388 of the 487 Medicare-certified nursing homes in Missouri (80%) are for-profit, and all are listed below. 7 of the 384 graded homes earn an A and 82 earn a D or F. They average 3.28 nursing hours per resident per day, 0.15 hours below the 3.43 for every home in Missouri. Lutheran Convalescent Home in Webster Groves grades highest at A (99 out of 100).
How for-profit homes in Missouri compare
This group set against every nursing home in Missouri, from the current CMS release.
Nursing hours per resident per day
3.28
All homes in Missouri: 3.43
Worse than the local average
Nurse staff turnover
58.3%
All homes in Missouri: 56%
Worse than the local average
Average ElderGrade score
63.4/100
All homes in Missouri: 65.7/100
Worse than the local average
Grade spread
B
C
D
7 grade A, 100 grade B, 195 grade C, 82 grade D,
The best-graded for-profit home in Missouri is
Lutheran Convalescent Home
in Webster Groves, MO, grade A, 99/100.
Village Care Center runs 46 beds in Maryville under corporate ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 13% under the national 3.86 average. Weekends drop about 15% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover is 47.1%, slightly above the 45.8% national figure, so the faces around the building change often. The current record shows 28 deficiencies, including one at the harm level and one abuse-related, with the last inspection in March 2025. CMS gives it 2 stars for health inspections but 5 for quality measures, a split worth asking about directly.
Carmel Hills runs on 2.75 nursing hours per resident each day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits near 55%, and the federal staffing rating lands at 1 out of 5. The inspection record is heavier still: 82 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $20,787 fine and a 1-star health inspection rating. Quality measures score better at 3 stars, but the most recent inspection was November 2024, so that record is still fresh.
Advanced Care Of St Joseph runs 180 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 2.48 total nurse hours per resident day, roughly 36% under the national average of 3.86, with weekend coverage about 11% thinner than its own weekdays. Annual turnover sits at 51.7% against a national 45.8%, so the people who do show up are cycling through. The current record carries 45 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $29,803 fine; the last inspection was July 3, 2025. Its quality measure stars look strong, but that measure leans on charted care, not on how many hands are actually in the building.
St Joseph Manor runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 15% below its own weekday level, and annual turnover is 50.8% against a national 45.8%, so the staff you meet on a Saturday may be newer and fewer than the ones you meet midweek.
The record shows 57 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $10,414. The last inspection was March 21, 2025. CMS rates staffing and health inspections 2 out of 5 each, with quality measures at 3.
Worth asking the administrator directly how those harm-level findings were corrected and what weekend coverage actually looks like now.
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.
Laverna Manor runs more nursing hours per resident than the typical American home, 4.28 a day against a national average of 3.86, but weekends dip about 7% below its own weekday coverage, so the care your relative gets on a Saturday may look thinner than what's promised. That staffing comes at a price: 57.1% of staff turned over in a year, well above the 45.8% national figure, which means new faces learning the routines again and again. The inspection record is the harder problem, 58 deficiencies, three serious enough to involve harm or jeopardy, and five tied to abuse, with $75,282 in fines. Quality scores look strong, but they can't offset that.
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.
Aurora Health and Rehabilitation runs 116 certified beds in Rolla under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover of 73.4% is well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current inspection record lists 48 deficiencies, one involving harm or jeopardy and seven tied to abuse, plus four fines totaling $46,544. Quality measures look better than the hands-on care.
Clara Manor runs 90 certified beds in Kansas City under corporate ownership, and the staffing numbers are where things get uncomfortable, a one-star staffing rating means nurse hours sit below what CMS considers adequate for this resident population. The inspection record backs that up: 89 deficiencies, including six at the level where residents were actually harmed or put in immediate jeopardy, and twelve tied to abuse. A four-star quality measure rating looks better on paper, but those scores come from resident assessments the facility largely reports itself, and they don't cancel out a one-star inspection history. The most recent survey was October 2025, so the record is current, not stale. For a family weighing this placement, the staffing and abuse findings deserve direct questions before anything else.
Life Care Center of Bridgeton runs on thin nursing coverage. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 15% below its own weekday levels. Staff turnover is the bigger tell: 68.2% annually, well above the 45.8% national figure, which means caregivers are constantly new to residents. The inspection record backs that up, 58 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus one fine of $21,801. The last inspection was February 2025, so the record is current. Ownership is for-profit, a limited liability company. Quality measures look decent; staffing is where the problems concentrate.
Hunter Acres Caring Center runs 120 certified beds in Sikeston under individual for-profit ownership, and the staffing numbers are where the trouble shows. At 3.42 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 20 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Half the staff turned over in the past year, above the 45.8 percent national figure. Inspections look decent on paper (4 of 5 stars, most recent in August 2025), but the record carries 24 deficiencies, including one at harm level and two tied to abuse, plus a $10,023 fine. Quality measures earned 2 stars, staffing just 1.
Oak Park Care Center runs 120 beds under corporate ownership, and its numbers tell a mixed story. The health inspection and quality measure ratings both sit at 4 out of 5, and the most recent inspection in August 2024 turned up no abuse citations, but there are 39 deficiencies on record, one of them serious enough to cause harm or jeopardy. Staffing is where the cracks show: 3.80 nurse hours per resident day, just under the national average, with weekend coverage dropping roughly 16% below weekdays. Annual turnover of 55.4% is nearly ten points above the national rate, which means the people caring for residents are frequently new. Plenty of homes in worse shape, but the thin weekend staffing and constant churn are worth asking about directly.
Aspen Point runs 180 beds in Saint Charles under limited-liability ownership, and the direct-care staffing sits at 3.41 hours per resident day, roughly 12% under the national average, while weekend coverage drops another 11% below its own weekday level. The inspection record is what stands out: 74 deficiencies, 20 of them serious enough to put residents in harm or jeopardy, 8 tied to abuse, and 9 fines totaling $464,634, with the most recent inspection in February 2026. Turnover runs at 52.1% against a national 45.8%, so aides cycle out faster than average. The quality-measure score (4 of 5) may look reassuring, but it measures a narrower set of clinical outcomes than the staffing and inspection picture, and those two tell a harder story.
St James Living Center runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are where families should focus first. At 3.12 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Turnover compounds that: 58% of staff leave annually against a national 45.8%.
The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and three tied to abuse. One fine totaling $14,069 is on file, and the most recent inspection was November 2025. Federal quality measures rate 1 out of 5 stars, and the surrounding ratings only reach the middle.
Alpine Breeze runs on 2.40 nurse hours per resident day, roughly 38% under the national average, and weekends drop about 14% below what the home already provides on weekdays. Staff turnover sits at 58.6% against a national 45.8%, so the people giving care keep changing. The inspection record shows 53 deficiencies, including 3 at harm or jeopardy level and 6 abuse-related, with $35,683 in fines across three penalties; the last inspection was August 2025. Quality measures score well, but that's the part of the record families can't easily verify, the staffing and inspection numbers are the ones that describe daily life there.
Quail Run runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 8 percent below its own weekday staffing. With 63.5% annual turnover, versus 45.8% nationally, that shortfall means a rotating cast of caregivers, which matters more in a building this size, 84 beds, than the raw hours suggest. The 45 deficiencies on record include nothing flagged at the harm or jeopardy level and no abuse citations, so what's documented is largely process and paperwork problems rather than injuries. The last inspection was November 2024, recent enough to reflect current conditions. Two out of five stars across health inspections, quality measures, and staffing tells the same story on all three fronts.
Capitol River Wellness & Rehabilitation runs 120 beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.66 nurse hours per resident day, it sits about 5% under the national average, weekends drop roughly 13% below its own weekday coverage, and annual turnover hits 64.5% against a national 45.8%, that's a lot of churn for a building this size. The current record shows 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $14,446. Quality measures score well, but staffing is the weak point, and with the last inspection in December 2024, ask directly how they hold weekday coverage steady on Saturdays and Sundays.
Carroll House runs on 2.44 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That thin coverage sits behind a two-star staffing rating and a two-star inspection record: 26 deficiencies, three tied to abuse, one serious enough to reach harm or jeopardy, plus an $84,890 fine. Staff turnover, at 45.2%, is essentially the national norm, so the problem isn't retention, it's how few hands are scheduled per resident. The most recent inspection was July 2025, and the quality measure rating sits higher than the rest.
Stonebridge Westphalia runs 64 certified beds in Osage County under corporate for-profit ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average. Weekends are thinner still, about 15% below the home's own weekday level, so coverage dips when families tend to visit. Annual turnover of 56.7% is well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. The last inspection was July 2025, so the picture is reasonably current.
Blue Circle Rehab And Nursing runs about 2.80 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 14% below its own weekday coverage. Staff turnover sits at 69.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 80 deficiencies, including four at harm or jeopardy level and three tied to abuse, with the most recent inspection in December 2024. That combination of thin staffing, heavy turnover, and serious citations is what sits behind the grade, not the 5/5 quality measure score. Worth asking direct questions before you decide.
Frequently asked questions
How many for-profit nursing homes are there in Missouri?
There are 388 for-profit Medicare-certified nursing homes in Missouri, 80% of the 487 nursing homes there.
Are for-profit nursing homes better staffed?
In Missouri they average 3.28 total nursing hours per resident per day, against 3.43 for all nursing homes in Missouri, a difference of -0.15 hours. Staff turnover averages 58.3% against 56%.
Which for-profit nursing home grades best in Missouri?