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388 For-Profit Nursing Homes in Missouri

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.

Every for-profit nursing home in Missouri

Showing 61 to 80 of 388, best-graded first.

B

74/100

Hartville Care Center

Hartville, MO · Wright County

CMS 3/558 bedsFor-profitMedicaid
Nurse hours
3.05 /day
Staff turnover
37%
Serious cites
0

Hartville Care Center runs lean on nursing hours, 3.05 per resident per day against a national average of 3.86, roughly a fifth below it, and weekends drop another 12% under its own weekday level. Turnover sits at 36.7%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The current record shows nine deficiencies, none at the harm or jeopardy level, though two are abuse-related, and the last inspection was in June 2025. A four-star inspection history and four-star quality measures carry real weight here; the staffing number is the piece worth asking about directly.

B

74/100

Daviess County Nursing And Rehabilitation

Gallatin, MO · Daviess County

CMS 3/597 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
52%
Serious cites
0

Daviess County Nursing and Rehabilitation runs 3.11 nurse hours per resident each day, roughly 19% under the national average of 3.86, and weekends dip about 11% below its own weekday staffing. That thin coverage shows up in the numbers: 52.1% annual turnover against a national 45.8%, and a two-star CMS staffing rating. The 19 deficiencies on record included one abuse-related finding, though none rose to harm or jeopardy level, and the most recent inspection was April 2025. Quality measures score well at four stars while staffing lags, a gap worth asking about directly. Corporate for-profit ownership, 97 certified beds.

B

73.5/100

Pioneer Skilled Nursing Center

Marceline, MO · Chariton County

CMS 3/596 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
63%
Serious cites
0

Pioneer Skilled Nursing Center runs 96 certified beds in Marceline under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover of 62.7% is well above the national 45.8%, which matters for how well staff know residents and how consistently care gets delivered. On the inspection side, the home carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Its last inspection was March 20, 2025, so the record is recent. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, while staffing earned 2 out of 5, the weakest mark of the three.

B

73.5/100

Shepherd Of The Hills Living Center

Branson, MO · Taney County

CMS 2/5100 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
56%
Serious cites
0

Shepherd Of The Hills Living Center runs 100 certified beds in Branson under for-profit LLC ownership, and its staffing is the weak point: 3.38 nurse hours per resident day against a national average of 3.86, with weekends about 19% thinner than its own weekdays. Annual turnover of 55.6% sits well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record backs that up, 30 deficiencies, including one at harm level and two related to abuse, with the most recent inspection in February 2026. Quality measures score well, but that staffing shortfall is the thing to ask about directly.

B

73.5/100

Sunterra Springs Springfield

Springfield, MO · Greene County

CMS 4/538 bedsFor-profit
Nurse hours
3.99 /day
Staff turnover
66%
Serious cites
0

Sunterra Springs Springfield runs 38 beds under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, slightly above the national average of 3.86. That margin narrows on weekends, when coverage drops about 15% below the home's own weekday level. Staff turnover is the bigger issue: 66% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new or on their way out. The inspection record shows 29 deficiencies, including one at the harm level and three tied to abuse, with 12 fines totaling $67,701. The most recent inspection was June 2, 2025. Quality measures score well, but the inspection and turnover numbers are what families should weigh.

B

73/100

Life Care Center Of Carrollton

Carrollton, MO · Carroll County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
60%
Serious cites
0

Life Care Center of Carrollton runs a 120-bed for-profit partnership, and the numbers split in two directions. The quality measure score is strong at 4 out of 5, but the staffing score sits at 2, nurse coverage averages 3.24 hours per resident day, about 16% under the national figure of 3.86, and weekends drop roughly 15% below the home's own weekday level. Turnover is 59.6% against a national 45.8%, meaning well over half the nursing staff leaves each year. Inspections in April 2025 turned up 33 deficiencies, none at harm or jeopardy level, though four are abuse-related, and health inspection came in at 3 out of 5. Families should ask how the home covers weekend shifts and what those abuse citations involved.

B

73/100

Delmar Gardens South

Saint Louis, MO · St. Louis County

CMS 4/5184 bedsFor-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
56%
Serious cites
0

Delmar Gardens South runs on more nursing hours than most homes in the country, 5.42 per resident day against a national average of 3.86, and weekend coverage slips only about 6% below weekdays. That's the strongest thing it has going. The trade-off shows up in turnover: 55.9% of staff leave each year, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections look solid, ten deficiencies with one at the harm level and no abuse citations, and the most recent visit was September 2024. Quality measures score low, though, so the daily care picture is more mixed than the staffing numbers suggest.

B

73/100

Life Care Center Of Waynesville

Waynesville, MO · Pulaski County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
59%
Serious cites
0

Life Care Center of Waynesville runs 120 certified beds under corporate ownership, and its staffing tells the story here: 3.49 nurse hours per resident day, about 10% under the national average, with weekends running roughly 8% thinner than weekdays. Annual turnover sits at 59.1% against a national 45.8%, which means the aides and nurses at the bedside keep changing. The current record shows 32 deficiencies, including one at the harm level and two tied to abuse. Fines total $22,081, and the last inspection was March 2025. The 4/5 quality measure rating reflects good clinical numbers on paper; the 2/5 staffing rating and three-star inspection record show what happens between the measurements.

B

73/100

Sunset Health Care Center

Union, MO · Franklin County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
2.91 /day
Staff turnover
27%
Serious cites
0

Sunset Health Care Center runs a 120-bed for-profit operation in Union, and the numbers tell two different stories. The clinical quality measures look strong at 4 out of 5 stars, and a 26.7% turnover rate is well below the national average of 45.8%, that kind of stability matters for residents who need consistent caregivers. But nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national figure of 3.86, and weekend coverage drops another 9% below its own weekday level. Then there's the inspection record: 26 deficiencies, including one at the harm level and two tied to abuse, with a 2-star health inspection rating and the most recent survey in May 2025.

B

73/100

Sunrise Nursing & Rehabilitation

Raymore, MO · Cass County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
2.72 /day
Staff turnover
44%
Serious cites
0

Sunrise Nursing & Rehabilitation runs 2.72 nursing hours per resident day against a national average of 3.86, roughly 30 percent less hands-on care than typical. Weekends drop another 11 percent below the home's own weekday staffing, and 34 deficiencies sit on the current record, including five tied to abuse and one flagged at the harm or jeopardy level. The 43.5 percent turnover rate is slightly better than the national figure, which helps, and the most recent inspection was in June 2025, so the record is current. What stands out is the split: federal quality measures score 5 out of 5, while inspectors and the staffing calculation both land at 2. This is a for-profit, individually owned 152-bed home where the care numbers, not the quality scores, are the part to weigh.

B

73/100

Life Care Center Of St Louis

Saint Louis, MO · St. Louis City County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.54 /day
Staff turnover
66%
Serious cites
0

Life Care Center Of St Louis runs about 8% under the national average for nurse staffing, and weekends dip roughly 11% below its own weekday levels, that's when families often notice the difference. Staff turnover sits at 66.4%, well above the 45.8% national figure, so the person caring for your relative may not be there in six months. The health inspection record shows 37 deficiencies, one serious enough to reach harm or jeopardy level, plus a $15,646 fine; the most recent inspection was in January 2026. Quality measures score well, but strong chart numbers and a thin, churning floor staff are two different pictures of the same building.

B

73/100

Cuba Manor Inc

Cuba, MO · Crawford County

CMS 4/590 bedsFor-profitMedicaid
Nurse hours
2.93 /day
Staff turnover
31%
Serious cites
0

Cuba Manor runs 90 certified beds as a for-profit corporation, and the numbers telling the clearest story here are about who's on the floor. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below the home's own weekday levels. The tradeoff is stability: turnover is 31.4%, well under the 45.8% national figure, so the aides and nurses you'd meet are likelier to stick around. The health inspection side is genuinely strong, a 4-out-of-5 CMS rating, with the most recent inspection in December 2024 and 20 deficiencies on record, none tied to harm or abuse.

B

72.5/100

Hillcrest Care Center Inc

De Soto, MO · Jefferson County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.30 /day
Staff turnover
46%
Serious cites
0

Hillcrest Care Center runs 120 certified beds in De Soto under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection history is the strongest part of the picture: the last survey was in January 2026 and the health inspection rating is 4 out of 5, though the record still carries 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $10,845 fine. Staff turnover matches the national average at 45.8%.

B

72.5/100

Magnolia Square Nursing And Rehab

Springfield, MO · Greene County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.46 /day
Staff turnover
54%
Serious cites
0

Magnolia Square runs on about 3.46 nurse hours per resident per day, roughly 10% under the national average, and staffing thins out on weekends, about 23% below the home's own weekday level. Annual turnover sits at 53.8%, well above the national 45.8%, so the people caring for your relative are changing often. The inspection record shows seven deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $26,215 fine; the last inspection was February 2025. Ownership is a for-profit limited liability company. The 4/5 quality measure score reflects charted care outcomes, but it doesn't offset thin staffing or those inspection findings.

B

72.5/100

Stonebridge Chillicothe

Chillicothe, MO · Livingston County

CMS 5/575 bedsFor-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
40%
Serious cites
0

Stonebridge Chillicothe runs about 3.52 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 17% below its own weekday level, that gap is where problems tend to surface. The inspection history is genuinely strong on paper, a five-star health inspection rating with the most recent survey in January 2025, but seven deficiencies sit on the current record, including one at the harm level and one tied to abuse. Staff turnover at 40% is better than the 45.8% national figure, though it still means a lot of new faces. Corporate for-profit ownership, 75 beds, and thin weekend staffing are the context behind a middling grade.

B

72/100

Delmar Gardens Of Chesterfield

Chesterfield, MO · St. Louis County

CMS 3/5227 bedsFor-profitMedicaid
Nurse hours
3.77 /day
Staff turnover
49%
Serious cites
0

Delmar Gardens of Chesterfield runs 227 certified beds under a for-profit limited liability company, and its staffing sits a bit thin, 3.77 nurse hours per resident day, roughly 2% under the national average, with weekends about 9% lighter than its own weekdays. Annual turnover is 48.8%, above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 39 deficiencies, including one tied to abuse; none reached harm or jeopardy level, and the most recent inspection was August 2025. Federal ratings land at 3 of 5 for health inspections and 2 of 5 for both quality measures and staffing.

B

72/100

Warrenton Manor

Wright City, MO · Warren County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
43%
Serious cites
0

Warrenton Manor runs 120 beds in Wright City under corporate ownership, and its nurse staffing sits at 3.07 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 43.2%, slightly better than the 45.8% national figure, which matters less than the raw hours. The inspection record shows 47 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. State inspectors last visited in March 2025. Quality measure scores rank lowest; staffing scores mid-range.

B

72/100

Nixa Nursing & Rehab

Nixa, MO · Christian County

CMS 5/582 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
45%
Serious cites
0

Nixa Nursing & Rehab runs 82 certified beds under corporate ownership, and its last full inspection came back clean at the harm level, nine deficiencies total, none causing injury or jeopardy, though two were abuse-related. Staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, and weekends dip about 11% below the home's own weekday coverage. Turnover of 45.1% lands right at the national norm, so retention isn't the problem here; raw hours are. The five-star inspection history and four-star staffing rating carry real weight, but a two-star quality measure score and thin weekend coverage are the tradeoffs worth asking about before you decide.

B

72/100

Houston House

Houston, MO · Texas County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
47%
Serious cites
0

Houston House sits right at the national average for nurse staffing, 3.86 hours per resident day, essentially matching it. But that average hides a drop on weekends, when coverage runs about 11% thinner than on weekdays, and turnover is slightly worse than typical at 47.2%. The inspection record is the stronger part of the story: a recent February 2025 survey, 21 deficiencies but none at the harm level, though one is abuse-related and worth asking about directly. Quality measure scores come in at 2 out of 5, which tends to reflect resident outcomes rather than the building itself. For-profit individual ownership means the person answering to regulators is also the person collecting the revenue. Ask about weekend coverage and that abuse citation before you decide.

B

72/100

Parkwood Skilled Nursing And Rehabilitation Center

Maryland Heights, MO · St. Louis County

CMS 1/5130 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
52%
Serious cites
0

Parkwood runs on 3.18 nursing hours per resident day, about 18% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 51.6%, above the 45.8% national figure, which means many of the people caring for your relative are new to the building. The current record carries 65 deficiencies, including one at the harm or jeopardy level and two tied to abuse; its last inspection was August 2024. Inspections and quality measures each score 2 out of 5, staffing 1 out of 5. Corporate-owned, 130 beds. Ask how the low-staffing shifts are actually covered.

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?
Lutheran Convalescent Home in Webster Groves, MO, grade A, 99 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 384 graded for-profit homes in Missouri, 7 grade A and 82 grade D or F.
Do for-profit nursing homes in Missouri accept Medicaid?
382 of the 388 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Missouri