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The 25 Best Nursing Homes in Missouri

Ranked by ElderGrade score — a composite of inspection citations weighted by the harm they caused, case-mix-adjusted nurse staffing, RN cover, weekend consistency, staff turnover, resident outcomes and enforcement history. Homes carrying an abuse flag, Special Focus status or an immediate-jeopardy citation are capped and cannot appear near the top, however well they staff. Full method.

Nobody paid to be on this list. We take no fees from facilities, chains or placement agencies.

  1. #1
    A

    99/100

    Lutheran Convalescent Home

    Webster Groves, MO · St. Louis County

    CMS 5/5 251 beds For-profit Medicaid
    Nurse hours
    4.82 /day
    Staff turnover
    32%
    Serious cites
    0
  3. #3
    A

    94/100

    Lutheran Home, The

    Cape Girardeau, MO · Cape Girardeau County

    CMS 5/5 274 beds Non-profit Medicaid
    Nurse hours
    4.54 /day
    Staff turnover
    35%
    Serious cites
    0
  4. #4
    A

    93/100

    Lenoir Health Care Center

    Columbia, MO · Boone County

    CMS 5/5 56 beds Non-profit Medicaid
    Nurse hours
    4.88 /day
    Staff turnover
    35%
    Serious cites
    0
  5. #5
    A

    93/100

    Mason Pointe Care Center

    Chesterfield, MO · St. Louis County

    CMS 5/5 63 beds Non-profit Medicaid
    Nurse hours
    4.32 /day
    Staff turnover
    40%
    Serious cites
    0
  6. #6
    A

    91.5/100

    Macon Health Care Center

    Macon, MO · Macon County

    CMS 5/5 84 beds For-profit Medicaid
    Nurse hours
    3.50 /day
    Staff turnover
    21%
    Serious cites
    0
  7. #7
    A

    91/100

    Jeanne Jugan Center

    Kansas City, MO · Jackson County

    CMS 5/5 52 beds Non-profit Medicaid
    Nurse hours
    3.93 /day
    Staff turnover
    34%
    Serious cites
    0
  8. #8
    A

    90/100

    Phelps Health

    Rolla, MO · Phelps County

    CMS 5/5 20 beds Non-profit
    Nurse hours
    7.56 /day
    Staff turnover
    50%
    Serious cites
    0
  9. #9
    A

    89.5/100

    Madison Medical Center

    Fredericktown, MO · Madison County

    CMS 5/5 99 beds Government Medicaid
    Nurse hours
    4.10 /day
    Staff turnover
    38%
    Serious cites
    0
  10. #10
    A

    89.5/100

    Manor At Elfindale, The

    Springfield, MO · Greene County

    CMS 4/5 100 beds Non-profit
    Nurse hours
    4.43 /day
    Staff turnover
    35%
    Serious cites
    0
  11. #11
    A

    89/100

    Maranatha Village, Inc

    Springfield, MO · Greene County

    CMS 4/5 120 beds Non-profit Medicaid
    Nurse hours
    3.94 /day
    Staff turnover
    41%
    Serious cites
    0
  12. #12
    A

    89/100

    Lake Regional Health Systems

    Osage Beach, MO · Camden County

    CMS 5/5 16 beds Non-profit
    Nurse hours
    9.33 /day
    Staff turnover
    62%
    Serious cites
    0
  13. #13
    A

    88/100

    Hope Care Center

    Kansas City, MO · Jackson County

    CMS 5/5 16 beds Non-profit Medicaid
    Nurse hours
    4.51 /day
    Staff turnover
    —
    Serious cites
    0
  16. #16
    A

    86/100

    Baptist Homes Of Adrian

    Adrian, MO · Bates County

    CMS 4/5 38 beds Non-profit Medicaid
    Nurse hours
    3.76 /day
    Staff turnover
    55%
    Serious cites
    0
  17. #17
    A

    86/100

    Medicalodges Butler

    Butler, MO · Bates County

    CMS 4/5 105 beds For-profit Medicaid
    Nurse hours
    4.14 /day
    Staff turnover
    25%
    Serious cites
    0
  18. #18
    A

    85/100

    Nhc Healthcare, Maryland Heights

    Maryland Heights, MO · St. Louis County

    CMS 4/5 220 beds For-profit Medicaid
    Nurse hours
    3.45 /day
    Staff turnover
    29%
    Serious cites
    0
  19. #19
    A

    85/100

    Medicalodges Neosho

    Neosho, MO · Newton County

    CMS 5/5 114 beds For-profit Medicaid
    Nurse hours
    3.07 /day
    Staff turnover
    38%
    Serious cites
    0
  20. #20
    A

    85/100

    Wilson's Creek Nursing & Rehab

    Springfield, MO · Greene County

    CMS 5/5 172 beds For-profit Medicaid
    Nurse hours
    2.84 /day
    Staff turnover
    27%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

  21. #21
    A

    85/100

    Friendship Village Chesterfield

    Chesterfield, MO · St. Louis County

    CMS 5/5 98 beds Non-profit Medicaid
    Nurse hours
    4.40 /day
    Staff turnover
    47%
    Serious cites
    0
  22. #22
    B

    84.6/100

    Delmar Gardens Of O'fallon

    O Fallon, MO · St. Charles County

    CMS 3/5 198 beds For-profit Medicaid
    Nurse hours
    4.20 /day
    Staff turnover
    43%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

  23. #23
    B

    84.5/100

    Golden Age Living Center

    Stover, MO · Morgan County

    CMS 5/5 61 beds Non-profit Medicaid
    Nurse hours
    4.52 /day
    Staff turnover
    51%
    Serious cites
    0
  24. #24
    B

    84.5/100

    Kingdom Care Senior Living

    Fulton, MO · Callaway County

    CMS 5/5 36 beds For-profit Medicaid
    Nurse hours
    3.89 /day
    Staff turnover
    —
    Serious cites
    0
  25. #25
    B

    84/100

    Bethesda Southgate

    Saint Louis, MO · St. Louis County

    CMS 5/5 130 beds Non-profit Medicaid
    Nurse hours
    4.32 /day
    Staff turnover
    32%
    Serious cites
    1

    1 citation(s) involving actual harm or immediate jeopardy

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