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.
Arbor View runs on 2.47 nurse hours per resident per day, roughly a third less than the 3.86 national average, and weekends drop about 15% below its own weekday staffing. With 53.8% annual turnover, more than half the nursing staff leaves each year, which matters when residents need consistent hands. The current record shows 55 deficiencies, including one at the harm level and four fines totaling $29,491, with the most recent inspection in April 2025. Ownership is a for-profit limited liability company. Families comparing options here should ask specifically how the home covers weekend shifts and what it's doing to keep nurses from walking out the door.
Jackson Manor runs a tight ship on inspections, a five-star health inspection rating and a clean record with no deficiencies at the harm level and nothing abuse-related is genuinely hard to find. The problem sits on the staffing side. At 3.35 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 19 percent below its own weekday numbers. Annual turnover of 64.3 percent is well above the 45.8 percent national figure, which means the people delivering care keep changing. Its quality measure rating is middling too. For-profit, individually owned, 90 beds. If you're considering it, ask how they cover weekend shifts and how long the current director of nursing has been there.
Sikeston Convalescent Center runs 120 certified beds under individual for-profit ownership, and its inspection record looks solid on the surface, a 4-out-of-5 health inspection rating, with the most recent survey completed in April 2026. The staffing numbers tell a different story: 3.85 nurse hours per resident day sits essentially at the national average of 3.86, but weekend coverage drops roughly 17% below the home's own weekday levels, and annual turnover hits 61.2% against a national average of 45.8%. Quality measures score just 1 out of 5. There are 27 deficiencies on record, one at the harm level, and a single fine of $13,627.
Stonebridge Maryland Heights runs 223 beds under corporate ownership, and the numbers suggest a building stretched thin. Nurses provide 3.50 hours of care per resident daily, roughly 9% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Turnover sits at 66.1% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record shows 46 deficiencies, two tied to abuse, with the most recent state visit in February 2025. Staffing, inspections, and quality measures all land at two stars.
Beauvais Rehab runs 184 beds in St. Louis under for-profit LLC ownership, and the staffing numbers tell the clearest story: 3.24 nurse hours per resident day against a national average of 3.86, with weekends dipping about 15% below its own weekday coverage. That thin margin shows up in who's actually there on a Sunday. Staff turnover sits at 64.1%, well above the 45.8% national figure, and the inspection record carries 66 deficiencies, including five at harm or jeopardy level and four tied to abuse, plus a $64,695 fine. The most recent inspection was March 2025, so the record is current rather than stale. A 1-out-of-5 staffing rating and 2s on inspections and quality measures describe a home where the gaps are consistent, not isolated.
Riverview At The Park runs about 3.03 nursing hours per resident per day, roughly 22% under the national average, and weekend coverage drops another 17% below what it manages on weekdays. Staff turnover sits at 56% against a national rate near 46%, and the home is licensed for 120 beds under individual for-profit ownership. Inspectors visited recently, in September 2025, and found 22 deficiencies on the current record, none rising to actual harm or jeopardy, though one is abuse-related. The five-star inspection rating reflects a clean survey in that narrow sense, but the two-star quality measure score and one-star staffing score tell you where the strain actually lives.
Ridge Crest runs on thinner staffing than most homes you'd compare it to, 3.01 nurse hours per resident day against a national average of 3.86, and weekends dip about 17% below what the building manages during the week. Annual turnover sits at 63.3%, well above the 45.8% national figure. The inspection record shows 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. State surveyors were last in the building in September 2025, so the picture is current rather than stale. Put those numbers next to a 1-out-of-5 staffing rating and 2s for inspections and quality measures, and you have a home where the shortfalls are consistent across categories, not a single bad stretch.
Community Manor runs on 2.91 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage drops about 17% below what it manages on weekdays. Turnover sits at 58.3%, well above the 45.8% norm, which matters because the people most familiar with your relative's routines are the ones most likely to leave. The record isn't alarming on safety: 29 deficiencies, none at harm or jeopardy level, none abuse-related, and a recent June 2025 inspection. But staffing is where the strain shows, and a family should ask directly how many aides are on the floor on a Saturday night.
Stonebridge Adams Street runs 120 beds under corporate ownership in Jefferson City, and the numbers that stand out most are about people, how many there are and how long they stay. Nurse staffing sits at 3.72 hours per resident day, a bit under the national average, and drops roughly 23% on weekends compared to weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Annual turnover hits 72% against a national 45.8%, meaning most of the aides and nurses working with residents will be gone within a year. Inspections turned up 41 deficiencies, including one at the harm level and two tied to abuse, with a $38,656 fine on record and the last visit in December 2024.
Aspire Senior Living Moberly runs 101 certified beds under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.50 hours per resident day, about 9 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover is 60.9 percent against a national 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record shows 36 deficiencies, including 2 at the harm or jeopardy level, 4 tied to abuse, and one fine of $80,640.
The Rehabilitation Center of Independence runs on 2.68 nurse hours per resident per day, roughly 31% under the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. Staff turnover sits at 73.7% against a national 45.8%, so the people around your relative change often. Its current record carries 56 deficiencies, including five at the harm or jeopardy level and two tied to abuse, plus a $71,208 fine.
The 5/5 quality measure score looks good, but that's self-reported data, and the 1/5 staffing rating and 2/5 inspection rating come from what surveyors actually found. Ask about weekday-to-weekend coverage before you decide.
U-City Forest Manor runs on 2.57 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 11% below its own weekday level. That thin staffing shows up in the numbers: 60.7% of staff left over the past year, well above the 45.8% national rate, and the health inspection record carries 73 deficiencies, including one at the harm or jeopardy level and five tied to abuse. Federal fines total $15,949, and the last inspection was May 7, 2024. For-profit ownership by a limited liability company rounds out the picture.
Ozark Rehabilitation & Health Care Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends dip even lower than its own weekdays. Inspectors have cited 36 deficiencies on the current record, including three at the harm or jeopardy level and two tied to abuse, with $23,224 in fines across two penalties. The quality measure rating sits at 1 out of 5, and the last inspection was May 15, 2025. For-profit, LLC-owned, 60 beds, if you're considering this one, ask directly how they cover weekends and what changed since those abuse findings.
Willard Care Center is a 66-bed for-profit home in Greene County with a strong inspection record, 4 out of 5 stars, 21 deficiencies on file and none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing runs 3.19 hours per resident day, roughly 17% under the national average, and weekends drop about 23% below the home's own weekday levels. Annual turnover hits 70.9% against a national 45.8%, meaning most of the aides and nurses your family member sees will likely be gone within a year. The quality measure score of 1 out of 5 fits that picture. Recent inspections look clean, but consistent hands on deck is the harder problem to solve.
Westgate runs 3.74 nurse hours per resident day, a bit under the national average, and weekends dip about 15% below its own weekday staffing, so coverage gets thinnest exactly when families tend to visit. Annual turnover sits at 54.2%, well above the 45.8% national figure, which means caregivers are cycling through fairly quickly. The inspection history is mixed: a recent survey in mid-2024 and a 4-star health inspection rating, but 21 deficiencies on record, including one at the harm level and two tied to abuse. Quality measures come in at 2 stars, which is where the low overall picture really forms.
Lebanon North runs 180 beds under individual for-profit ownership, and the staffing numbers are the first thing I'd want you to see: 3.12 nurse hours per resident day, roughly 19% under the national average, with weekends dipping about 13% below its own weekday level. That thin coverage shows up in the inspection record too, 62 deficiencies, nine of them serious enough to put residents in harm's way, nine tied to abuse, and a $24,801 fine. Staff turnover of 62.5% is well above the 45.8% national figure, so the people caring for residents are often new. The last inspection was May 2024. Before you consider this one, ask the administrator what's changed since then.
Belleview Valley runs on 2.72 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even further below its own weekday staffing. That thin coverage sits alongside a 60.3% annual turnover rate, well above the 45.8% national figure, so the people providing care change often. The inspection record is the harder part: 74 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, plus three CMS fines totaling $260,352. CMS has placed the home in its Special Focus Facility program, which is reserved for the most persistently troubled homes. The most recent inspection was December 8, 2025.
Maywood Terrace runs on thinner staffing than most homes, about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the building manages on weekdays. The turnover number is the one that should stop you: 92.6% of staff leaving annually, when the typical U.S. nursing home sits near 45.8%. That kind of churn usually means caregivers who know your mother's routine aren't there long enough to learn it. The inspection record backs up the concern: 54 deficiencies, including one at the harm level and one abuse-related, with a 2/5 inspection rating and 1/5 on both quality measures and staffing. It's for-profit, LLC-owned, last inspected July 2024.
River Crossing runs on thin staffing. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and the gap widens on weekends, roughly 11% below its own weekday level, which is when families tend to visit and notice. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through faster than residents can get used to them, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, none at harm level but one tied to abuse, with the most recent inspection in January 2025. For-profit, LLC-owned, 120 beds.
Seneca Nursing runs 80 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 2.78 nurse hours per resident day against a national average of 3.86, roughly 28% below. Weekend coverage dips another 7% under its own weekday level, and 63.8% of staff left over the past year compared with 45.8% nationally. The current record carries 36 deficiencies, nine of them abuse-related, though none rose to harm or jeopardy level. Inspectors last visited in January 2025, and CMS rated the home 2 out of 5 on health inspections, 1 on quality measures, 1 on staffing. For a family weighing this one, the thin direct-care hours and constant turnover are the things to ask about directly.
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?