143 Independent Nursing Homes in Missouri

Nurse hours

n/a /day

Staff turnover

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Serious cites

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Gasconade Manor sits in Owensville as a nonprofit home with 79 certified beds, and its inspection record is genuinely clean where it counts: 21 deficiencies on file, but none at the harm or jeopardy level, and the most recent survey was just this past July. The catch is staffing. CMS gives it one star there, which means nurse and aide hours per resident are running well below what most homes report, and that gap matters more than any quality measure score when your family member needs help getting to the bathroom or turning in bed. The two abuse-related deficiencies and a $6,293 fine are worth asking about directly. Strong outcomes, thin coverage, that's the tradeoff here.

Nurse hours

3.47 /day

Staff turnover

43%

Serious cites

0

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.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

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Myers Nursing & Convalescent Center has a real split in its record. The quality measures look strong at 5 out of 5, but staffing sits at 1 out of 5, and that's the number that matters most day to day, it tracks how many nurses and aides are actually there for 84 residents. The inspection history is heavy: 66 deficiencies on the current record, including 3 tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was October 10, 2025. This is a for-profit LLC, and the pattern here is a home that can document good clinical outcomes on paper while running thin on direct care.

Nurse hours

3.64 /day

Staff turnover

49%

Serious cites

0

St Andrew's at Francis Place runs 106 certified beds as a nonprofit, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 5% below the home's own weekday coverage, and turnover runs 48.5% against a national 45.8%, so the crews covering those shifts keep changing. The inspection record is where the bigger questions are. CMS has cited 33 deficiencies on the current record, including 3 at harm or jeopardy level and 4 tied to abuse, with a $77,664 fine and a February 2025 inspection. Federal ratings give 2 of 5 stars for both health inspections and quality measures, 3 for staffing.

Nurse hours

3.89 /day

Staff turnover

50%

Serious cites

0

Brooke Haven in West Plains runs 120 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, so the margin is thin. Weekends drop roughly 9% below weekday coverage, and staff turnover hits 50% against a 45.8% national rate, which means the people caring for residents keep changing. Inspections look strong on paper, but the record shows 29 deficiencies, including one at the harm level and one abuse-related, plus a $10,033 fine. The most recent inspection was March 2026.

Nurse hours

4.15 /day

Staff turnover

40%

Serious cites

0

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.

Nurse hours

4.37 /day

Staff turnover

40%

Serious cites

0

Good Shepherd runs a nonprofit home with 69 beds in Lockwood, and its staffing is the strongest part of the picture, 4.37 nurse hours per resident day, well above the 3.86 national average, with weekend coverage dipping about 10% below its own weekday level. Turnover sits at 39.5%, better than the 45.8% national figure, which matters for whether residents see familiar faces. The tradeoffs show up elsewhere: 17 deficiencies on record, none at the harm level and none abuse-related, with a single fine of $5,293 and a survey from April 2024. Quality measures score lower than staffing does, so ask about specific clinical outcomes when you visit.

Nurse hours

3.25 /day

Staff turnover

40%

Serious cites

0

Oakridge Of Plattsburg runs 3.25 nurse hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 39.6%, better than the 45.8% national figure, which matters for consistency of care. The 21 deficiencies on record include one at the harm or jeopardy level, and there's a single fine of $12,735; the last inspection was March 2026. As a nonprofit corporation with 60 beds, it's small enough that staffing shortfalls aren't easily absorbed. The federal staffing rating reflects the hours worked, but the inspection record and that harm-level finding are the parts I'd ask about directly before deciding.

Nurse hours

4.31 /day

Staff turnover

n/a

Serious cites

0

Laurel Meadows runs 4.31 total nurse hours per resident per day, about 12% above the national average of 3.86, but weekend staffing drops roughly 14% below its own weekday level. That staffing star sits at 3 of 5, and the inspection record is the weaker part: 23 deficiencies on file, including 2 at harm or jeopardy level and 2 abuse-related, plus 4 fines totaling $11,536. The last inspection was June 6, 2024. For-profit, limited liability ownership. If you're considering this one in Saint Charles, ask how the weekend coverage gap gets filled and what changed after those harm-level citations.

Nurse hours

4.65 /day

Staff turnover

n/a

Serious cites

0

Brooking Park runs a nonprofit home of 49 beds in Chesterfield, and its nurse staffing sits at 4.65 hours per resident day, about 21 percent above the national average of 3.86. That higher staffing is real, but weekend coverage drops roughly 15 percent below its own weekday level, so the extra help isn't evenly spread across the week. The inspection record is where the picture gets messier: 36 deficiencies on file, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One fine totaling $15,646 has been levied. The last inspection was July 2024. If you're weighing this one, ask how the weekend shifts are actually covered.

Nurse hours

5.96 /day

Staff turnover

n/a

Serious cites

0

Garden View Care Center At Dougherty Ferry runs 5.96 nurse hours per resident day, roughly half again the national average of 3.86, and that staffing shows up in a 4-out-of-5 staffing star. Weekend coverage dips about 8% below its own weekday level, so the weekday-to-Saturday gap is worth asking about directly. The five-star health inspection rating reflects the survey from June 2024, which found 14 deficiencies, none of them serious enough to cause harm or jeopardy, though two were abuse-related, a small number against strong staffing, but abuse citations are the kind you want explained rather than counted. The 1-out-of-5 quality measure rating is the clear weak spot here, and it sits oddly beside the staffing picture.

Nurse hours

3.05 /day

Staff turnover

39%

Serious cites

0

Elsberry Missouri Health Care Center runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 16% below its own weekday staffing. Turnover sits at 38.6%, better than the 45.8% national figure, and the quality measure rating comes in at 5 out of 5, which makes the thin weekday-to-weekend staffing gap the thing worth watching. The inspection record shows 13 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $28,704, with the most recent inspection in July 2025. Nonprofit ownership and a 3 out of 5 on inspections suggest a home that's adequate on paper but not airtight.

Nurse hours

3.56 /day

Staff turnover

n/a

Serious cites

0

Fieser Nursing Center runs 47 beds in Fenton under individual for-profit ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends about 12% thinner than its own weekdays. The inspection record is the bigger concern: 56 deficiencies, including one at the harm or jeopardy level and four tied to abuse. That combination of below-average hours and a recent, lengthy deficiency list is what drags the inspection rating to 2 out of 5. The last survey was September 30, 2025, so the findings are current, not stale. If you're weighing this one, ask specifically how the abuse-related citations were resolved and who covers the floor on weekends.

Nurse hours

3.13 /day

Staff turnover

n/a

Serious cites

0

Miller County Care and Rehabilitation Center, a nonprofit home in Tuscumbia, runs thin on nursing hours: 3.13 per resident per day against a national average of 3.86, with weekends about 15 percent below its own weekday level. That staffing picture is what pulls its CMS staffing rating down to 1 out of 5, and it's the main reason this isn't a stronger home on paper. The inspection record is steadier, 15 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection came in April 2025. Quality measures and health inspections both score 4 out of 5. So the care outcomes look decent; the worry is whether there are enough hands on weekends.

Nurse hours

4.22 /day

Staff turnover

37%

Serious cites

0

Monroe City Manor runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 36.8% sits well below the national 45.8%, people tend to stay here. Weekends thin out, though, dropping about 16% below weekday coverage, and the quality measure rating comes in at just 1 out of 5, which is the number worth asking about. Inspections in August 2025 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,408 fine. The staffing is genuinely solid; the clinical outcomes and that one harm-level finding are where the concerns live.

Nurse hours

4.05 /day

Staff turnover

39%

Serious cites

0

University Health Lakewood runs 188 certified beds as a nonprofit, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. Weekends drop roughly 16% below its own weekday coverage, so care can thin out when families visit. Staff turnover is 38.7%, better than the 45.8% national figure, which matters because stable caregivers know residents. Inspections in August 2025 produced a 4-star health inspection rating, though the record carries 25 deficiencies, including one at the harm level and three tied to abuse. Quality measures score 2 out of 5, and one fine totaling $14,901 is on file.

Nurse hours

5.00 /day

Staff turnover

44%

Serious cites

0

Bethesda Dilworth is a 350-bed nonprofit home in St. Louis County, and its staffing is the strongest part of the picture: 5.00 nurse hours per resident day, roughly 29% above the national average, with a four-star staffing rating to match. Turnover sits at 43.5%, a bit better than the national 45.8%, though weekend coverage drops about 11% below weekday levels. The concerns are elsewhere. Inspections turned up 24 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $88,946. The most recent inspection was July 2025, so the record is current. Strong daily staffing, but the inspection history is what's holding this one back.

Nurse hours

3.64 /day

Staff turnover

42%

Serious cites

0

Pearl's Ii Eden For Elders runs 60 beds in Princeton under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating with no deficiencies at the harm or jeopardy level. There are 38 deficiencies on the current record, though, including three tied to abuse, and the quality measure rating sits at two stars. Nurse staffing works out to 3.64 hours per resident day, about 6% under the national average of 3.86, and weekends run roughly 7% thinner than weekdays. Annual turnover of 41.5% is slightly better than the 45.8% national figure. The last inspection was August 7, 2025, so the record is recent.

Nurse hours

3.57 /day

Staff turnover

30%

Serious cites

0

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.

Nurse hours

3.11 /day

Staff turnover

52%

Serious cites

0

Daviess County Nursing and Rehabilitation runs 3.11 nurse hours per resident each day, roughly 19% under the national average of 3.86, and weekends dip about 11% below its own weekday staffing. That thin coverage shows up in the numbers: 52.1% annual turnover against a national 45.8%, and a two-star CMS staffing rating. The 19 deficiencies on record included one abuse-related finding, though none rose to harm or jeopardy level, and the most recent inspection was April 2025. Quality measures score well at four stars while staffing lags, a gap worth asking about directly. Corporate for-profit ownership, 97 certified beds.