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Here are 487 Nursing Homes in Missouri

Every Medicare-certified nursing home in Missouri, graded on inspections, staffing, turnover and enforcement history. 18 homes in the state sit in the federal Special Focus programme.

Homes

487

Certified beds

50,053

Avg CMS stars

2.5/5

Avg staff turnover

56%

Showing 1 to 20 of 487 homes

A

99/100

Lutheran Convalescent Home

Webster Groves, MO · St. Louis County

CMS 5/5251 bedsFor-profitMedicaid
Nurse hours
4.82 /day
Staff turnover
32%
Serious cites
0

Lutheran Convalescent Home runs 4.82 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff tends to stay, 31.5% turnover against a 45.8% national figure. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows nine deficiencies, none at the harm level, though one is abuse-related, and the last full inspection was in November 2024. For a 251-bed for-profit home, that combination of heavy staffing and low turnover is the main thing separating it from the pack.

A

96/100

Lutheran Senior Services At Meramec Bluffs

Ballwin, MO · St. Louis County

CMS 5/532 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
27%
Serious cites
0

Lutheran Senior Services At Meramec Bluffs runs a small operation, 32 certified beds in Ballwin, and it's staffed like a place that intends to keep them. At 5.25 nurse hours per resident day, it sits roughly 36% above the national average of 3.86, and its 27.1% turnover is well under the 45.8% national figure, which suggests people stay. The tradeoff is weekends, when staffing drops about 14% below its own weekday level. The inspection record is strong: a 5-star health inspection rating, eight total deficiencies with none at the harm or jeopardy level, and a survey completed in October 2024. One abuse-related deficiency is on the record, so ask about it directly. Church-affiliated nonprofit ownership, and quality measures land at 4 stars.

A

94/100

Lutheran Home, The

Cape Girardeau, MO · Cape Girardeau County

CMS 5/5274 bedsNon-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
35%
Serious cites
0

The Lutheran Home runs 4.54 nurse hours per resident day, roughly 17% above the national average, and weekends dip only about 8% below its own weekday level, a modest drop, not a cliff. Staff turnover sits at 34.9%, well under the 45.8% national figure, which matters for whether caregivers actually stick around long enough to know residents. Its last inspection was March 2025, with 8 deficiencies on record, none at the harm level and none abuse-related. A 274-bed nonprofit carrying 5/5 stars across health inspection, quality measures, and staffing is rare company. The numbers here are consistent, not lucky.

A

93/100

Lenoir Health Care Center

Columbia, MO · Boone County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
35%
Serious cites
0

Lenoir Health Care Center runs on 4.88 nurse hours per resident day, about 27% above the national average, and its weekend staffing only dips roughly 5% below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 34.8% against a national average near 46%, so the people caring for residents tend to stick around. The trade-off is a longer deficiency record: 13 citations on file, including one abuse-related finding, though none rose to actual harm or jeopardy. Its last inspection was April 2025, and the nonprofit operator posts top marks across health inspections, quality measures, and staffing.

A

91.5/100

Macon Health Care Center

Macon, MO · Macon County

CMS 5/584 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
21%
Serious cites
0

Macon Health Care Center runs on a for-profit corporate model with 84 certified beds, and its nursing hours land at 3.50 per resident day, about 9% under the national average of 3.86. Weekends get thinner still, roughly 19% below the home's own weekday staffing. What stands out is retention: turnover sits at 20.6% against a national average of 45.8%, meaning the people here tend to stay. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2025. Quality and staffing measures both rate well above average, and while the raw nursing hours trail the norm, a stable workforce and a clean harm record count for something a family should weigh.

A

91/100

Mason Pointe Care Center

Chesterfield, MO · St. Louis County

CMS 5/563 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
40%
Serious cites
0

Mason Pointe runs a nonprofit home with 63 beds in Chesterfield, and the numbers behind its record are mostly strong. Nurse staffing sits at 4.32 hours per resident day, about 12 percent above the national average, though weekend coverage drops roughly 13 percent from weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 40.3 percent, below the national 45.8 percent, and its last health inspection came in August 2024 with a 5-star inspection rating and 17 deficiencies on record, none at the harm level, one abuse-related. That single abuse citation is the item to ask about directly before you decide.

A

91/100

Jeanne Jugan Center

Kansas City, MO · Jackson County

CMS 5/552 bedsNon-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
34%
Serious cites
0

The Jeanne Jugan Center runs 52 certified beds in Kansas City under nonprofit ownership, and the numbers back up that mission-driven setup. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, with weekend coverage dipping about 10% below weekdays, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 34.1%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. On inspections, the record is clean where it counts: four deficiencies total, none at the harm level, none abuse-related, and the most recent inspection was in August 2025. Quality measures score mid-range, so care outcomes look solid rather than exceptional.

A

90/100

Phelps Health

Rolla, MO · Phelps County

CMS 5/520 bedsNon-profit
Nurse hours
7.56 /day
Staff turnover
50%
Serious cites
0

Phelps Health runs a small operation, 20 certified beds, and it's licensed as a nonprofit. The staffing numbers stand out: 7.56 nurse hours per resident per day, roughly double the national average of 3.86, and weekend coverage holds within about 9% of its weekday level, which is a smaller drop than many homes see. Turnover sits at 50%, a bit above the 45.8% national figure, so the people caring for residents do change fairly often. On the regulatory side, the record is clean: one deficiency total, none involving harm or abuse, and a five-star inspection rating with a survey completed in late November 2025.

A

90/100

Delmar Gardens Of O'fallon

O Fallon, MO · St. Charles County

CMS 3/5198 bedsFor-profitMedicaid
Nurse hours
4.20 /day
Staff turnover
43%
Serious cites
0

Delmar Gardens of O'Fallon runs on more nurse hours than most homes, 4.20 per resident day against a national average of 3.86, and staffing barely dips on weekends. Turnover sits at 42.7%, a bit better than the 45.8% national figure, which matters for whether your parent sees the same faces. The trouble is the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, and a 2-out-of-5 health inspection rating from CMS. The 5/5 quality measure score reflects clinical metrics like falls and infections, not the survey findings. A for-profit LLC operates the building. Five stars on quality measures with a two-star inspection history is a split record worth asking about directly.

A

89.5/100

Manor At Elfindale, The

Springfield, MO · Greene County

CMS 4/5100 bedsNon-profit
Nurse hours
4.43 /day
Staff turnover
35%
Serious cites
0

Manor At Elfindale runs on more nursing hours than most places, 4.43 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 34.9% versus 45.8% nationally. Weekends get thinner, though, dropping about 16% below weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The home carries 10 deficiencies on its current record, none at the harm level, one tied to abuse; that last one deserves a direct question about what happened and what changed. A November 2025 inspection means the picture is recent.

A

89.5/100

Madison Medical Center

Fredericktown, MO · Madison County

CMS 5/599 bedsGovernmentMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Madison Medical Center is county-owned, and its 4.10 nurse hours per resident day sits about 6% above the national average, with a five-star staffing rating to back it up. Turnover runs 38.3%, noticeably better than the 45.8% national figure, so the people caring for residents tend to stay. Five deficiencies on record, none involving harm or abuse, and the last inspection was recent. The one thing to ask about: weekend staffing drops roughly 19% below weekday levels, so visit on a Saturday if you can.

A

89/100

Lake Regional Health Systems

Osage Beach, MO · Camden County

CMS 5/516 bedsNon-profit
Nurse hours
9.33 /day
Staff turnover
62%
Serious cites
0

Lake Regional Health Systems runs a small 16-bed unit inside a hospital system, and its nurse staffing sits at 9.33 hours per resident per day, roughly two and a half times the national figure. That's an unusual level of coverage, and it shows in the four-out-of-five staffing star, held back mainly by turnover of 61.9% against a national 45.8%. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, though one is abuse-related, which is worth asking about directly. A five-star inspection and five-star quality rating from a September 2025 survey round out a strong picture, with weekend staffing running about 9% lighter than weekdays.

A

88/100

Hope Care Center

Kansas City, MO · Jackson County

CMS 5/516 bedsNon-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
n/a
Serious cites
0

Hope Care Center runs on a small scale, 16 beds, nonprofit owned, and the staffing reflects that attention. At 4.51 nurse hours per resident day, it sits about 17% above the national average of 3.86, though weekend coverage drops roughly 17% below its own weekday level, so care may thin out on Saturdays and Sundays. The inspection record shows 27 deficiencies, none at the harm or jeopardy level, with one tied to abuse. State surveyors were last in the building in September 2025, so the picture is current. Quality measures score at the top of CMS's scale, and the health inspection rating is strong, but that abuse-related citation is worth asking about directly before you decide.

A

87/100

Surrey Place St Lukes Hospital Skilled Nursing

Chesterfield, MO · St. Louis County

CMS 4/5130 bedsNon-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
44%
Serious cites
0

Staffing is the strongest thing going for this nonprofit home in Chesterfield, 4.72 nurse hours per resident day, roughly 22% above the national average, which earned it a top federal staffing rating. Turnover sits at 44.3%, slightly better than the national average of 45.8%, though weekend coverage drops about 11% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Its inspection record shows 13 deficiencies with nothing at the harm level, but one is abuse-related, worth asking about directly. The last full inspection was in August 2024, so the record is reasonably current.

A

87/100

Lincoln Community Care Center

Lincoln, MO · Benton County

CMS 4/566 bedsNon-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
29%
Serious cites
0

Lincoln Community Care Center runs on 3.81 nurse hours per resident day, just under the national average of 3.86, and weekend coverage drops roughly 14% from its weekday level, a gap worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 29.3%, well below the national 45.8%, so the aides and nurses here tend to stay. The inspection record shows 11 deficiencies, one serious enough to involve harm or jeopardy, and a single fine of $13,667; the most recent inspection was in January 2026.

A

86.5/100

Cox Medical Centers Meyer Orthopedic And Surgical

Springfield, MO · Greene County

CMS 4/528 bedsNon-profit
Nurse hours
10.00 /day
Staff turnover
55%
Serious cites
0

Cox Medical Centers Meyer Orthopedic and Surgical runs 28 certified beds in Springfield, and the staffing numbers here are unusual: 10.00 nurse hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage actually edges out weekdays, so care doesn't thin out when families tend to visit. The tradeoff is retention, 54.5% annual turnover, well above the 45.8% national figure, meaning the people delivering those hours keep changing. Inspections look strong on paper: a 5/5 health inspection rating, four deficiencies total, none causing harm or involving abuse, and a survey as recent as May 2024. Nonprofit ownership with that staffing cushion is a real advantage; just ask how they hold onto nurses.

A

86.5/100

Bishop Spencer Place, Inc, The

Kansas City, MO · Jackson County

CMS 3/557 bedsNon-profitMedicaid
Nurse hours
5.46 /day
Staff turnover
41%
Serious cites
0

Bishop Spencer Place runs a nonprofit shop with 57 beds, and the staffing numbers stand out: 5.46 nurse hours per resident day, roughly 41% above the national average. Turnover sits at 40.6%, better than the 45.8% norm, though weekend coverage dips about 19% below weekday levels. The tradeoff shows up in its record, 25 deficiencies, including one at the harm level and one tied to abuse, plus an $8,021 fine. Last inspection was January 2026, so the picture is current. Strong hands on deck, but a survey history that needs watching.

A

86/100

Riverbend Heights Health & Rehabilitation

Lexington, MO · Lafayette County

CMS 2/5154 bedsFor-profitMedicaid
Nurse hours
3.58 /day
Staff turnover
37%
Serious cites
0

Riverbend Heights runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 36.7%, better than the 45.8% national figure, so aides and nurses tend to stick around longer than at the typical home. The tradeoff shows up in inspections: 37 deficiencies on record, including one at harm or jeopardy level and three abuse-related, with the last inspection in June 2024. Quality and staffing measures rate well; the inspection history is where the risk concentrates.

A

86/100

Medicalodges Butler

Butler, MO · Bates County

CMS 4/5105 bedsFor-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
25%
Serious cites
0

Medicalodges Butler runs a 105-bed for-profit operation in Bates County, and the numbers behind its grade are mostly about consistency. Nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average, and the 25% annual turnover is well below the 45.8% typical nationwide, that matters, because stable staff usually means residents see familiar faces. Weekend coverage does dip about 15% below its own weekday level, so ask how that plays out on Sundays. The last inspection was in September 2025 and the current record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related.

A

86/100

Shirkey Nursing And Rehabilitation Center

Richmond, MO · Ray County

CMS 3/5197 bedsGovernmentMedicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

Shirkey runs on county money, which usually means steadier budgets than the for-profit chains, and the staffing numbers bear that out, 4.08 nurse hours per resident day, about 6% above the national average. Turnover sits at 37.6%, well under the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The catch is on record: 47 deficiencies, one at the level that signals actual harm or jeopardy, and two tied to abuse. Inspectors were last in on May 8, 2025. Weekend coverage drops roughly 10% from weekday levels, so ask specifically who is on the floor on Saturdays.

Before you shortlist in Missouri