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.
Salem Care Center runs 60 certified beds under for-profit LLC ownership, and its staffing sits at 3.25 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 11% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is the better number here: 32.4% against a national average of 45.8%, meaning aides and nurses stick around longer than at most homes. The tradeoff shows up in its record, 21 deficiencies, including 2 tied to abuse, with a 1-out-of-5 rating on quality measures and 2 out of 5 on staffing. Its last inspection was August 2024.
Johnson County Care Center runs on 2.21 nurse staffing hours per resident day, roughly 43% under the national average of 3.86, and weekends dip about 24% below its own weekday levels. That thin coverage shows up in the staffing star rating of 1 out of 5, even though the quality measure score sits at 5 out of 5, a gap worth asking about, since quality scores lean on self-reported data while staffing is payroll-verified. The inspection record is mixed: 40 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus nine fines totaling $59,085. The last inspection was October 14, 2025. Corporate-owned and for-profit, 87 beds.
Spring Valley runs 194 beds in Springfield under individual for-profit ownership, and its nurse staffing sits about 28% under the national average, 2.77 hours per resident day against 3.86. Weekends dip roughly a fifth below its own weekday coverage, and 56.1% of staff turned over in a year, against 45.8% nationally. The inspection record is the harder problem: 68 deficiencies, two at harm or jeopardy level, and eight tied to abuse. State surveyors were last in on August 25, 2025. What the five-star quality measure score reflects is hard to know when that much turns over and that few nurses are on the floor.
Aspire Senior Living Webb City runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 2.68 hours per resident day, roughly 31% under the national average of 3.86. That gap widens on weekends, when coverage drops about 9% below the home's own weekday level. The inspection record shows 36 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $25,454 and a health inspection rating of 2 out of 5. The most recent inspection was December 9, 2025. Quality measures score a middling 3, but staffing lands at 1 out of 5, the number that should weigh heaviest when you're deciding.
Riverways Manor runs 3.27 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 15% below its own weekday numbers. That thin coverage shows up in the staffing rating, and a 50% annual turnover rate means the aides and nurses working those shifts are often new. The last inspection was recent, and the home came through without any deficiencies at the harm or jeopardy level, which matters. But 22 total deficiencies sit on the record, including one abuse-related citation, and the quality measure rating is as low as it gets. Family-run for-profit ownership, sixty beds, and a pattern worth asking about directly: who's actually on the floor on a Saturday night.
Glenwood Healthcare runs 60 certified beds in Seymour under corporate for-profit ownership, and its inspection record is genuinely decent, a 4-out-of-5 health inspection rating, last surveyed in April 2024, with 17 deficiencies on file but none at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.11 hours per resident day, roughly 19% under the national average, and weekends dip about 15% below the home's own weekday coverage. Staff turnover hits 49%, a few points above the 45.8% national figure, and two of those deficiencies are abuse-related. Quality measures land mid-pack. The inspection side looks steady; the everyday staffing math is where families should focus their questions.
St. Johns Place is a 94-bed for-profit home in St. Louis County with a recent inspection on record from December 2025, so the findings are current. That inspection record carries 36 deficiencies, one of them abuse-related, though none rose to the level of immediate harm or jeopardy. Staffing is where the numbers get harder to explain away: the federal staffing rating sits at 1 out of 5, and the quality measure rating is also 1 out of 5, against a national average that most homes at least approach. Health inspections came in slightly better at 2 stars, but a low mark across all three categories at once is the pattern worth paying attention to.
Monarch Springs runs thin on nursing staff, 2.87 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the building already provides on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and notice. The inspection record adds weight: 34 deficiencies, two serious enough to involve harm or jeopardy, with the most recent state visit in July 2024. Corporate for-profit ownership and 119 certified beds round out the picture. Nothing here suggests abuse, and quality measures land mid-range, but the staffing numbers and the harm-level findings are the two things I'd ask about directly before choosing this one.
Highland Rehabilitation & Health Care Center runs 162 certified beds in Kansas City under for-profit LLC ownership, and its staffing is the clearest problem: 3.01 nurse hours per resident day against a national average of 3.86, roughly 22 percent below. Weekend coverage drops another 9 percent under its own weekday level, and annual turnover sits at 49 percent. The current inspection record shows 34 deficiencies, including 4 at harm or jeopardy level and 4 abuse-related, with $48,935 in fines across two penalties. A recent February 2025 inspection means the picture is current, not stale. The 5/5 quality measure score stands out against 2/5 for both staffing and health inspections, worth asking what's behind that gap.
Osage Beach Rehabilitation runs 94 beds as a for-profit corporation, and its nurse staffing sits just under the national average, 3.83 hours per resident day against 3.86. That gap is small, but weekends run about 16 percent leaner than weekdays, so coverage thins out exactly when families tend to visit. Turnover is 38.7 percent, actually better than the 45.8 percent national figure, which matters for continuity of care. What pulls the record down is the inspection history: 31 deficiencies, four at harm or jeopardy level, one tied to abuse, and a $107,324 fine. The most recent inspection was February 2025. Ask about weekend staffing and the abuse-related finding before you decide.
Ascend At Aurora runs 125 certified beds under corporate ownership, and the numbers split in two directions. Nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average, but weekends drop about 13% below the home's own weekday levels, and turnover runs 54.4% against a national 45.8%. The inspection record is where it gets harder: 49 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus a $46,940 fine. Ownership changed within the past year, and the last inspection was April 2024. Ask about weekend coverage and what the new owners have fixed since taking over.
Hermitage Nursing & Rehab runs 2.84 nursing hours per resident per day against a national average of 3.86, roughly a quarter less hands-on care than typical. Weekends dip about 19% below the home's own weekday staffing, so a Saturday shift looks thinner than a Tuesday, and 53.8% of staff turned over last year versus 45.8% nationally. The 22 deficiencies on record include two at harm or jeopardy level and four tied to abuse; one fine totals $78,550, with the last inspection in December 2025. The five-star quality measure score reflects charted care items, but the two-star inspection and staffing ratings describe the conditions underneath it.
Truman Healthcare & Rehabilitation Center runs 109 certified beds in Lamar under corporate for-profit ownership, and the numbers here pull in different directions. Nurse staffing sits at 3.71 hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 47.1% edges past the national 45.8%. The current record carries 47 deficiencies, nine of them abuse-related, with the most recent inspection in April 2025. CMS rated staffing 4 out of 5 but health inspections and quality measures both 1 out of 5, a gap worth asking about directly.
Garden View Care Center runs 80 certified beds in O'Fallon under corporate for-profit ownership, and its staffing is genuinely above average: 4.67 nurse hours per resident day against a national figure of 3.86. That advantage softens on weekends, when hours drop roughly 13 percent below the home's own weekday level. The harder numbers are elsewhere. Staff turnover sits at 62.1 percent, well above the 45.8 percent national average, and the current record carries 44 deficiencies, including one at the harm level and eight tied to abuse. State inspectors were last in on January 16, 2025, and fines total $3,145. Strong daily coverage, a thin margin on weekends, and a long inspection record.
Life Care Center of Grandview runs 172 certified beds as a for-profit corporate home, and the staffing numbers are the place to start: 3.53 nurse hours per resident day, about 8% under the national average, with weekends dipping roughly 13% below its own weekday level. Turnover sits at 42.2%, a touch better than the 45.8% national figure. The current record shows 56 deficiencies, including one at the harm level and six tied to abuse. A recent March 2026 inspection and a 2/5 health inspection rating sit alongside a 4/5 quality measure score, which tells you the day-to-day care metrics look stronger than the survey history.
Pin Oaks Living Center runs 124 certified beds in Mexico, Missouri, under corporate for-profit ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national mark, with weekends running about 6% lighter than its own weekdays. Turnover lands at 44.7%, essentially tracking the national rate. The real trouble is the inspection record: 59 deficiencies, five of them at harm or jeopardy level and seven tied to abuse, plus a $26,650 fine and a one-star health inspection rating, though its last survey came in November 2024. A four-star staffing score can't offset that paper trail.
St. Genevieve Nursing runs 90 certified beds under corporate ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating, 15 deficiencies with none rising to harm or jeopardy, and a survey completed in November 2024. The trouble sits in direct care. Nurse staffing averages 3.07 hours per resident day, roughly 21% under the national figure of 3.86, and weekends drop about 11% below the home's own weekday level. Annual turnover of 65.9% far exceeds the 45.8% national average, meaning the aides and nurses at the bedside are often new. One abuse-related deficiency is also on the record. Ask specifically how many residents each aide covers on a Saturday, and how long the current director of nursing has been in the job.
Rocky Ridge Manor runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 12% below what the building staffs on weekdays. That staffing picture sits alongside 26 deficiencies on the current record, including one at the harm or jeopardy level and nine tied to abuse, with the most recent inspection in September 2024. Annual turnover of 51.2% runs above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Ownership is for-profit and individual. The quality measure score is the lowest CMS gives, and health inspection results land near the bottom too.
Seville Care Center in Salem carries 39 deficiencies on its current record, four of them abuse-related, and two fines totaling $17,290. No deficiency rose to the level of actual harm or jeopardy, but the count itself is high, and the abuse citations matter. Staff turnover sits at 59.3% against a national average of 45.8%, which means more than half the workforce left over the year, that's the kind of churn that wears down consistent care. Federal ratings put staffing and quality measures each at one star out of five, with inspections at two. The current owner is a for-profit limited liability company. The last state inspection was January 16, 2025, so the picture is recent.
Aspire Senior Living Warsaw runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. That gap widens on weekends, when coverage drops about 13% below the home's own weekday level, so the thinnest shifts land when families are most likely to visit.
The inspection record carries 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse. One fine totaling $8,824 is on file, and the most recent inspection dates to September 2025. The health inspection and staffing scores both come in at 2 out of 5 stars, while quality measures sit slightly higher at 3. If you're weighing this one, ask directly how weekend coverage is handled and what changed after those abuse-related findings.
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?