37 Continuing Care Retirement Communities in Missouri
37 of the 487 Medicare-certified nursing homes in Missouri (8%) are CCRC, and all are listed below. They average 4.11 nursing hours per resident per day, 0.68 hours above the 3.43 for every home in Missouri. 9 of the 36 graded homes earn an A and 3 earn a D or F. Lutheran Convalescent Home in Webster Groves grades highest at A (99 out of 100).
How CCRC homes in Missouri compare
This group set against every nursing home in Missouri, from the current CMS release.
Nursing hours per resident per day
4.11
All homes in Missouri: 3.43
Better than the local average
Nurse staff turnover
50.7%
All homes in Missouri: 56%
Better than the local average
Average ElderGrade score
75.2/100
All homes in Missouri: 65.7/100
Better than the local average
Grade spread
A
B
C
D
9 grade A, 14 grade B, 10 grade C, 3 grade D,
The best-graded CCRC home in Missouri is
Lutheran Convalescent Home
in Webster Groves, MO, grade A, 99/100.
Foxwood Springs Living Center runs 108 certified beds in Raymore under for-profit LLC ownership, and the numbers show a home that's middling across the board. Nurse staffing sits at 3.52 hours per resident day, roughly 9 percent under the national average, and weekends dip about 7 percent below its own weekday coverage, so care gets thinnest exactly when families tend to visit. The inspection record carries 29 deficiencies, including one at the harm level and one tied to abuse, plus a $13,627 fine; the most recent inspection was January 2025. Turnover of 43.5 percent is slightly better than the national 45.8 percent, but it isn't enough to offset the thin staffing and the deficiency history.
Heisinger Bluffs runs 60 beds under for-profit LLC ownership in Jefferson City, and its recent inspection record is decent, 18 deficiencies on file, none at the harm level, though one is abuse-related, and the last state visit came in March 2025. The real tension sits in the workforce numbers. At 3.02 nurse hours per resident day, this home staffs roughly a fifth below the national average of 3.86, and weekends drop another 16% beneath its own weekday levels. Turnover, at 44%, is basically in line with the national rate. So you're looking at a home that inspects reasonably well but runs lean on the floor, especially Saturdays and Sundays.
Neighborhoods Rehabilitation And Skilled Nursing B runs 5.17 nurse hours per resident day, roughly a third more hands-on time than the national average, but the staff giving that care turn over at 57.9% a year, well above the 45.8% norm. That churn sits alongside a troubled inspection file: 30 deficiencies, four serious enough to put residents at risk of harm, two tied to abuse, and $85,344 in fines, all from a survey finished in November 2024. For a 120-bed for-profit, the pattern is clear, enough people on the clock, but not the same ones for long, and the state's findings back that up.
Ozarks Methodist Manor runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. Turnover sits at 45.8 percent, right at the national figure, so the shortfall isn't explained by churn alone. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the most recent inspection in January 2025. Federal ratings land at 2 out of 5 for health inspections and 1 out of 5 for quality measures, against 3 for staffing. The nonprofit corporation that owns it has a lot to answer for.
Baptist Homes of Arcadia Valley runs 36 certified beds in Ironton, under church-related nonprofit ownership. Its eight deficiencies on the current record include nothing at the harm or jeopardy level and nothing tied to abuse, which matters more than the raw count, most of what surveyors flagged is paperwork and process, not resident safety. The last inspection came in March 2025, so the record is recent. At 36 beds, this is a small home where staffing ratios and administrator turnover tend to swing widely from quarter to quarter, and that volatility is what a family should ask about directly on a visit. Ask who the director of nursing is, how long they've been there, and how many CNAs have worked here more than a year.
Independence Care Center Of Perry County runs a 133-bed nonprofit home in Perryville, and its most recent inspection on January 9, 2026 left 16 deficiencies on the record, none at the harm or jeopardy level, but one abuse-related. Staffing is where the numbers get thin: 2.66 nurse hours per resident day against a national average of 3.86, roughly 31% below, and weekends drop about 13% below the home's own weekday level. The federal staffing star sits at 1 out of 5. Health inspections earned 4 out of 5 and quality measures 2 out of 5, so the care process looks better on paper than the hands-on coverage behind it. Ask how they staff weekends before you decide anything.
Delmar Gardens North runs 240 beds in Black Jack, and the staffing numbers are the first thing worth knowing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 42.9%, is slightly better than the 45.8% national figure, which is one genuine bright spot. The rest is harder: 34 deficiencies on the current record, including 3 at harm or jeopardy level and 2 tied to abuse, plus a $39,299 fine. Its last inspection was November 2025, so the record is recent.
Rosewood runs below the national average on nurse staffing, 3.51 hours per resident day against 3.86, and weekend coverage dips about 5% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 59.8% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year. The inspection record is heavy: 58 deficiencies, five involving harm or jeopardy, six tied to abuse, and three fines totaling $47,917. Two stars for health inspections and two for staffing tell you where the problems concentrate, and ownership is a for-profit limited liability company.
Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
Chateau Girardeau runs 4.26 nursing hours per resident per day, roughly 10% above the national average, and its most recent inspection from January 2025 turned up no deficiencies at the harm or jeopardy level and nothing abuse-related. That part is solid. The strain shows in the workforce: 65.7% annual turnover, well above the 45.8% national figure, and weekend staffing drops about 17% below the home's own weekday levels, so the hands-on coverage your family sees on a Tuesday isn't what shows up on a Saturday. Fourteen deficiencies sit on the current record, none serious, but the low quality-measure score suggests outcomes haven't kept pace with the hours billed.
Oakdale Care Center runs on 2.57 nursing hours per resident per day, roughly a third below the national average of 3.86, and that thin coverage gets thinner on weekends, when staffing drops about 13% below its own weekday level. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. On paper the record has bright spots: a 4/5 health inspection rating, 22 deficiencies with none at the harm or jeopardy level, and a recent inspection in February 2026. One abuse-related deficiency is on the books, though. The staffing number is the one worth sitting with.
Nazareth Living Center runs on thin staffing margins. At 3.69 nurse hours per resident day, it sits below the national average, and weekends dip about 11% below its own weekday levels, so the hours when families visit most are often the leanest. The bigger warning sign is turnover: 77.4% of nursing staff leaving annually, well above the 45.8% national figure, which typically means less continuity for residents who need consistent caregivers. Its inspection record shows 49 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $11,928. The most recent inspection was March 2025, so the record is current, not stale. This nonprofit has real problems worth asking about directly.
Beth Haven has one genuinely good number: 4.61 total nurse hours per resident day, roughly 19% above the national average of 3.86. That's where the good news stops. CMS has placed this Hannibal home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the inspection record explains why, 81 deficiencies, five of them at harm or jeopardy level, 12 abuse-related, and six fines totaling $70,743. All three CMS star ratings sit at 1 out of 5, and the most recent inspection was February 2025, so this isn't a stale picture. Weekend staffing also dips about 7% below weekday levels. Corporate-owned, 105 beds. Staffing hours alone don't offset an inspection and quality record like this.
Lawrence County Manor reports 0.39 total nurse staffing hours per resident day, roughly a tenth of the national average of 3.86, and weekends run about a third thinner than weekdays already are. Staff turnover sits at 93.3% against a national 45.8%, meaning the people who do show up are largely new. The inspection record shows 32 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $13,762 and a health inspection rating of 1 out of 5. County ownership doesn't change any of that. If you're considering this home, the staffing numbers are the ones to ask about directly.
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.
Raintree Village runs a small house, 40 beds, and staffs it well above the national average at 4.92 nurse hours per resident day. That cushion matters most on weekends, and here it thins by about 14% against the home's own weekday coverage, which is worth asking about directly since that's when families tend to visit and notice. The inspection record is thin: one deficiency on file, nothing at the harm or jeopardy level, no abuse citations, and the most recent state visit came in May 2025. Corporate ownership doesn't tell you much on its own, but combined with that staffing and citation picture, the numbers suggest a home that has been running clean.
Frequently asked questions
How many CCRC nursing homes are there in Missouri?
There are 37 CCRC Medicare-certified nursing homes in Missouri, 8% of the 487 nursing homes there.
Are CCRC nursing homes better staffed?
In Missouri they average 4.11 total nursing hours per resident per day, against 3.43 for all nursing homes in Missouri, a difference of +0.68 hours. Staff turnover averages 50.7% against 56%.