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.
Butler Rehab runs 98 certified beds as a for-profit LLC, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86, with weekends running another 13% below its own weekday levels. Turnover tells a harder story: 73.6% of nursing staff leave annually, against a national average near 46%, which means roughly three of every four caregivers are new to the building each year. Its current record carries 33 deficiencies, three tied to abuse, with the most recent inspection dated February 2026. The low quality-measure score reflects how residents are actually doing day to day, not just paperwork.
Fountain Care At Sunset Hills runs 166 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop another 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to be there. Annual turnover is 79.8%, against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 78 deficiencies, six at harm or jeopardy level and 13 abuse-related, with four fines totaling $119,588 and a survey completed in April 2025.
Carriage Square runs on thinner staffing than most homes its size, 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which matters when a resident needs help on a Sunday. More striking is the churn: 77% annual turnover, well above the 45.8% national figure, so the people caring for your family member are frequently new. The inspection record backs that up. Fifty-six deficiencies, including two at harm or jeopardy level and five tied to abuse, with a $48,685 fine and a March 2025 inspection. A for-profit limited liability company operates it. Worth asking the administrator directly what's changed since then.
Golden Years Center for Rehab and Healthcare sits in Harrisonville with 128 certified beds and a corporate owner. The numbers that stand out aren't flattering: nurse staffing runs about 6% under the national average, weekends dip roughly 10% below the home's own weekday coverage, and annual turnover hits 70.6% against a national 45.8%, meaning most of the people caring for residents are new or on their way out. The inspection record is heavier still: 74 deficiencies, four at harm or jeopardy level, two tied to abuse, and a $166,800 fine. CMS has placed it in the Special Focus Facility program, reserved for the country's most persistently troubled homes, with the most recent inspection dated January 30, 2026.
Edgewood Manor is a for-profit LLC home in Raytown with 91 certified beds, and the numbers that matter most here are the staffing ones. At 2.61 nurse hours per resident per day, it runs roughly a third below the national average of 3.86, weekends dip even further, and 70% of staff turned over in a year, well above the 45.8% norm. Its inspection record carries 72 deficiencies, including 6 at harm or jeopardy level and 10 tied to abuse, plus two fines totaling $84,557. The last inspection was October 2024. Quality measures score mid-range, but thin, churning staffing and that deficiency history are what families should weigh.
Windsor Estates of St Charles runs on thin staffing: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents weren't there a year ago. The inspection record is heavier still: 77 deficiencies, 13 involving harm or jeopardy, 4 tied to abuse, and 8 fines totaling $229,906. The last inspection was in March 2024. This is a for-profit limited liability company, and the numbers suggest care that has been under-resourced and under-scrutinized for a while.
Lakeview runs lean on nursing hours, 3.13 per resident per day, about 19% under the national average, and weekends are thinner still, roughly 12% below its own weekday staffing. That shortfall shows up in turnover: 57.5% of staff left over the year, well above the 45.8% national rate, and CMS gives the home one star each for staffing and quality measures, even though its inspection rating sits at four. The record carries 32 deficiencies, including one at the harm level and two tied to abuse, plus a $49,335 fine. A recent inspection date doesn't erase what's underneath it.
Big Spring Care Center runs on 3.35 total nurse hours per resident day, roughly 13% under the national average, and weekends dip another 10% below its own weekday staffing. Annual turnover sits at 76.3%, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. The inspection record shows 37 deficiencies, four of them abuse-related, with the most recent look in January 2025. All three CMS star ratings sit at one out of five. Limited liability ownership with no harm-level citations on file offers little reassurance against numbers like these.
Ellisville Rehabilitation and Nursing runs 210 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.92 hours per resident day, only about 1% above the national average, but weekends drop roughly 12% below its own weekday level, and annual turnover is 71.9% against a national 45.8%, meaning most of the people caring for residents are new to the building.
The inspection record is harder to explain away: 65 deficiencies, 12 at harm or jeopardy level, 12 abuse-related, and $260,092 in fines. CMS has placed it in the Special Focus Facility program, reserved for the country's poorest performers. The last inspection was November 2024.
Nurse staffing at Life Care Center of Cape Girardeau runs about 8% under the national average, and weekends drop roughly another 12% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover is the harder number to sit with: 68.5% annually against a national average of 45.8%, so most of the people caring for residents are relatively new. The inspection record backs that up, 45 deficiencies, 7 serious enough to put residents at harm or jeopardy, and four fines totaling $149,578. The most recent inspection was in May 2025, so the picture is current, not stale. Ownership is corporate and for-profit.
Marshfield Care Center sits at 74 certified beds under for-profit LLC ownership, and the numbers on its current record are worth reading closely. Nurse staffing averages 2.87 hours per resident day, roughly a quarter below the national average, and weekends run about 14% thinner than weekdays, so coverage is at its lightest exactly when families tend to visit. Annual turnover of 69.8% means most of the people caring for your relative likely won't be there a year from now, against a national rate near 46%. The inspection history adds 45 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with the most recent survey in August 2024. All three CMS star ratings sit at two or below.
Lakeview Post Acute runs 3.97 nurse hours per resident day, which edges past the national average of 3.86, but that number hides a staffing churn problem. Turnover sits at 83.3%, nearly double the national rate, and weekend coverage drops about 11% below weekdays, so the aide who knows your mother on Tuesday may be gone by next month. The inspection record is where it gets hard to ignore: 92 deficiencies, 8 at harm or jeopardy level, 5 tied to abuse, and a $176,501 fine, with the last inspection in October 2024. For-profit LLC ownership, and CMS rates staffing and health inspections 1 out of 5.
Steelville Senior Living runs on thinner staffing than most homes in the country, about 3.31 nurse hours per resident day against a national average of 3.86, and it gets even leaner on weekends, when coverage drops roughly 8% below its own weekday level. Nearly seven in ten staff members left over the past year, well above the 45.8% national rate, which means the people caring for residents are often new and still learning the building. Sixteen deficiencies sit on the current record, one serious enough to involve harm or jeopardy, and a single fine has already reached $87,749. The last inspection was in August 2024.
Heritage Care Center runs on 1.85 nurse staffing hours per resident day, roughly half the national average, and weekends drop another 23% below its own weekday level. That thin coverage shows up in the record: 95 deficiencies, 15 of them involving harm or jeopardy to residents, 17 tied to abuse, and six fines totaling $424,748. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents keep changing. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was September 9, 2025. The four-out-of-five quality measure rating rests on a staffing and inspection picture that is among the weakest CMS tracks.
Hillside Health Care Center runs on 2.46 nurse staffing hours per resident day, roughly a third less than the national average, and weekends drop about 15% below what it manages on weekdays. Annual turnover of 60.3% means most of the staff you'd meet are relatively new. The record shows 122 deficiencies, 17 of them at the harm or jeopardy level and 10 tied to abuse, plus $106,588 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was July 2024. If you're considering this one, ask what specifically has changed since then.
The Gardens Health and Rehab runs 120 beds in Potosi under for-profit partnership ownership, and the numbers that stand out most are on the staffing side. Nurses provide 3.46 hours per resident per day, roughly 10% under the national average, and weekends drop about 9% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Staff turnover sits at 67.1%, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. Inspections in March 2025 turned up 34 deficiencies, including one at the harm level and two tied to abuse, plus an $8,021 fine. Quality and staffing measures both rate 1 out of 5.
South Hampton Place runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends dip roughly 8% below its own weekday level, so the thinnest coverage lands when families are most likely to visit. Turnover tells its own story: 66.7% of nursing staff leaving annually, against a national average of 45.8%. The inspection record is worse. Forty deficiencies, including three tied to abuse and one at the harm or jeopardy level, with a $12,735 fine and the most recent inspection in April 2025. Boone County families comparing options should weigh that record carefully.
Brookfield Health Care Center runs on 2.74 nurse hours per resident per day, roughly 29% below the national average, and weekend coverage slips about 5% below its own weekday level. Annual staff turnover sits at 78.4%, well above the national 45.8%, so the people caring for residents here change constantly. The current record shows 43 deficiencies, including four at the harm or jeopardy level and two tied to abuse. Its last inspection was June 12, 2025. Under a for-profit limited liability company, this 60-bed home carries CMS ratings of one star for health inspections, two for quality measures, and one for staffing.
Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.
Lincoln County Nursing & Rehab runs on 2.45 nurse hours per resident day, roughly a third below the national average, and weekends get about 10 percent less attention than weekdays. Staff turnover sits at 74.2 percent against a national 45.8 percent, so the people caring for your relative are likely to be new and soon to be gone. The record shows 115 deficiencies, nine of them serious enough to put residents in harm's way, five tied to abuse, and $235,414 in federal fines. CMS has placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. The most recent inspection was May 2024.
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?