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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 21 to 40 of 143, best-graded first.

B

82/100

Good Samaritan Care Center

Cole Camp, MO · Benton County

CMS 5/572 bedsGovernmentMedicaid
Nurse hours
3.89 /day
Staff turnover
16%
Serious cites
0

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.

B

82/100

La Plata Nursing Home

La Plata, MO · Macon County

CMS 3/552 bedsGovernmentMedicaid
Nurse hours
3.52 /day
Staff turnover
30%
Serious cites
0

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.

B

82/100

E W Thompson Health & Rehabilitation Center

Sedalia, MO · Pettis County

CMS 3/566 bedsNon-profitMedicaid
Nurse hours
5.85 /day
Staff turnover
38%
Serious cites
0

E W Thompson Health & Rehabilitation Center runs on more nursing hours than most homes, 5.85 per resident day against a national average of 3.86, and that staffing strength carries its ratings. Weekend coverage dips about 9% below weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 37.6%, better than the 45.8% national figure, so the people caring for residents tend to stay. The tradeoffs show up elsewhere: 15 deficiencies on the current record, one abuse-related, though none rose to harm or jeopardy level, and quality measures scored lower than staffing did. A January 2025 inspection means the record is recent. Nonprofit ownership, steady staffing, and no harm-level findings are real strengths; the quality and deficiency numbers are what hold it back.

B

82/100

Cottages Of Lake St Louis

Lake Saint Louis, MO · St. Charles County

CMS 4/560 bedsFor-profit
Nurse hours
6.03 /day
Staff turnover
58%
Serious cites
0

Cottages Of Lake St Louis runs a lean 60 beds under limited-liability ownership, and the staffing numbers are genuinely strong: 6.03 nurse hours per resident day, roughly 56% above the national average. That cushion matters, though weekend coverage dips about 9% below its own weekday level, so care can thin out on Saturdays and Sundays. Turnover sits at 57.5% against a national 45.8%, a quarter of the staff cycling out each year adds up in familiarity and consistency. The current record shows 8 deficiencies, one serious enough to reach harm or jeopardy, plus a single $17,696 fine. Inspections were recent, in July 2025, and the survey history holds up reasonably well overall.

B

81/100

Kabul Nursing Homes Inc

Cabool, MO · Texas County

CMS 5/599 bedsNon-profitMedicaid
Nurse hours
3.14 /day
Staff turnover
35%
Serious cites
0

Kabul Nursing Homes is a nonprofit with 99 beds in Cabool, and its last inspection was recent, August 2025, with 12 deficiencies on record, none at the harm level and none related to abuse. The staffing picture is mixed: 3.14 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends run roughly 4% leaner than weekdays. What offsets that is stability, 35% turnover beats the national 45.8%, meaning the aides and nurses who are there tend to stay, which matters more for daily care than raw headcount alone.

B

81/100

John Knox Village Care Center

Lees Summit, MO · Jackson County

CMS 4/5324 bedsNon-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
43%
Serious cites
0

John Knox Village Care Center runs 324 certified beds as a nonprofit, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. That cushion matters, though weekends drop about 13% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure, which suggests the workforce is somewhat more stable than most. Inspectors visited in January 2025 and logged 20 deficiencies, none at the harm or jeopardy level and none abuse-related. Four stars on health inspections and staffing, three on quality measures, tells you the basics are solid even if quality reporting lags.

B

80.5/100

Bertrand Nursing And Rehab Center

Bertrand, MO · Mississippi County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.86 /day
Staff turnover
n/a
Serious cites
0

Bertrand Nursing and Rehab Center passes its inspections cleanly, a five-star record with ten deficiencies, none of them serious enough to cause harm, though one is abuse-related. That's a home that generally gets the basics right when surveyors show up, and it was inspected as recently as July 2025. The problem is staffing, where it earns just one star and sits well below what most homes provide. Quality measures land in the middle at three. For-profit corporate ownership rounds out the picture. A strong inspection record matters, but it only reflects what surveyors caught on a given day, thin staffing shows up in the hours between visits, when your family member needs help getting to the bathroom or turning in bed. Ask about the direct-care aide schedule on evenings and weekends before deciding.

B

80/100

Gower Convalescent Center, Inc

Gower, MO · Clinton County

CMS 3/582 bedsNon-profitMedicaid
Nurse hours
3.70 /day
Staff turnover
17%
Serious cites
0

Gower Convalescent Center runs on a non-profit model with 82 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends dip roughly 11% below what the home staffs on weekdays, so families should ask who's actually on the floor on Saturdays and Sundays. What stands out is retention: 17.4% annual turnover against a national average near 46%, which suggests a stable crew that knows the residents. The tradeoff shows up in care quality, where CMS rates the home 2 out of 5, and the record carries 24 deficiencies, including 2 tied to abuse, though none reached harm or jeopardy.

B

79.5/100

West Vue Nursing And Rehabilitation Center

West Plains, MO · Howell County

CMS 2/5130 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
42%
Serious cites
0

West Vue runs on more direct nursing time than most homes in the country, five hours per resident per day against a national average near four, and its weekend coverage dips only modestly from weekday levels, which matters when families visit and notice who's actually on the floor. Staff turnover sits slightly under the national rate, and the home's last inspection was recent, with sixteen deficiencies on record but none flagged as harm or abuse. The weak spot is the quality measures, where the federal rating is poor, suggesting the day-to-day care numbers don't tell the same story as the staffing. It's a nonprofit with 130 beds, so the mixed picture is worth asking about directly.

B

79.5/100

Lacoba Homes Inc

Monett, MO · Barry County

CMS 5/579 bedsNon-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
51%
Serious cites
0

Lacoba Homes runs a church-affiliated nonprofit in Monett with 79 beds, and its recent inspection history is the strongest thing it has going: a 5-out-of-5 health inspection rating and a survey completed in January 2026. The staffing picture is more mixed than the raw average suggests. Overall nurse hours come in around 12% above the national figure, but weekends drop roughly 19% below the home's own weekday coverage, and turnover sits at 51.4% against a national 45.8%. Ten deficiencies are on the current record, including one at the harm level and one tied to abuse. Strong inspections, thinner weekend coverage, and steady staff churn, that's the tradeoff to weigh.

B

79.5/100

Golden Age Living Center

Stover, MO · Morgan County

CMS 3/561 bedsNon-profitMedicaid
Nurse hours
4.52 /day
Staff turnover
51%
Serious cites
0

Golden Age Living Center runs on a nonprofit model with 61 certified beds in Stover, and the inspection record looks clean. Six deficiencies on file, none of them at the harm or jeopardy level, and the state's last visit was January 30, 2025. Staffing sits at 4.52 nurse hours per resident day, roughly 17 percent above the national average of 3.86, a real cushion, though weekends dip about 17 percent below the home's own weekday level, so coverage thins out when families tend to visit. Annual turnover runs 50.7 percent, a bit worse than the 45.8 percent national figure. One abuse-related deficiency is worth asking about directly.

B

79/100

Lewis County Nursing Home District

Canton, MO · Lewis County

CMS 1/5118 bedsGovernmentMedicaid
Nurse hours
3.71 /day
Staff turnover
41%
Serious cites
0

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.

B

79/100

Mountain View Healthcare

Mountain View, MO · Howell County

CMS 5/5105 bedsNon-profitMedicaid
Nurse hours
3.71 /day
Staff turnover
55%
Serious cites
0

Mountain View Healthcare runs on leaner nurse staffing than the national average, 3.71 hours per resident day against 3.86, and weekends dip about 14% below its own weekday levels, which is when families tend to visit and notice. Staff turnover sits at 54.9%, well above the 45.8% national figure, so continuity of caregivers is a real question. The tradeoff: a five-star health inspection record with no deficiencies at the harm level, though one abuse-related citation appears among the 14 total, and the last full inspection was in April 2025. As a nonprofit, it isn't answering to shareholders, but that doesn't automatically mean more hands on deck.

B

79/100

Living Center, The

Marshall, MO · Saline County

CMS 3/599 bedsNon-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
36%
Serious cites
0

Living Center in Marshall runs a nonprofit home of just under 100 beds, and its nurse staffing sits right at the national average, technically a hair above, though the difference is negligible. What stands out more is that weekends run noticeably thinner than weekdays, and turnover of 35.8% is better than the 45.8% national figure but still means roughly a third of the staff leaves each year. The inspection record is where families should focus. Twenty-nine deficiencies, including two at the harm level and four tied to abuse, with the last inspection in July 2024. Quality measures score 2 out of 5. Staffing is the strongest piece of the picture; the rest is average to below.

B

79/100

Mcknight Place Extended Care

Saint Louis, MO · St. Louis County

CMS 4/570 bedsFor-profit
Nurse hours
5.22 /day
Staff turnover
57%
Serious cites
0

Mcknight Place Extended Care sits in Saint Louis with 70 certified beds and a corporate for-profit owner. The staffing numbers are the real story here: 5.22 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekend coverage holds fairly steady, only about 6% below weekdays. Turnover is the weak spot, 56.9% of staff leave annually against a national 45.8%, which means new faces are constantly rotating through. The inspection record is current, dated April 2025, and shows 25 deficiencies with none at harm or jeopardy level and nothing abuse-related, which points to documentation and process issues rather than resident safety failures.

B

79/100

Delta South Nursing & Rehabilitation

Sikeston, MO · New Madrid County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.17 /day
Staff turnover
49%
Serious cites
0

Delta South runs lean on nursing hours, 3.17 per resident day against a national average of 3.86, and weekends drop roughly another 10% below what the home staffs on weekdays. Turnover sits at 49%, a few points above the national figure, so the faces around a resident's bed change fairly often. What keeps this home from looking worse on paper is its inspection record: 24 deficiencies on the current books, none tied to harm, jeopardy, or abuse, and a survey as recent as January 2026. The health and quality ratings reflect that cleanliness of record. The staffing side is the weak spot, and that's where a family's daily experience usually lives.

B

79/100

Mcclay Senior Care

Saint Peters, MO · St. Charles County

CMS 3/560 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
44%
Serious cites
0

McClay Senior Care runs 60 certified beds in Saint Peters under individual for-profit ownership. Its 3.82 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends run about 9% leaner than weekdays there. Staff turnover is 43.5%, slightly better than the national 45.8%. The inspection record is where it gets heavier: 42 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with the most recent inspection in April 2024. Quality measure scores land at 2 out of 5 stars, inspection and staffing at 3 each. What that combination suggests is a home with adequate coverage on paper but a documented history worth asking about directly, particularly those harm-level and abuse-related findings.

B

78.5/100

Good Shepherd Care Center

Versailles, MO · Morgan County

CMS 5/5117 bedsGovernmentMedicaid
Nurse hours
3.77 /day
Staff turnover
n/a
Serious cites
0

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.

B

78/100

Worth County Convalescent Center

Grant City, MO · Worth County

CMS 3/550 bedsGovernmentMedicaid
Nurse hours
3.07 /day
Staff turnover
15%
Serious cites
0

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.

B

77.5/100

Twin Pines Adult Care Center

Kirksville, MO · Adair County

CMS 2/5120 bedsNon-profitMedicaid
Nurse hours
3.42 /day
Staff turnover
44%
Serious cites
0

Twin Pines runs 120 beds in Kirksville under nonprofit ownership, and its staffing numbers tell a mixed story. Nurses provide 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip about 16 percent below the home's own weekday coverage, a gap families should ask about directly. Turnover sits at 44.3 percent, slightly better than the national 45.8 percent, so the workforce is comparatively stable even if thin. Inspections are the weak point: 35 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent survey was in October 2024. State surveyors rated health inspections and quality measures 2 out of 5.

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