2026

ExpirationMarch 8, 2028

CountyAdair

License Number053466

Preferred Family Healthcare, Inc is legally operated by Preferred Family Healthcare, Inc., and administered by Walter Winn.

Corporate EntityPREFERRED FAMILY HEALTHCARE, INC

Owner NamePreferred Family Healthcare, Inc

Residential Care Facility

57 units

Total beds

57 units

Since 2021 · 5 years of data 11 deficiencies 4 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Missouri state average

Overall vs. MO average

Latest Inspection January 22, 2024 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	11	35	This facility has 69% fewer total deficiencies than a typical Missouri nursing home (11 vs. MO avg 35).↓ 69% better
Deficiencies per year Average deficiencies per year since 2021.	2.2	7	This facility has 69% fewer deficiencies per year than a typical Missouri nursing home (2.2 vs. MO avg 7).↓ 69% better
Deficiencies per inspection Average deficiencies per inspection.	2.8	2.9	This facility has 3% fewer deficiencies per inspection than a typical Missouri nursing home (2.8 vs. MO avg 2.9).↓ 3% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	4	12	This facility has had 67% fewer total inspections than the Missouri average (4 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 67% fewer

Inspections since 2020

Total health inspections 8

Missouri average 6.6

Last Health inspection on Dec 2024

Total health citations

Missouri average 36.5

Citations per inspection

3.25

Missouri average 5.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

20 of 26 citations resulted from standard inspections; 5 of 26 resulted from complaint investigations; and 1 of 26 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 6 years)

Critical health citations

100% better than Missouri average

Missouri average: 0.7

Serious health citations

In line with Missouri average

Missouri average: 1

0 critical citations Missouri average: 0.7

1 serious citation Missouri average: 1

25 moderate citations Missouri average: 33.6

0 minor citations Missouri average: 1.2

Citations history (last 6 years)

Infection Control moderate citation Dec 06, 2024

Corrected

Infection Control moderate citation Dec 06, 2024

Corrected

Nursing Services moderate citation Dec 06, 2024

Corrected

Nutrition moderate citation Dec 06, 2024

Corrected

Total staff 98

Employees 95

Contractors 3

Staff to resident ratio 1.42 : 1

16% fewer staff per resident than Missouri average

Avg staff/day 34

Average shift 7.8 hours

0% compared with Missouri average

Total staff hours (quarter) 24,308

Nursing staff breakdown

8.3 hours

9.6 hours

7.7 hours

Contractor staffing

51 contractor hours this quarter

Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	39	0	39	10,942	92	100%	7.7
Licensed Practical Nurse	15	0	15	4,775	92	100%	9.6
Medication Aide/Technician	12	0	12	2,341	92	100%	8.8
Registered Nurse	7	0	7	1,675	91	99%	8.3
Nurse Aide in Training	8	0	8	1,363	86	93%	6.7
Dental Services Staff	1	0	1	506	62	67%	8.2
Clinical Nurse Specialist	1	0	1	487	67	73%	7.3
Administrator	1	0	1	480	60	65%	8
Nurse Practitioner	1	0	1	464	58	63%	8
Physical Therapy Aide	3	0	3	410	64	70%	6.3
Respiratory Therapy Technician	2	0	2	394	63	68%	6.3
Physical Therapy Assistant	1	0	1	309	65	71%	4.8
Qualified Social Worker	1	0	1	93	50	54%	1.9
Occupational Therapy Assistant	0	1	1	24	7	8%	3.5
Occupational Therapy Aide	0	1	1	24	3	3%	8
Speech Language Pathologist	3	0	3	20	9	10%	2.3
Medical Director	0	1	1	3	3	3%	1

39 Certified Nursing Assistant

% of Days 100%

15 Licensed Practical Nurse

% of Days 100%

12 Medication Aide/Technician

% of Days 100%

7 Registered Nurse

% of Days 99%

8 Nurse Aide in Training

% of Days 93%

1 Dental Services Staff

% of Days 67%

1 Clinical Nurse Specialist

% of Days 73%

1 Administrator

% of Days 65%

1 Nurse Practitioner

% of Days 63%

3 Physical Therapy Aide

% of Days 70%

2 Respiratory Therapy Technician

% of Days 68%

1 Physical Therapy Assistant

% of Days 71%

1 Qualified Social Worker

% of Days 54%

1 Occupational Therapy Assistant

% of Days 8%

1 Occupational Therapy Aide

% of Days 3%

3 Speech Language Pathologist

% of Days 10%

1 Medical Director

% of Days 3%

View All Staffing Data in Kirksville

Total fines amount $10K

86% lower than Missouri average

Missouri average: $73K

Number of fines 1

59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials 0

100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison

This facility $10K

Missouri average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Dec 6, 2024 · $10K

Civil Money Penalty Dec 6, 2024

$10K

Last updated: Jan 2026

High-risk clinical events score 7.4

33% better than Missouri average

Missouri average: 10.9

Functional decline score 15.5

21% better than Missouri average

Missouri average: 19.5

Long-stay resident measures

Need for Help with Daily Activities Increased 12.9%

35% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened 13.6%

34% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 19.9%

10% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury 3.0%

26% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers 5.5%

10% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection 0.5%

83% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight 1.9%

66% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms 1.4%

89% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use 22.0%

In line with Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine 90.6%

6% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine 88.3%

In line with Missouri average

Missouri average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 43.2%

35% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase 1.9%

14% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine 32.3%

49% worse than Missouri average

Missouri average: 63.5%

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

64% of new residents, often for short stays.

Typical stay 1 months

Medicaid

6% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Total residents 69

Medicare

14.5% of residents

Medicaid

66.7% of residents

Private pay or other

18.8% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Preferred Family Healthcare, Inc from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 53.4% ↓ 6.4pp vs 2023

Net Patient Income $216.9K ↓ ~$110.3K vs 2023

Payroll Costs $3.0M ↓ ~$66.8K vs 2023

Operating Margin 3.9% ↓ 1.8pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	68.2%	61.9%	64.4%	73.4%	78.7%	84.2%	85.8%	81.9%	82.6%	68.1%	63.0%	59.8%	53.4%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	-$339,861	-$574,959	-$577,680	-$76,362	-$283,328	$120,964	$114,443	$45,962	$548,976	$615,409	$173,531	$1,581,586	$307,061
Gross Revenue	$5,413,595	$5,026,629	$5,568,730	$6,878,920	$6,736,664	$6,829,467	$7,471,662	$7,623,707	$7,124,828	$7,794,415	$7,319,101	$6,728,596	$6,511,558
Operating Expenses	$5,210,354	$5,050,347	$5,535,698	$5,895,238	$6,115,989	$6,262,964	$6,675,513	$6,720,334	$6,129,829	$6,155,986	$5,737,620	$5,452,115	$5,374,805
Net Patient Income	-$357,283	-$587,828	-$604,960	-$106,024	-$322,104	$87,040	$66,227	-$5,224	$526,935	$297,673	-$128,129	$327,194	$216,885
Net Patient Revenue	$4,853,071	$4,462,519	$4,930,738	$5,789,214	$5,793,885	$6,350,004	$6,741,740	$6,715,110	$6,656,764	$6,453,659	$5,609,491	$5,779,309	$5,591,690
Payroll Costs	$2,765,369	$2,714,697	$2,970,152	$3,063,218	$3,269,444	$3,467,472	$3,599,977	$3,632,320	$3,387,404	$3,080,124	$3,018,618	$3,091,582	$3,024,759
Operating Margin %	-7.4%	-13.2%	-12.3%	-1.8%	-5.6%	1.4%	1.0%	-0.1%	7.9%	4.6%	-2.3%	5.7%	3.9%
Medicare %	9.0%	9.7%	10.5%	13.2%	8.3%	6.5%	8.3%	9.7%	6.4%	9.1%	5.4%	6.3%	5.1%
Medicaid %	60.0%	64.1%	67.3%	59.5%	63.5%	72.9%	74.9%	77.7%	78.9%	76.0%	81.5%	78.1%	78.2%
Private %	31.1%	26.2%	22.2%	27.3%	28.2%	20.6%	16.8%	12.6%	14.7%	14.9%	13.1%	15.7%	16.6%
Net Patient Revenue/Day	$162	$165	$175	$180	$168	$172	$179	$187	$183	$216	$203	$221	$239
Cost/Day	$174	$186	$196	$183	$177	$170	$178	$187	$169	$206	$208	$208	$229
Avg Length of Stay	102.6 days	124.3 days	175.3 days	117.8 days	184.8 days	127.6 days	158.0 days	101.9 days	243.5 days	219.4 days	204.5 days	174.6 days	91.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$5.6M

Net patient income

$216.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$5.6M

Net patient income

$216.9K

Other income

$90.2K

Payroll costs

$3.0M 54.1% of net patient revenue

Other operating costs

$2.4M

Total costs

$5.4M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 1 months.

Coverage residents most often arrive under.

Medicare 30%

Private pay 64%

Medicaid 6%

Coverage residents most often leave under.

Medicare 30%

Private pay 52%

Medicaid 18%

0.0 miles from city center Estimated distance in miles from Kirksville's city center to Preferred Family Healthcare, Inc's address, calculated via Google Maps.

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled

General Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Rural access prioritized.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+

General Missouri resident, in approved facility.

Income Limits ~$1,215/month individual

Asset Limits $2,000 individual

Supplements SSI; facility-based only.

Benefits

Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+

General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits $5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

Benefits

Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled

General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits $5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Benefits

Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled

General Missouri resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age —

General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual

Asset Limits Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits

Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

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

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural/urban areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Is Preferred Family Healthcare, Inc in a walkable area?

Preferred Family Healthcare, Inc has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Preferred Family Healthcare, Inc?

According to MO state health department records, Preferred Family Healthcare, Inc's license number is 053466.

When does Preferred Family Healthcare, Inc's license expire?

According to MO state health department records, Preferred Family Healthcare, Inc's license expires on March 8, 2028.

What is the occupancy rate at Preferred Family Healthcare, Inc?

Preferred Family Healthcare, Inc's occupancy is 61%.

Does Preferred Family Healthcare, Inc operate as a for-profit or non-profit?

Preferred Family Healthcare, Inc is registered as a non-profit in MO.

Who is the administrator of Preferred Family Healthcare, Inc?

Walter Winn is the administrator of Preferred Family Healthcare, Inc.

How many beds does Preferred Family Healthcare, Inc have?

Preferred Family Healthcare, Inc has 57 beds.

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Preferred Family Healthcare, Inc

Overview of Preferred Family Healthcare

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Amenities & Lifestyle

Contact Preferred Family Healthcare, Inc

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

39 Certified Nursing Assistant

15 Licensed Practical Nurse

12 Medication Aide/Technician

7 Registered Nurse

8 Nurse Aide in Training

1 Dental Services Staff

1 Clinical Nurse Specialist

1 Administrator

1 Nurse Practitioner

3 Physical Therapy Aide

2 Respiratory Therapy Technician

1 Physical Therapy Assistant

1 Qualified Social Worker

1 Occupational Therapy Assistant

1 Occupational Therapy Aide

3 Speech Language Pathologist

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Preferred Family Healthcare, Inc

Calculate Travel Distance to Preferred Family Healthcare, Inc

Financial Assistance for Nursing Home in Missouri

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

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

Guides for Better Senior Living

Financial Assistance for
Nursing Home in Missouri