22 of the 487 Medicare-certified nursing homes in Missouri (5%) are government-run, and all are listed below. Nurse staff turnover runs 45.2%, 10.8 points lower than the 56% across all homes there. They average 3.59 nursing hours per resident per day, 0.16 hours above the 3.43 for every home in Missouri. Madison Medical Center in Fredericktown grades highest at A (90 out of 100).
How government-run homes in Missouri compare
This group set against every nursing home in Missouri, from the current CMS release.
Nursing hours per resident per day
3.59
All homes in Missouri: 3.43
Better than the local average
Nurse staff turnover
45.2%
All homes in Missouri: 56%
Better than the local average
Average ElderGrade score
72.7/100
All homes in Missouri: 65.7/100
Better than the local average
Grade spread
A
B
C
2 grade A, 10 grade B, 9 grade C, 1 grade D,
The best-graded government-run home in Missouri is
Madison Medical Center
in Fredericktown, MO, grade A, 90/100.
Madison Medical Center is county-owned, and its 4.10 nurse hours per resident day sits about 6% above the national average, with a five-star staffing rating to back it up. Turnover runs 38.3%, noticeably better than the 45.8% national figure, so the people caring for residents tend to stay. Five deficiencies on record, none involving harm or abuse, and the last inspection was recent. The one thing to ask about: weekend staffing drops roughly 19% below weekday levels, so visit on a Saturday if you can.
Shirkey runs on county money, which usually means steadier budgets than the for-profit chains, and the staffing numbers bear that out, 4.08 nurse hours per resident day, about 6% above the national average. Turnover sits at 37.6%, well under the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The catch is on record: 47 deficiencies, one at the level that signals actual harm or jeopardy, and two tied to abuse. Inspectors were last in on May 8, 2025. Weekend coverage drops roughly 10% from weekday levels, so ask specifically who is on the floor on Saturdays.
Good Samaritan Care Center is county-owned, which is unusual in Missouri and tends to mean steadier budgets and less pressure to squeeze staff. That shows in the turnover number: 15.6% against a national average of 45.8%, so aides here largely stay put. Nurse staffing sits just above the national average at 3.89 hours per resident day, though weekends run about 9% leaner than weekdays, worth asking about if your family visits on Saturdays. Three deficiencies on record, none involving harm or abuse, and the last inspection was in September 2024. The weaker spot is quality measures, where the home scores low despite strong inspections and staffing.
La Plata Nursing Home runs on county money, and the numbers show a place that's steady but not especially well-staffed. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is a genuine bright spot: 30% against a national 45.8% means aides and nurses here tend to stay. The tradeoff is a 30-deficiency record, including two at harm or jeopardy level and two tied to abuse, with the last inspection in November 2024. Quality measures score low; staffing and inspections land mid-range.
Lewis County Nursing Home District runs on county money, and its staffing numbers are close to average but not quite there: 3.71 nurse hours per resident day against a national 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 40.9%, better than the 45.8% national figure, so people tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 42 deficiencies on record, including three tied to abuse, though none rose to actual harm or jeopardy, point to paperwork and process problems rather than resident injuries. One fine of $7,342. The last inspection was November 2025, so the record is current.
Good Shepherd Care Center is county-owned, which matters less than what the numbers show. Inspectors gave it a top health inspection rating and found ten deficiencies on the current record, none causing harm or jeopardy and none tied to abuse, a clean pattern for a 117-bed home. Staffing is where it slips: 3.77 nurse hours per resident day, a bit under the national average, and weekends run about 14 percent thinner than weekdays. If your family member needs consistent weekday therapy or monitoring, the inspection record is reassuring; if you're worried about Saturday and Sunday coverage, ask the administrator directly how they staff those shifts.
Worth County Convalescent Center runs on a county budget with 50 beds, and the staffing math cuts both ways. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, and weekends dip another 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. What offsets that is remarkable stability: 15% annual turnover against a national rate near 46% means the people showing up know the residents and stay. The record isn't spotless, 17 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and the last inspection was February 2026. Quality measures score low; inspections middling. Ask about weekend coverage specifically.
Katy Manor is county-owned, and that shows up in how it's run: a clean inspection record, with zero deficiencies at the harm or jeopardy level and nothing abuse-related among its 16 total findings. Its last inspection was in March 2025, so you're looking at recent information. The trade-off is staffing. At 3.47 nurse hours per resident day, it runs about 10% under the national average, and weekends drop roughly 17% below its own weekday coverage. Turnover sits at 43.4%, slightly better than the 45.8% national figure. The inspection history is the strongest part of this home; the day-to-day staffing pattern, especially on weekends, is what I'd ask about directly.
Clarence Care Center runs on county money, and its nurse staffing reflects that: 4.15 hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 9% below its own weekday level. Staff turnover sits at 40%, better than the 45.8% national figure, and the recent inspection date of January 29, 2026 means the record is current. What holds it back is the inspection history: 25 deficiencies, one at the harm level and four tied to abuse, against a quality measure rating of 2 out of 5. Strong hands-on staffing, but a record that needs watching.
Loch Haven is county-owned, and its 100 beds run on 3.57 nurse hours per resident day, roughly 8% under the national average of 3.86, with weekends about 10% thinner than weekdays. That staffing shows up as a 4/5 CMS staffing star, and turnover is genuinely low at 29.8% against a 45.8% national average, which suggests people stay. The trouble sits elsewhere: a 2/5 inspection rating, 32 deficiencies on the current record including two at harm or jeopardy level, and $77,841 in fines across two events. No abuse citations, and the most recent inspection was August 2025, so the picture is current. Quality measures land mid-range at 3/5.
Schuyler County Nursing Home District runs on county money, and its staffing is the one clear strength: 4.08 nurse hours per resident day, roughly 6% above the national average, with turnover at 38.3% against a national 45.8%. The catch is weekends, when coverage drops about 18% below the home's own weekday level. Inspections are another matter, a 2/5 health inspection rating and 42 deficiencies on record, including one abuse-related citation, though none reached harm or jeopardy level. Quality measures sit at 1/5, the weakest category here. The last inspection was September 2025, so the record is recent. Good hours on paper, thinner on weekends, and a long deficiency list to weigh.
Clark County Nursing Home runs on a county-owned model with 99 certified beds in Kahoka, and its staffing sits at 3.41 nurse hours per resident day, roughly 12 percent under the national average of 3.86. Weekends dip about 9 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.6 percent, essentially tracking the national rate of 45.8 percent, which means the workforce churns about as fast as most places. The current record shows 27 deficiencies with none at harm or jeopardy level, though one is abuse-related. Its last inspection was in January 2025, and quality measures score poorly even as staffing scores well.
Monroe Manor is county-owned, and its inspection record is genuinely strong, a five-star health inspection rating, with the most recent survey in March 2024. The problem sits elsewhere. Total nurse staffing runs 3.46 hours per resident day against a national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.4% where the national figure is 45.8%. Thirteen deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a single fine of $35,360. Good surveys can't fully offset thin weekend staffing and a workforce that's turning over faster than most. Ask how they cover weekends and what they're doing to keep nurses.
Golden Age runs on county money in a small Caldwell County town, and its inspection record is the strongest thing about it, a four-star health inspection rating with the most recent visit in September 2025. But 23 deficiencies sit on the current record, including one that caused actual harm and four tied to abuse, and those don't disappear because the last inspection went reasonably well. Direct care runs about 12% under the national average, weekends drop roughly 17% below weekdays, and more than half the nursing staff turned over in a year against a national rate near 46%. Quality measures score two stars. Families should ask who's on duty Saturday and how abuse findings were resolved.
Putnam County Care Center runs about 3.50 nursing hours per resident day, roughly 9% under the national average of 3.86, and weekend staffing drops nearly a fifth below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current inspection record carries 24 deficiencies, three of them serious enough to involve harm or jeopardy, plus three fines totaling $72,664; the last inspection was September 2024. As a county-owned home, it answers to local government rather than a chain, but that hasn't translated into stronger numbers here. Quality measures look ordinary at three stars, while inspection and staffing sit at two each.
Moore Few Care Center is city-owned, which is unusual, and its 108 beds are staffed at 3.83 nurse hours per resident day, a hair under the national average of 3.86. Weekends are where that thins out: about 17% less coverage than weekdays, and half the staff turns over each year against a national rate near 46%. Inspections look solid on paper, with a 4-out-of-5 health inspection rating and the most recent visit in July 2024, but 21 deficiencies sit on the current record and three of those rose to harm or jeopardy. One fine totaling $13,662. The quality measure side tells a different story than the inspection side, and that gap is worth asking about directly.
Maple Lawn has a staffing edge on paper, 4.06 nurse hours per resident day, roughly 5% above the national average, but that number hides two problems. Weekend coverage drops about 9% below its own weekday level, and 65% of staff turn over each year against a national rate near 46%, so the people providing that care keep changing. The inspection record is harder to explain away: 44 deficiencies, five of them serious enough to put residents at risk of harm, seven tied to abuse, and two fines totaling $74,653. County ownership and a December 2025 inspection don't offset what those findings describe.
Baptist Homes of Shelbina is county-owned, which in Missouri often means tight budgets, and the numbers here show the strain. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, so aides and nurses have less time per resident than most homes, though weekend coverage actually runs slightly above its own weekday level, which is unusual and worth noting. What stands out more is the inspection record: 35 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, with a $20,695 fine and a survey as recent as July 2025. Ask about the abuse-related citations specifically before you decide anything.
Sunnyview runs in Trenton as a county-owned home with 94 certified beds, and its nurse staffing comes in at 4.46 hours per resident day, roughly 16% above the national average of 3.86. That sounds like a strength until you see who's delivering it: annual turnover is 63.9% against a national figure of 45.8%, and weekend coverage drops about 10% below the home's own weekday level. The current record carries 36 deficiencies, including one at the harm level and three tied to abuse, plus a $30,295 fine. State inspectors were last in on September 19, 2025. High hours with high churn and a stack of deficiencies is the pattern here.
Morningside Center is county-owned, which usually buys some stability, but the numbers here tell a mixed story. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 50.7%, above the 45.8% national figure, meaning the people at the bedside keep changing. The record shows 16 deficiencies, including one at harm-or-jeopardy level and one abuse-related, and the most recent inspection was January 2025. Quality measures score poorly; staffing scores well on paper.
Frequently asked questions
How many government-run nursing homes are there in Missouri?
There are 22 government-run Medicare-certified nursing homes in Missouri, 5% of the 487 nursing homes there.
Are government-run nursing homes better staffed?
In Missouri they average 3.59 total nursing hours per resident per day, against 3.43 for all nursing homes in Missouri, a difference of +0.16 hours. Staff turnover averages 45.2% against 56%.
Which government-run nursing home grades best in Missouri?