388 For-Profit Nursing Homes in Missouri

Nurse hours

3.02 /day

Staff turnover

44%

Serious cites

0

Heisinger Bluffs runs 60 beds under for-profit LLC ownership in Jefferson City, and its recent inspection record is decent, 18 deficiencies on file, none at the harm level, though one is abuse-related, and the last state visit came in March 2025. The real tension sits in the workforce numbers. At 3.02 nurse hours per resident day, this home staffs roughly a fifth below the national average of 3.86, and weekends drop another 16% beneath its own weekday levels. Turnover, at 44%, is basically in line with the national rate. So you're looking at a home that inspects reasonably well but runs lean on the floor, especially Saturdays and Sundays.

Nurse hours

3.36 /day

Staff turnover

64%

Serious cites

0

Valley Manor runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, with weekends running about 9% thinner than its own weekdays. That gap matters because people don't stop needing help on Saturdays. The bigger signal is the 64% annual turnover against a national average near 46%: nearly two-thirds of the nursing staff leaves every year, which makes consistent care hard to build. The inspection record shows 45 deficiencies, including one abuse-related cite, and a one-star health inspection rating that was last reviewed in December 2025. Quality measures score well; the day-to-day staffing and oversight numbers are what pull this home down.

Nurse hours

3.15 /day

Staff turnover

56%

Serious cites

0

Lebanon South runs on thinner nursing coverage than most homes nationally, 3.15 nurse hours per resident day against a 3.86 average, and weekends drop roughly 11% below what the building staffs Monday through Friday. Annual turnover of 56.1% sits well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 33 deficiencies, including one at the harm level and one tied to abuse, with the most recent survey from May 2025. Ownership is a for-profit limited liability company. Families should ask directly how the weekend shift is covered and what changed after the harm-level finding.

Nurse hours

2.98 /day

Staff turnover

54%

Serious cites

0

Avalon View runs 2.98 nurse hours per resident per day against a national average of 3.86, and weekends dip about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 54% versus 45.8% nationally, which means the people at the bedside keep changing. The record shows 46 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and one fine of $14,267. Inspectors were last in on September 19, 2025, so that picture is recent. Quality measures score well, but those depend on the staff actually present to document them.

Nurse hours

3.42 /day

Staff turnover

46%

Serious cites

0

Aspire Senior Living Malden runs about 3.42 nurse hours per resident per day, roughly 11% under the national average of 3.86, and weekend coverage dips a bit further below its own weekday levels. Staff turnover sits at 45.9%, almost exactly the national figure, so retention here isn't unusually bad for the industry, but it isn't a strength either. The health inspection record looks solid on paper: 29 deficiencies, none at the harm level, none abuse-related, and a survey as recent as May 2025. What drags the overall picture down is the quality measure side, where the home scores near the bottom even as its inspection history holds up.

Nurse hours

2.86 /day

Staff turnover

37%

Serious cites

0

Lemay Nursing runs 60 beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. That thin coverage is the number to weigh most heavily, since it's the daily reality of how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday level, so the gap doesn't close when families visit. Turnover is 36.8%, actually better than the 45.8% national figure, which means aides and nurses stick around longer than at many homes. But the inspection record carries 37 deficiencies, including one at harm level and two abuse-related, with the last inspection in May 2025. Ask about those directly.

Nurse hours

5.17 /day

Staff turnover

58%

Serious cites

0

Neighborhoods Rehabilitation And Skilled Nursing B runs 5.17 nurse hours per resident day, roughly a third more hands-on time than the national average, but the staff giving that care turn over at 57.9% a year, well above the 45.8% norm. That churn sits alongside a troubled inspection file: 30 deficiencies, four serious enough to put residents at risk of harm, two tied to abuse, and $85,344 in fines, all from a survey finished in November 2024. For a 120-bed for-profit, the pattern is clear, enough people on the clock, but not the same ones for long, and the state's findings back that up.

Nurse hours

3.33 /day

Staff turnover

n/a

Serious cites

0

Gideon Care Center runs lean on nurse staffing, 3.33 hours per resident day against a national average of 3.86, roughly 14% below, and weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is genuinely strong: a perfect health inspection rating, last survey in March 2026, zero deficiencies at the harm or jeopardy level, and no abuse citations among the 19 on file. Quality measures land mid-range. The tension is straightforward: good survey results and thin daily staffing can both be true, and staffing is what residents live with every shift, not once a year. Corporate-owned, 72 beds.

Nurse hours

3.49 /day

Staff turnover

n/a

Serious cites

0

Aspire Senior Living Roaring River runs 90 certified beds in Cassville under for-profit LLC ownership, and its record shows why the federal inspection score sits at the bottom. Inspectors have cited 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Two fines totaling $46,303 are on file. Nurse staffing runs 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 11% below the home's own weekday coverage. Quality measures score better than the inspection or staffing ratings. Ownership is for-profit through a limited liability company, and the last inspection was March 1, 2024.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Superior Manor Of Festus runs 55 beds as a for-profit LLC, and the staffing score is where the trouble sits, 1 out of 5 stars against the national average. That's the number families feel first, because it reflects how few aides are actually on the floor per resident. The inspection record shows 61 deficiencies, four tied to abuse, plus nine fines totaling $59,633. No harm-level citations appear on the current record, and the most recent inspection was May 2025, so the picture isn't outdated. Quality measures land at 3 out of 5, meaning some clinical outcomes track better than the staffing would suggest. If you're considering this home, ask directly how many CNAs work each shift and what the abuse-related findings involved.

Nurse hours

2.76 /day

Staff turnover

47%

Serious cites

0

Westwood Hills runs lean on nursing hours, 2.76 per resident day against a national average of 3.86, and that gap, about 28%, is the single biggest thing pulling its grade down. Weekends are thinner still, roughly 10% below what the home staffs on weekdays, so a Saturday or Sunday shift is where you'd notice it most. Turnover sits at 47.4%, a touch above the national 45.8%, meaning the people at the bedside keep changing. The good news: inspections are recent and clean at the harm level, with no abuse citations among the 19 deficiencies, and quality measures score well. It's a for-profit LLC with 132 beds, solid on care outcomes, short on hands.

Nurse hours

2.86 /day

Staff turnover

44%

Serious cites

0

Scenic Wellness and Rehabilitation Center runs 189 beds in Herculaneum under for-profit LLC ownership, and its staffing is the number that stands out. At 2.86 nurse hours per resident per day, it sits roughly a quarter below the national average of 3.86, and weekends dip about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 43.5%, is actually a hair better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. Inspections look strong on paper: a five-star health inspection rating with the most recent visit in April 2025. But the record still carries 15 deficiencies, including one at the harm level and one abuse-related.

Nurse hours

3.92 /day

Staff turnover

50%

Serious cites

0

Puxico Nursing and Rehabilitation Center sits in Stoddard County with 60 certified beds under individual for-profit ownership. Its last health inspection, in November 2025, found 16 deficiencies, none of them causing harm or involving abuse, a record that supports the four-star inspection rating. The trouble is elsewhere. Quality measures earn only two stars, and staffing earns two as well despite total nurse hours of 3.92 per resident day, just barely above the national average of 3.86. Weekend coverage drops about 10% below weekday levels, and annual turnover runs 50% against a national 45.8%. Roughly half the staff leaving each year is worth asking about directly before you visit.

Nurse hours

3.83 /day

Staff turnover

69%

Serious cites

0

La Belle Manor runs on thin staffing, and the numbers show it. At 3.83 nurse hours per resident day, it sits just under the national average, but weekends drop about 10% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Staff turnover is the bigger red flag: 68.6% a year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 21 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. Inspectors last visited in May 2025. Federal ratings put staffing at 1 out of 5 and inspections and quality measures at 2 each.

Nurse hours

3.44 /day

Staff turnover

52%

Serious cites

0

Windsor Healthcare & Rehab Center runs on thinner staffing than most homes, about 3.44 nurse hours per resident each day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday levels. That's when families tend to notice. Annual turnover sits at 51.5%, well above the 45.8% national figure, so the people caring for your relative are likely to change. The current record shows 23 deficiencies, none at harm or jeopardy level, though one is abuse-related. A June 2025 inspection is recent, and the 3/5 health inspection rating isn't alarming on its own. The 1/5 quality measure rating is the number worth asking about directly.

Nurse hours

3.15 /day

Staff turnover

53%

Serious cites

0

Ignite Medical Resort St Marys runs 130 beds in Blue Springs under for-profit LLC ownership, and its nurses provide 3.15 hours of care per resident per day, roughly 18 percent below the national average, with weekends dropping another 13 percent below its own weekday levels. Staff turnover sits at 52.9 percent against a national 45.8 percent, so the aides and nurses cycling through are not staying long. The inspection record shows 35 deficiencies, one involving actual harm or jeopardy and one abuse-related, and the last state visit was August 2024. Quality scores look strong, but staffing and inspection results are where the concern sits, and both are rated two out of five.

Nurse hours

2.67 /day

Staff turnover

41%

Serious cites

0

St. Joseph Chateau runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 15% below its own weekday coverage, so the thinnest shifts come when families often visit. The inspection history is better than that staffing picture suggests: 52 deficiencies on record with none at the harm level, though two are abuse-related, and the last survey was in May 2025. Turnover at 40.7% is slightly better than the national 45.8%, and the health inspection rating sits at 4 of 5. The staffing rating of 2 tells you where the real concern lies.

Nurse hours

3.47 /day

Staff turnover

50%

Serious cites

0

Ignite Medical Resort Kansas City runs 90 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.47 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. Annual turnover sits at 50%, above the 45.8% national figure, which means the people helping your family member may be relatively new to the building. The current record shows 30 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $6,368 fine; the last inspection was February 2026. Quality measures score well, but staffing and inspection history are where the concerns concentrate.

Nurse hours

2.95 /day

Staff turnover

55%

Serious cites

0

Union Nursing runs 60 beds in Franklin County under corporate ownership, and its staffing is the number that stands out: 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekends dip another 9% below its own weekday level, and 54.5% of staff turn over annually against a national rate near 46%, so the thin coverage is also a moving target. Inspections look steadier, a 4-star health inspection rating, 14 deficiencies on record with none at harm level, though two are abuse-related, and the most recent survey was August 2025. Quality measures also rate 4 stars; staffing rates 2.

Nurse hours

4.46 /day

Staff turnover

76%

Serious cites

0

Sunterra Springs Dardenne Prairie runs a 38-bed for-profit home in St. Charles County where the nursing hours look better than average, 4.46 per resident day, roughly 15% above the national figure, but weekends drop about 12% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue is stability: 76.1% annual turnover against a national average of 45.8% means most of the people caring for residents are new, and 31 deficiencies on the current record, three at harm or jeopardy level, with two fines totaling $49,722, point to real gaps in care delivery. The most recent inspection was January 2026, so the record is current, not stale.