37 Continuing Care Retirement Communities in Missouri

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.

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.

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.

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.

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.

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.

Nurse hours

4.40 /day

Staff turnover

47%

Serious cites

0

Friendship Village Chesterfield runs a nonprofit home of 98 beds in St. Louis County, and the staffing numbers are its strongest card: 4.40 nurse hours per resident day, roughly 14 percent above the national average, which is why CMS gives it five stars on staffing. The catch is consistency, weekend coverage drops about 13 percent below its own weekday level, so care on a Saturday isn't quite what it is on a Tuesday. Turnover sits at 46.6 percent, essentially the national rate. Inspections from September 2024 produced 21 deficiencies, none at the harm level, but four tied to abuse.

Nurse hours

4.60 /day

Staff turnover

48%

Serious cites

0

Friendship Village Sunset Hills runs 4.60 nurse staffing hours per resident day, about 19% above the national average of 3.86, a real margin, though weekends dip roughly 4% below its own weekday level. That strong staffing sits alongside a rougher inspection record: 24 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $14,433 and a January 2025 inspection. Staff turnover of 48.1% edges past the national 45.8%, meaning the people providing that above-average care are still cycling out. High staffing hours and a meaningful resident census don't erase what inspectors found here.

Nurse hours

3.94 /day

Staff turnover

41%

Serious cites

0

Maranatha Village runs on better-than-average nursing hours, 3.94 per resident day against a national 3.86, and its 40.8% turnover comes in under the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops roughly 14% below weekday levels, so pay attention to Saturday and Sunday care if you visit then. The 26 deficiencies on record include five tied to abuse, none reaching harm or jeopardy level, and the last full inspection was April 2024. Quality measures score at the top of CMS's scale, with staffing close behind; inspections sit in the middle.

Nurse hours

3.89 /day

Staff turnover

n/a

Serious cites

0

Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.

Nurse hours

4.49 /day

Staff turnover

53%

Serious cites

0

Rolla Presbyterian Manor runs a tight ship on nurse staffing, 4.49 hours per resident day, about 16 percent more than the national average, enough to earn the top federal staffing rating. That's the strongest thing going for it. Turnover sits at 53.3 percent, though, higher than the 45.8 percent national figure, and weekend coverage dips roughly 8 percent below its own weekday level. Eight deficiencies appear on the current record, none involving harm or abuse, and the last inspection was in March 2025. As a small nonprofit with 30 beds, it's the kind of place where you can ask directly who stays on weekends and how long aides tend to last.

Nurse hours

4.86 /day

Staff turnover

65%

Serious cites

0

Aberdeen Heights runs a genuinely strong staffing operation: 4.86 nurse hours per resident day, roughly a quarter above the national average, and a perfect federal staffing star to match. The catch is turnover, which sits at 65.4% against a national average of 45.8%, that much churn undercuts consistency even when the daily hours look good on paper, and weekend coverage drops about 14% below weekday levels. Inspections are current and clean where it counts: nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

Nurse hours

5.92 /day

Staff turnover

55%

Serious cites

0

Nurse staffing at Mccrite Plaza runs about 5.92 hours per resident day, well above the national average of 3.86, which is the main reason its staffing rating holds at 4 out of 5. That coverage thins on weekends, dropping roughly 9% below weekday levels, and 54.5% of staff turned over in the past year, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record is the weaker side: 37 deficiencies, including two at the harm level and one tied to abuse, plus a $31,280 fine. With a 2/5 health inspection rating and a December 2024 inspection, the compliance history is worth asking about directly.

Nurse hours

4.00 /day

Staff turnover

61%

Serious cites

0

Linden Woods Village sits in Gladstone with 40 certified beds under for-profit LLC ownership. The clinical picture is genuinely strong on paper: a 4/5 inspection rating, a 5/5 on quality measures, and 12 deficiencies on record with none at the harm level and none abuse-related. Staffing runs 4.00 nurse hours per resident day, roughly 4% above the national average, but weekends drop about 12% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger flag is turnover at 61.1% against a national 45.8%, nearly a third higher. Consistent caregivers matter for people who can't advocate for themselves, and that churn is worth asking about directly.

Nurse hours

4.08 /day

Staff turnover

43%

Serious cites

0

John Knox Village Care Center runs 324 certified beds as a nonprofit, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. That cushion matters, though weekends drop about 13% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure, which suggests the workforce is somewhat more stable than most. Inspectors visited in January 2025 and logged 20 deficiencies, none at the harm or jeopardy level and none abuse-related. Four stars on health inspections and staffing, three on quality measures, tells you the basics are solid even if quality reporting lags.

Nurse hours

4.71 /day

Staff turnover

38%

Serious cites

0

Lutheran Senior Services At Breeze Park runs a 50-bed nonprofit home in Saint Charles, and its nurse staffing sits around 4.71 hours per resident day, roughly a fifth above the national average, though weekends drop about 11% below its own weekday coverage. Staff turnover is 37.9%, better than the 45.8% national figure, and the last inspection was in March 2024. The record also shows 16 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $41,347. Strong daily staffing and steadier retention count for a lot here, but those harm-level findings and the abuse citation are the kind of history worth asking about directly before you decide.

Nurse hours

5.22 /day

Staff turnover

57%

Serious cites

0

Mcknight Place Extended Care sits in Saint Louis with 70 certified beds and a corporate for-profit owner. The staffing numbers are the real story here: 5.22 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekend coverage holds fairly steady, only about 6% below weekdays. Turnover is the weak spot, 56.9% of staff leave annually against a national 45.8%, which means new faces are constantly rotating through. The inspection record is current, dated April 2025, and shows 25 deficiencies with none at harm or jeopardy level and nothing abuse-related, which points to documentation and process issues rather than resident safety failures.

Nurse hours

4.65 /day

Staff turnover

n/a

Serious cites

0

Brooking Park runs a nonprofit home of 49 beds in Chesterfield, and its nurse staffing sits at 4.65 hours per resident day, about 21 percent above the national average of 3.86. That higher staffing is real, but weekend coverage drops roughly 15 percent below its own weekday level, so the extra help isn't evenly spread across the week. The inspection record is where the picture gets messier: 36 deficiencies on file, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One fine totaling $15,646 has been levied. The last inspection was July 2024. If you're weighing this one, ask how the weekend shifts are actually covered.

Nurse hours

4.04 /day

Staff turnover

64%

Serious cites

0

Farmington Presbyterian Manor runs a nonprofit home with 90 certified beds, and its staffing sits at 4.04 nurse hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 11 percent below the home's own weekday level, and annual turnover hits 64.4 percent against a national 45.8 percent, so the familiar faces aren't staying long. The inspection record is the strong part: a 5/5 health inspection star, last surveyed January 30, 2025, with 8 deficiencies on file and none at the harm or jeopardy level. Quality measures land at 3/5. Read together, the care environment looks safe and well-monitored, but the workforce churns enough to matter over a longer stay.

Nurse hours

3.59 /day

Staff turnover

60%

Serious cites

0

Living Community of St Joseph runs 96 beds as a nonprofit, and its recent inspection history is the main thing to know. The home carries 36 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse. Federal inspectors last visited in January 2025. Nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 9% below the home's own weekday coverage. Staff turnover is 60% a year against a national average of 45.8%, that's a lot of churn for residents who need consistent faces. CMS gives the home middling marks on health inspections and quality measures, with staffing scoring comparatively better.