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.
Normandy Nursing Center runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That shortfall shows up in the numbers: 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with staff turnover at 56.3 percent against a national 45.8 percent. The last inspection was in May 2025, so the record is recent, not stale. A for-profit corporation owns the 116-bed home.
Oregon Care Center is a 60-bed for-profit in Holt County, and its numbers pull in two directions. The health inspection side looks solid, a four-star rating, an inspection just this past December, and no deficiencies at the harm or jeopardy level. But staffing is where it gets thin: 3.01 nurse hours per resident day against a national average of 3.86, weekends running about 5% below weekday levels, and annual turnover at 68.8% when the national figure is 45.8%. That churn matters more than almost anything else, because it decides whether the people caring for your family member know them or are meeting them for the first time. There are also two abuse-related deficiencies on the current record, worth asking about directly.
South County Health Care Center runs 1.40 nurse hours per resident per day, which is roughly 64 percent below the national average of 3.86, a gap that shows up most on weekends, when staffing drops about 14 percent below its own weekday level. The current record lists 28 deficiencies, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A recent inspection in August 2025 means the picture is current, not stale. With 153 certified beds under for-profit limited liability ownership, the staffing number is the one worth pressing on: ask how many nurses are actually on the floor on a Saturday.
Overall nurse staffing at The Quarters At Des Peres runs 4.04 hours per resident day, a bit above the national average, but weekends drop about 15% below the home's own weekday levels, so coverage thins out when families tend to visit. Annual turnover hits 68.8% against a national 45.8%, meaning most of the people caring for your relative are likely new to the building. The inspection record is the harder problem: 83 deficiencies, 12 at harm or jeopardy level, two abuse-related, and four fines totaling $334,933, with a 1-out-of-5 health inspection rating.
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.
Cassville Health Care Center is a 60-bed for-profit home in Barry County, and the federal numbers there are hard to read past. Nurse staffing sits at 2.79 hours per resident day, roughly 28% under the national average of 3.86, and weekends drop about 4% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record shows 82 deficiencies, including 4 at harm or jeopardy level and 8 tied to abuse, with one fine of $123,925. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Its last inspection was October 1, 2024. All three CMS star ratings sit at one out of five.
Beloved Health and Rehabilitation Center in Hannibal is a for-profit, individually owned home with 111 certified beds, and the numbers behind its record are hard to read past. Nurse staffing runs 2.79 hours per resident day, roughly 28% under the national average, and weekends drop about 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Its inspection history is the bigger concern: 133 deficiencies on the current record, 15 of them serious enough to put residents at risk of harm or jeopardy, 9 tied to abuse, and $279,380 in federal fines across three penalties. CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. The last inspection was November 27, 2024.
Chariton Park runs on 1.83 nursing hours per resident day, less than half the national average of 3.86, and staffing drops further on weekends. That thin coverage helps explain the 65 deficiencies on its current record, including 8 at the harm or jeopardy level and 10 tied to abuse. The health inspection rating sits at 1 out of 5, and five fines total $126,302. Annual turnover of 53.3% beats the national 45.8%, meaning more than half the staff leaves each year. For-profit ownership through a limited liability company. The most recent inspection was March 2024. The quality measure score of 3 out of 5 stands out against everything else, worth asking what's behind it.
Willowcreek runs leaner on nursing hours than the typical American nursing home, about 3.48 hours per resident day against a national average near 3.86, and weekends get thinner still, roughly 17% below what the building staffs on weekdays. Nearly 93 deficiencies sit on the current record, seven of them serious enough to involve harm or jeopardy, nine tied to abuse, with three fines totaling $90,333. The federal government has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Staff turnover of 54.3% runs above the national figure, meaning caregivers cycle through faster than residents can get to know them.
Grove At Kirkwood runs 117 certified beds as a nonprofit corporation, and its total nurse staffing sits at 3.86 hours per resident day, essentially matching the national average, not exceeding it. The problem isn't the raw staffing number; it's that weekends run about 10% below the home's own weekday level, and CMS gives just 1 of 5 stars on staffing overall, plus 2 of 5 on quality measures and 1 of 5 on health inspections. That inspection record includes 52 deficiencies, six at harm or jeopardy level, one abuse-related, and a single $172,400 fine. The last inspection was May 2024, so the picture isn't stale.
Nodaway Healthcare runs 60 beds in Maryville under for-profit LLC ownership, and the numbers behind its grade point to a building stretched thin on direct care. Nurse staffing sits at 3.09 hours per resident day, roughly a fifth below the national average, and it drops another 13% on weekends, when coverage is already thinnest. Staff turnover tells its own story: 73% of the workforce leaves each year, against a national rate near 46%. That churn shows up in the inspection record too, where 41 deficiencies are logged, including one tied to abuse, alongside a 2-out-of-5 health inspection rating and 1-out-of-5 marks for both quality measures and staffing. The most recent inspection was August 2025.
St Sophia runs 240 beds in Florissant under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 2.86 nurse hours per resident per day against a national average of 3.86, with weekends about 16% thinner than weekdays. Turnover sits at 68.4%, roughly two-thirds of the nursing staff leaving in a year, well above the 45.8% norm, so the people caring for your relative are frequently new. The inspection record shows 87 deficiencies, including four at the harm level and three tied to abuse, with $69,203 in fines and a January 2025 inspection. Resident quality measures score well, but that's the one bright spot in an otherwise strained picture.
Country Villa runs 148 certified beds in Creve Coeur, and the staffing numbers are where the trouble shows. At 2.99 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about 18% below its own weekday coverage. Annual turnover hits 66% against a national 45.8%, so the people filling those shifts change often. The 21 deficiencies on record include one at the harm level, though none involve abuse. A recent June 2025 inspection and a four-star health inspection rating suggest the care environment itself has been watched closely. Ownership is for-profit corporate. If you're weighing this one, ask specifically how weekends and evenings are staffed.
The Estates of St. Louis runs on 2.49 nurse hours per resident per day, about 35% under the national average, and weekend coverage drops roughly a fifth below its own weekday level. Staff turnover sits at 65.6%, well above the 45.8% national rate, which means the people caring for residents are constantly changing. Its inspection record shows 60 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, plus a $66,640 fine. The quality measure score looks good on paper, but that's largely self-reported data, and it doesn't offset a one-star inspection history or thin staffing on weekends.
Jefferson City Manor Care Center runs about 3.62 nurse hours per resident per day, roughly 6% under the national average, and weekends dip another 7% below its own weekday staffing. The bigger issue is turnover: 85.4% of nursing staff left over the past year, nearly double the national rate of 45.8%. Inspectors have cited 40 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine of $8,340. The most recent inspection was in May 2025. Federal ratings put quality measures and staffing at one star each, with inspections at three.
Maple Grove Wellness & Rehabilitation runs 144 beds in Fenton under corporate ownership, and the staffing numbers are the first thing to notice: 2.61 nurse hours per resident per day, roughly a third below the national average, with a staffing star rating of 1 out of 5. Turnover sits at 70.7% against a national average near 46%, and weekend coverage drops about 9% below the home's own weekday level, so the gaps aren't evenly spread across the week. On the inspection side, 53 deficiencies are on the current record, including one at the harm level and one tied to abuse, and the most recent inspection was August 2025.
Rancho Rehab And Healthcare Center runs on about 3.30 nurse staffing hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. Staff turnover sits at 78.3 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The current inspection record carries 52 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $28,060 in fines and a March 2025 inspection behind it. For-profit operation under an LLC, 120 certified beds. Families should ask directly who's on duty on weekends and how long the current director of nursing has been in place.
Aspire Senior Living New Florence runs on 2.84 nurse hours per resident day, about a quarter below the national average, and it thins out further on weekends, roughly 12% less coverage than its own weekdays. That staffing level earned a 1 out of 5 from CMS, and it shows in the numbers: 87.7% annual turnover, nearly double the national rate, meaning the people caring for your relative are largely new and likely to leave. The current record carries 35 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $28,486 fine. Inspections were recent, in November 2025, with 2 out of 5 on both health inspections and quality measures.
Estates of Spanish Lake runs on 2.30 nurse hours per resident day, roughly 40% under the national average, and weekend coverage dips about 13% below its own weekday level. The for-profit LLC carries 66 deficiencies on its current record, including 3 at harm or jeopardy level and 11 tied to abuse; two fines total $57,868, and the most recent inspection was April 2025. Staff turnover sits at 68.8% against a national 45.8%, meaning most of the people caring for residents are new to the building. The quality measure star comes in at 4 out of 5, but that number reflects charted outcomes, not the hands available to deliver care.
Columbia Manor runs on 2.56 nurse hours per resident per day, roughly a third below the national average, and weekend coverage dips about 6% below its own weekday level. That thin staffing shows up in the numbers: 82% annual turnover, more than double the national rate, and a one-star CMS staffing rating. Inspections turned up 29 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the most recent visit was August 2025, so the record is current. The quality measure rating sits at 2 out of 5. For-profit, limited liability ownership. Ask about direct-care staffing on evenings and weekends 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?