ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

22 Government-Run Nursing Homes in Missouri

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.

Every government-run nursing home in Missouri

Showing 21 to 22 of 22, best-graded first.

C

62.5/100

Knox County Nursing Home District

Edina, MO · Knox County

CMS 1/560 bedsGovernmentMedicaid
Nurse hours
3.83 /day
Staff turnover
n/a
Serious cites
0

Knox County Nursing Home District runs on county government ownership, which usually means stable funding but also slower movement on problems. The staffing numbers are close to average on paper, 3.83 nurse hours per resident day against a national 3.86, but weekends drop about 12% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. The inspection record is the bigger concern: 37 deficiencies, including two at the harm or jeopardy level and five tied to abuse, plus a $93,280 fine. The last inspection was February 2024, so that record is recent. Ask specifically how weekend shifts are covered before you decide.

D

54/100

Lawrence County Manor

Mount Vernon, MO · Lawrence County

CMS 1/590 bedsGovernmentMedicaid
Nurse hours
0.39 /day
Staff turnover
93%
Serious cites
0

Lawrence County Manor reports 0.39 total nurse staffing hours per resident day, roughly a tenth of the national average of 3.86, and weekends run about a third thinner than weekdays already are. Staff turnover sits at 93.3% against a national 45.8%, meaning the people who do show up are largely new. The inspection record shows 32 deficiencies, including one at the harm level and six tied to abuse, with a single fine of $13,762 and a health inspection rating of 1 out of 5. County ownership doesn't change any of that. If you're considering this home, the staffing numbers are the ones to ask about directly.

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?
Madison Medical Center in Fredericktown, MO, grade A, 90 out of 100.
Does being government-run mean a nursing home is safe?
No. Of the 22 graded government-run homes in Missouri, 2 grade A and 1 grade D or F.
Do government-run nursing homes in Missouri accept Medicaid?
22 of the 22 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Missouri