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143 Independent Nursing Homes in Missouri

143 of the 487 Medicare-certified nursing homes in Missouri (29%) are independently owned, and all are listed below. They average 3.76 nursing hours per resident per day, 0.33 hours above the 3.43 for every home in Missouri. Nurse staff turnover runs 52.4%, 3.6 points lower than the 56% across all homes there. Lutheran Home, The in Cape Girardeau grades highest at A (94 out of 100).

How independently owned homes in Missouri compare

This group set against every nursing home in Missouri, from the current CMS release.

Nursing hours per resident per day

3.76

All homes in Missouri: 3.43

Better than the local average

Nurse staff turnover

52.4%

All homes in Missouri: 56%

Better than the local average

Average ElderGrade score

69.5/100

All homes in Missouri: 65.7/100

Better than the local average

Grade spread

A
B
C
D

15 grade A, 51 grade B, 59 grade C, 18 grade D,

The best-graded independently owned home in Missouri is Lutheran Home, The in Cape Girardeau, MO, grade A, 94/100.

Every independently owned nursing home in Missouri

Showing 1 to 20 of 143, best-graded first.

A

94/100

Lutheran Home, The

Cape Girardeau, MO · Cape Girardeau County

CMS 5/5274 bedsNon-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
35%
Serious cites
0

The Lutheran Home runs 4.54 nurse hours per resident day, roughly 17% above the national average, and weekends dip only about 8% below its own weekday level, a modest drop, not a cliff. Staff turnover sits at 34.9%, well under the 45.8% national figure, which matters for whether caregivers actually stick around long enough to know residents. Its last inspection was March 2025, with 8 deficiencies on record, none at the harm level and none abuse-related. A 274-bed nonprofit carrying 5/5 stars across health inspection, quality measures, and staffing is rare company. The numbers here are consistent, not lucky.

A

91/100

Jeanne Jugan Center

Kansas City, MO · Jackson County

CMS 5/552 bedsNon-profitMedicaid
Nurse hours
3.93 /day
Staff turnover
34%
Serious cites
0

The Jeanne Jugan Center runs 52 certified beds in Kansas City under nonprofit ownership, and the numbers back up that mission-driven setup. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, with weekend coverage dipping about 10% below weekdays, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 34.1%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. On inspections, the record is clean where it counts: four deficiencies total, none at the harm level, none abuse-related, and the most recent inspection was in August 2025. Quality measures score mid-range, so care outcomes look solid rather than exceptional.

A

90/100

Phelps Health

Rolla, MO · Phelps County

CMS 5/520 bedsNon-profit
Nurse hours
7.56 /day
Staff turnover
50%
Serious cites
0

Phelps Health runs a small operation, 20 certified beds, and it's licensed as a nonprofit. The staffing numbers stand out: 7.56 nurse hours per resident per day, roughly double the national average of 3.86, and weekend coverage holds within about 9% of its weekday level, which is a smaller drop than many homes see. Turnover sits at 50%, a bit above the 45.8% national figure, so the people caring for residents do change fairly often. On the regulatory side, the record is clean: one deficiency total, none involving harm or abuse, and a five-star inspection rating with a survey completed in late November 2025.

A

89.5/100

Madison Medical Center

Fredericktown, MO · Madison County

CMS 5/599 bedsGovernmentMedicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

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.

A

89/100

Lake Regional Health Systems

Osage Beach, MO · Camden County

CMS 5/516 bedsNon-profit
Nurse hours
9.33 /day
Staff turnover
62%
Serious cites
0

Lake Regional Health Systems runs a small 16-bed unit inside a hospital system, and its nurse staffing sits at 9.33 hours per resident per day, roughly two and a half times the national figure. That's an unusual level of coverage, and it shows in the four-out-of-five staffing star, held back mainly by turnover of 61.9% against a national 45.8%. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, though one is abuse-related, which is worth asking about directly. A five-star inspection and five-star quality rating from a September 2025 survey round out a strong picture, with weekend staffing running about 9% lighter than weekdays.

A

88/100

Hope Care Center

Kansas City, MO · Jackson County

CMS 5/516 bedsNon-profitMedicaid
Nurse hours
4.51 /day
Staff turnover
n/a
Serious cites
0

Hope Care Center runs on a small scale, 16 beds, nonprofit owned, and the staffing reflects that attention. At 4.51 nurse hours per resident day, it sits about 17% above the national average of 3.86, though weekend coverage drops roughly 17% below its own weekday level, so care may thin out on Saturdays and Sundays. The inspection record shows 27 deficiencies, none at the harm or jeopardy level, with one tied to abuse. State surveyors were last in the building in September 2025, so the picture is current. Quality measures score at the top of CMS's scale, and the health inspection rating is strong, but that abuse-related citation is worth asking about directly before you decide.

A

87/100

Surrey Place St Lukes Hospital Skilled Nursing

Chesterfield, MO · St. Louis County

CMS 4/5130 bedsNon-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
44%
Serious cites
0

Staffing is the strongest thing going for this nonprofit home in Chesterfield, 4.72 nurse hours per resident day, roughly 22% above the national average, which earned it a top federal staffing rating. Turnover sits at 44.3%, slightly better than the national average of 45.8%, though weekend coverage drops about 11% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Its inspection record shows 13 deficiencies with nothing at the harm level, but one is abuse-related, worth asking about directly. The last full inspection was in August 2024, so the record is reasonably current.

A

87/100

Lincoln Community Care Center

Lincoln, MO · Benton County

CMS 4/566 bedsNon-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
29%
Serious cites
0

Lincoln Community Care Center runs on 3.81 nurse hours per resident day, just under the national average of 3.86, and weekend coverage drops roughly 14% from its weekday level, a gap worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 29.3%, well below the national 45.8%, so the aides and nurses here tend to stay. The inspection record shows 11 deficiencies, one serious enough to involve harm or jeopardy, and a single fine of $13,667; the most recent inspection was in January 2026.

A

86.5/100

Cox Medical Centers Meyer Orthopedic And Surgical

Springfield, MO · Greene County

CMS 4/528 bedsNon-profit
Nurse hours
10.00 /day
Staff turnover
55%
Serious cites
0

Cox Medical Centers Meyer Orthopedic and Surgical runs 28 certified beds in Springfield, and the staffing numbers here are unusual: 10.00 nurse hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage actually edges out weekdays, so care doesn't thin out when families tend to visit. The tradeoff is retention, 54.5% annual turnover, well above the 45.8% national figure, meaning the people delivering those hours keep changing. Inspections look strong on paper: a 5/5 health inspection rating, four deficiencies total, none causing harm or involving abuse, and a survey as recent as May 2024. Nonprofit ownership with that staffing cushion is a real advantage; just ask how they hold onto nurses.

A

86.5/100

Bishop Spencer Place, Inc, The

Kansas City, MO · Jackson County

CMS 3/557 bedsNon-profitMedicaid
Nurse hours
5.46 /day
Staff turnover
41%
Serious cites
0

Bishop Spencer Place runs a nonprofit shop with 57 beds, and the staffing numbers stand out: 5.46 nurse hours per resident day, roughly 41% above the national average. Turnover sits at 40.6%, better than the 45.8% norm, though weekend coverage dips about 19% below weekday levels. The tradeoff shows up in its record, 25 deficiencies, including one at the harm level and one tied to abuse, plus an $8,021 fine. Last inspection was January 2026, so the picture is current. Strong hands on deck, but a survey history that needs watching.

A

86/100

Shirkey Nursing And Rehabilitation Center

Richmond, MO · Ray County

CMS 3/5197 bedsGovernmentMedicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

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.

A

86/100

Baptist Homes Of Adrian

Adrian, MO · Bates County

CMS 4/538 bedsNon-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
55%
Serious cites
0

Baptist Homes of Adrian runs 38 certified beds as a nonprofit, and its inspection history looks solid: seven deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, and a survey completed in November 2025. The staffing picture is where you'll want to pay attention. At 3.76 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip about 1% below its own weekday levels. Annual turnover of 54.5% runs well above the 45.8% national figure, which matters in a small building where residents see the same faces day to day.

A

85/100

Friendship Village Chesterfield

Chesterfield, MO · St. Louis County

CMS 5/598 bedsNon-profitMedicaid
Nurse hours
4.40 /day
Staff turnover
47%
Serious cites
0

Friendship Village Chesterfield runs a nonprofit home of 98 beds in St. Louis County, and the staffing numbers are its strongest card: 4.40 nurse hours per resident day, roughly 14 percent above the national average, which is why CMS gives it five stars on staffing. The catch is consistency, weekend coverage drops about 13 percent below its own weekday level, so care on a Saturday isn't quite what it is on a Tuesday. Turnover sits at 46.6 percent, essentially the national rate. Inspections from September 2024 produced 21 deficiencies, none at the harm level, but four tied to abuse.

A

85/100

Friendship Village Sunset Hills

Saint Louis, MO · St. Louis County

CMS 3/5144 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
48%
Serious cites
0

Friendship Village Sunset Hills runs 4.60 nurse staffing hours per resident day, about 19% above the national average of 3.86, a real margin, though weekends dip roughly 4% below its own weekday level. That strong staffing sits alongside a rougher inspection record: 24 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $14,433 and a January 2025 inspection. Staff turnover of 48.1% edges past the national 45.8%, meaning the people providing that above-average care are still cycling out. High staffing hours and a meaningful resident census don't erase what inspectors found here.

A

85/100

Maranatha Village, Inc

Springfield, MO · Greene County

CMS 4/5120 bedsNon-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
41%
Serious cites
0

Maranatha Village runs on better-than-average nursing hours, 3.94 per resident day against a national 3.86, and its 40.8% turnover comes in under the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops roughly 14% below weekday levels, so pay attention to Saturday and Sunday care if you visit then. The 26 deficiencies on record include five tied to abuse, none reaching harm or jeopardy level, and the last full inspection was April 2024. Quality measures score at the top of CMS's scale, with staffing close behind; inspections sit in the middle.

B

84.5/100

Kingdom Care Senior Living

Fulton, MO · Callaway County

CMS 4/536 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
n/a
Serious cites
0

Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.

B

84/100

Bethesda Southgate

Saint Louis, MO · St. Louis County

CMS 5/5130 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
32%
Serious cites
0

Bethesda Southgate runs on better-than-average staffing for a 130-bed nonprofit home in St. Louis County, 4.32 nurse hours per resident day, roughly 12% above the national figure. Weekend coverage dips about 12% below its own weekday level, and annual turnover sits at 31.5%, well under the 45.8% national average, which suggests people tend to stay. The tradeoff shows up in the record: 15 deficiencies, including one at the harm level and one abuse-related, against an otherwise strong inspection history from July 2024. Quality measure scores land mid-range, so the clinical picture is decent but not standout.

B

83/100

Aberdeen Heights

Kirkwood, MO · St. Louis County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
4.86 /day
Staff turnover
65%
Serious cites
0

Aberdeen Heights runs a genuinely strong staffing operation: 4.86 nurse hours per resident day, roughly a quarter above the national average, and a perfect federal staffing star to match. The catch is turnover, which sits at 65.4% against a national average of 45.8%, that much churn undercuts consistency even when the daily hours look good on paper, and weekend coverage drops about 14% below weekday levels. Inspections are current and clean where it counts: nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

B

83/100

Mccrite Plaza At Briarcliff Skilled Facility

Kansas City, MO · Clay County

CMS 2/556 bedsFor-profit
Nurse hours
5.92 /day
Staff turnover
55%
Serious cites
0

Nurse staffing at Mccrite Plaza runs about 5.92 hours per resident day, well above the national average of 3.86, which is the main reason its staffing rating holds at 4 out of 5. That coverage thins on weekends, dropping roughly 9% below weekday levels, and 54.5% of staff turned over in the past year, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record is the weaker side: 37 deficiencies, including two at the harm level and one tied to abuse, plus a $31,280 fine. With a 2/5 health inspection rating and a December 2024 inspection, the compliance history is worth asking about directly.

B

82/100

Garden View Care Center Of Chesterfield

Chesterfield, MO · St. Louis County

CMS 4/552 bedsFor-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
62%
Serious cites
0

Garden View Care Center Of Chesterfield runs a for-profit corporate home with 52 certified beds, and its nurse staffing sits at 5.39 hours per resident day, roughly 40% above the national average of 3.86. That's real coverage, though weekend hours dip about 8% below the home's own weekday level, and annual staff turnover is 61.6% against a national average of 45.8%. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated January 9, 2025. High staffing and clean harm-level findings carry weight; the turnover and abuse citations are the parts a family should ask about directly.

Frequently asked questions

How many independently owned nursing homes are there in Missouri?
There are 143 independently owned Medicare-certified nursing homes in Missouri, 29% of the 487 nursing homes there.
Are independently owned nursing homes better staffed?
In Missouri they average 3.76 total nursing hours per resident per day, against 3.43 for all nursing homes in Missouri, a difference of +0.33 hours. Staff turnover averages 52.4% against 56%.
Which independently owned nursing home grades best in Missouri?
Lutheran Home, The in Cape Girardeau, MO, grade A, 94 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 143 graded independently owned homes in Missouri, 15 grade A and 18 grade D or F.
Do independently owned nursing homes in Missouri accept Medicaid?
137 of the 143 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Missouri