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.
Pacific Care Center runs lean on nursing staff, 2.40 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday level. Annual turnover sits at 66.7% versus 45.8% nationally, so the staff you meet on a Tuesday may not be there in six months. Its inspection record is current as of February 2026 and shows 35 deficiencies, none at the harm level but one tied to abuse. The federally reported quality measures rate 1 out of 5 stars, which is worth asking about directly. For-profit LLC ownership out of Franklin County.
Wellsville Health Care Center runs about 2.12 nurse hours per resident day, roughly 45% under the national average of 3.86, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the numbers: a 1-out-of-5 staffing rating, 62.2% annual turnover against a national 45.8%, and 47 deficiencies on the current record, including six tied to abuse and one at the harm or jeopardy level. Inspectors last visited in May 2025 and the state has fined the for-profit LLC operator $20,642. Families weighing this home should ask directly how many nurses are on the floor on a Saturday night.
Grand River Health Care is a 60-bed for-profit home in Chillicothe, and the numbers are hard to dress up. Nurse staffing sits at 2.84 hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time than the typical facility, and weekends run slightly thinner than weekdays on top of that. Staff turnover is 81.3%, nearly double the national rate, which means the people caring for residents are, more often than not, new.
The inspection record reflects that instability: 60 deficiencies on file, including 11 tied to abuse and four serious enough to put residents in harm's way, with $68,226 in fines. The last state visit was February 2025. One star each for health inspections and staffing tells you where the problems concentrate.
Parkway Health Care Center runs on 2.25 nurse hours per resident per day, roughly 42% under the national average, and weekends drop about 10% below its own weekday level. That thin coverage sits behind a one-star staffing rating. The inspection record is heavier: 98 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, drawing $30,821 in fines. Staff turnover hits 67.4% against a national 45.8%, so the people providing care keep changing. The most recent inspection was October 23, 2024. Corporate-owned, 97 beds.
Bridgewood runs on 2.45 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 9% below its own weekday level, so the thinnest shifts are the ones families visit. Staff turnover sits at 58.3% against a national 45.8%, meaning the people providing that care are frequently new. The inspection record is what stands out most: 125 deficiencies, 26 of them at harm or jeopardy level, 36 tied to abuse, and $973,967 in fines across 13 penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was April 28, 2025.
Cedar Pointe runs on 3.17 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends drop about 15% below what the home staffs on weekdays. That thin coverage sits behind a 58.9% annual turnover rate, well above the 45.8% national figure, so the aides and nurses working the floor keep changing. The current record carries 39 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was July 18, 2024, and the for-profit partnership has drawn a 2/5 on health inspections with 1/5 on both quality measures and staffing.
Jefferson Health Care runs 118 beds in Lees Summit under corporate ownership, and the numbers describe a home stretched thin. Nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends running about 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.2% against a national 45.8%, meaning most of the people caring for residents this year probably won't be there next year. The inspection record shows 61 deficiencies, including one at the harm level and three tied to abuse, plus $34,459 in fines. That inspection was recent, April 2025, so the picture isn't stale.
Magnolia Wellness Center runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 16% below its own weekday coverage. That thin staffing shows in the numbers that matter: 63.6% annual turnover, 81 deficiencies on the current record, seven of them at harm or jeopardy level, and six tied to abuse. Four fines total $209,790, and the last inspection was February 2024. The four-star quality measure rating reflects resident assessments, not the hands available to act on them; the one-star inspection and staffing ratings come closer to daily reality. A for-profit individual owner with this record is worth asking hard questions about before you decide.
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.
Nathan Richard Health Care Center runs on 1.72 nurse hours per resident per day, less than half the national average of 3.86, and weekend staffing dips slightly further. That thin coverage shows in the numbers: a 68.6% annual turnover rate, well above the 45.8% national figure, and a 1-out-of-5 CMS staffing rating. Its inspection record carries 38 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus a $69,107 fine. State inspectors last visited in February 2025. For-profit corporate ownership, 68 certified beds, and a two-star inspection and quality history round out the picture.
Grand Manor runs on about 2.00 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 20% below its own weekday level. That thin coverage shows up in the record: 46 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $99,988 fine. Inspectors were last on site September 13, 2024, and the federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. The for-profit limited liability company that owns it has kept the building certified, but the numbers describe a home where residents get substantially less nursing time than most places in the country.
Amberwood Estates runs on 0.71 nurse staffing hours per resident day, that's about a fifth of the national average of 3.86, and weekends drop roughly 13% below its own weekday level. Staff turnover sits at 84.5%, well above the national 45.8%, so the people around your family member change often. Inspectors documented 67 deficiencies, six tied to abuse, with $19,760 in fines; the most recent inspection was February 2026. It's a for-profit LLC with 115 beds. If you're considering this one, ask specifically how they cover nursing hours on weekends and how they screen and train staff.
Belleview Care Center runs 90 certified beds in Saint Joseph under for-profit corporate ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day, it sits about 12% below the national average of 3.86, and weekends dip roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 59.8% against a national 45.8% means the aides and nurses your relative sees are cycling out faster than usual, which matters for anyone who needs consistent hands-on care. Add a two-out-of-five inspection rating, 53 deficiencies on the current record (two at harm level, six abuse-related), and $31,330 in fines across two actions, and the picture is a home that has struggled on multiple fronts at once.
Riverdell Care Center runs about 2.82 nurse hours per resident each day, roughly 27% below the national average of 3.86, and weekend coverage drops another 16% below its own weekday level. Staff turnover sits at 69.4% against a national average of 45.8%, so the people around your family member change often. The good news: inspectors gave it four stars and found no abuse or harm-level deficiencies, though 10 total issues remain on the record, with the most recent inspection in December 2024. The quality measure rating tells a different story from the inspection score, and that gap between a clean-ish inspection and thin, unstable staffing is what the numbers actually show.
Truman Lake Manor runs on thin staffing, and the numbers show it. At 2.77 nurse hours per resident each day, it sits about 28% under the national average of 3.86, and weekends drop roughly 17% below its own weekday level, so care is already leaner when families tend to visit. Turnover tells a similar story: 67.7% of staff leave within a year, against a national 45.8%, which means unfamiliar faces and less continuity for residents.
The inspection record is heavier than most. Forty-four deficiencies are on file, including two at the harm or jeopardy level and eight tied to abuse. The last inspection was in March 2024, and the quality measure rating sits at the lowest mark.
Brent B Tinnin Manor runs 60 beds in Ellington under individual for-profit ownership, and the staffing numbers are the place to start. At 3.20 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 23% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 74.5% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent survey was March 2025.
Eldon Nursing & Rehab runs on 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip about 16% below what the home staffs on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, and it's hard to keep anyone long-term: annual turnover is 77.6% against a national 45.8%, meaning most of the people caring for residents are new to the building. The record shows 32 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $79,671. Inspectors were last in on February 26, 2026. Individual for-profit ownership.
Carrie Elligson Gietner Health Care Center runs 130 certified beds in Saint Louis, and the numbers behind its record aren't reassuring. Nurse staffing sits at 2.48 hours per resident day, roughly 36% under the national average of 3.86, and weekends run about 13% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The inspection history carries 55 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, along with two CMS fines totaling $92,561. The most recent inspection was in June 2024. Corporate for-profit ownership and a one-star inspection and staffing rating round out a picture worth weighing carefully against other options.
St Joe Manor runs 155 certified beds in Bonne Terre under for-profit LLC ownership, and its most recent inspection in February 2025 produced 28 deficiencies, none at the harm level, but one tied to abuse, which is the kind of citation families should ask about directly. Staffing tells a starker story than the inspection record: the home earns just 1 of 5 stars for staffing, and annual turnover hits 73.3% against a national average of 45.8%, meaning roughly three of every four employees leave within a year. High turnover at that scale usually shows up as inconsistent caregivers and less experienced hands on the floor. Worth weighing carefully against the quality measure rating of 1 out of 5.
Bluebird Wellness and Rehabilitation runs on 2.96 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 18% below what the home itself staffs Monday through Friday. Turnover sits at 62.3% against a national 45.8%, so the aides and nurses present on any given shift are often new to the building.
The inspection record backs up the numbers: 84 deficiencies, eight of them serious enough to put residents in harm’s way and four tied to abuse, plus a $234,836 fine. CMS gave its lowest marks to both staffing and health inspections. At 188 beds under for-profit LLC ownership, this is a home where the people providing care are stretched thin and frequently replaced.
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?