143 Independent Nursing Homes in Missouri

Nurse hours

4.08 /day

Staff turnover

38%

Serious cites

0

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.

Nurse hours

3.41 /day

Staff turnover

45%

Serious cites

0

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.

Nurse hours

3.04 /day

Staff turnover

41%

Serious cites

0

Oak Knoll runs about 3.04 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip another 6% under its own weekday levels. Turnover sits at 41.1%, actually a bit better than the 45.8% national figure, so the issue here looks more like thin coverage than a churning workforce. The current record carries 33 deficiencies, none flagged at harm or jeopardy level, but four are abuse-related, worth asking about directly. That last inspection was May 2024, so the picture is reasonably current. A for-profit corporation operates its 79 beds, and quality measures score 1 out of 5.

Nurse hours

3.58 /day

Staff turnover

49%

Serious cites

0

Sylvia G Thompson Residence Center runs 120 certified beds as a nonprofit corporation, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 19% below its own weekday coverage, and turnover is 48.5%, a bit above the 45.8% national figure. The inspection record is where the real weight sits: 30 deficiencies, two of them at harm or jeopardy level and five abuse-related, with a 2/5 health inspection rating and a 1/5 quality measure rating. The most recent inspection was October 9, 2025. Staffing earned 3/5 stars, but the deficiency history is what a family should ask about directly.

Nurse hours

3.50 /day

Staff turnover

29%

Serious cites

0

St. Luke's runs a steady ship on inspections, a 4-star health inspection record, last surveyed in May 2025, with 19 deficiencies on file but none serious enough to reach harm or jeopardy. Two of those are abuse-related, which families should ask about directly. Where the home gives ground is daily care hours: 3.50 per resident, roughly 9% under the national average, and weekends run about 9% thinner than weekdays. Staff turnover sits at 29%, notably better than the 45.8% national figure, and quality measure scores land at 1 star. One fine totaling $17,053 rounds out the record.

Nurse hours

2.95 /day

Staff turnover

56%

Serious cites

0

Richland Care Center is a nonprofit home in Pulaski County with 86 certified beds, and its inspection record is genuinely solid, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level. What pulls it down is the workforce. At 2.95 nurse staffing hours per resident day, it runs about 24% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels. Annual turnover sits at 55.9% against a national 45.8%, which matters because aides who know residents are the ones who catch changes early. Three abuse-related deficiencies appear on the current record. The most recent inspection was September 2024.

Nurse hours

3.46 /day

Staff turnover

61%

Serious cites

0

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.

Nurse hours

3.31 /day

Staff turnover

n/a

Serious cites

0

Laurie Care Center runs 108 certified beds as a nonprofit in Morgan County, and its staffing is the number that stands out, 3.31 nurse hours per resident day against a national average of 3.86, about 14% under. Weekends dip roughly 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The health inspection side is genuinely stronger, with a four-star record and a survey completed in April 2025, but that record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. Quality measures sit at three stars. Ownership is nonprofit, which doesn't erase a two-star staffing picture.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Superior Manor Of Festus runs 55 beds as a for-profit LLC, and the staffing score is where the trouble sits, 1 out of 5 stars against the national average. That's the number families feel first, because it reflects how few aides are actually on the floor per resident. The inspection record shows 61 deficiencies, four tied to abuse, plus nine fines totaling $59,633. No harm-level citations appear on the current record, and the most recent inspection was May 2025, so the picture isn't outdated. Quality measures land at 3 out of 5, meaning some clinical outcomes track better than the staffing would suggest. If you're considering this home, ask directly how many CNAs work each shift and what the abuse-related findings involved.

Nurse hours

2.86 /day

Staff turnover

44%

Serious cites

0

Scenic Wellness and Rehabilitation Center runs 189 beds in Herculaneum under for-profit LLC ownership, and its staffing is the number that stands out. At 2.86 nurse hours per resident per day, it sits roughly a quarter below the national average of 3.86, and weekends dip about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 43.5%, is actually a hair better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. Inspections look strong on paper: a five-star health inspection rating with the most recent visit in April 2025. But the record still carries 15 deficiencies, including one at the harm level and one abuse-related.

Nurse hours

4.20 /day

Staff turnover

62%

Serious cites

0

The Bluffs in Columbia runs a non-profit shop with 132 beds, and its nurse staffing of 4.20 hours per resident day sits about 9% above the national average, a real plus. But that cushion thins on weekends, when coverage drops roughly 9% below its own weekday level, and turnover runs 61.8% against a national 45.8%. The bigger concern is the inspection record: 41 deficiencies, three at harm or jeopardy level, five tied to abuse, and three fines totaling $37,621. Its most recent inspection was January 30, 2026. Strong weekday staffing is doing a lot of work here, but the compliance history is what families should weigh hardest.

Nurse hours

3.17 /day

Staff turnover

46%

Serious cites

0

Ozarks Methodist Manor runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. Turnover sits at 45.8 percent, right at the national figure, so the shortfall isn't explained by churn alone. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the most recent inspection in January 2025. Federal ratings land at 2 out of 5 for health inspections and 1 out of 5 for quality measures, against 3 for staffing. The nonprofit corporation that owns it has a lot to answer for.

Nurse hours

3.83 /day

Staff turnover

69%

Serious cites

0

La Belle Manor runs on thin staffing, and the numbers show it. At 3.83 nurse hours per resident day, it sits just under the national average, but weekends drop about 10% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Staff turnover is the bigger red flag: 68.6% a year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 21 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. Inspectors last visited in May 2025. Federal ratings put staffing at 1 out of 5 and inspections and quality measures at 2 each.

Nurse hours

3.42 /day

Staff turnover

56%

Serious cites

0

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.

Nurse hours

1.77 /day

Staff turnover

55%

Serious cites

0

Summit, The runs 64 beds in Kansas City under corporate ownership, and its staffing numbers are the first thing to notice: 1.77 nurse hours per resident day against a national average of 3.86. Weekends drop about 16% below its own weekday level, and annual turnover sits at 54.8%. The inspection record shows 67 deficiencies, three tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in August 2025. Its quality measure score is strong, but that sits alongside a one-star inspection rating and a one-star staffing rating. For a family weighing this one, the question is whether the clinical outcomes you see on paper can hold up when the day-to-day staffing is this thin.

Nurse hours

3.31 /day

Staff turnover

52%

Serious cites

0

Mary, Queen And Mother Center runs 217 certified beds under church-related nonprofit ownership, and its inspection record is the part that stands out. Federal inspectors logged 41 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $19,133. The last inspection was March 24, 2025, so that record is recent. Nurse staffing sits at 3.31 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends run about 11 percent thinner than weekdays. Staff turnover is 52.1 percent against a national 45.8. The 4/5 quality measure rating reflects resident care measures, but the 2/5 inspection rating and thin coverage tell a harder story.

Nurse hours

3.93 /day

Staff turnover

60%

Serious cites

0

Baptist Homes, Tri-County runs 90 certified beds in Vandalia as a nonprofit, and its nurse staffing sits at 3.93 hours per resident day, slightly above the national average of 3.86. That's the good news, and it's thin. Weekend staffing dips about 1% below its own weekday level, and annual turnover hits 60% against a national average of 45.8%, meaning most of the people providing that care are new to the building or on their way out. The inspection record is where the real weight sits: 64 deficiencies on file, five of them at harm or jeopardy level, two tied to abuse, plus a $13,039 fine. Federal ratings put health inspections and quality measures at 1 out of 5. The last inspection was February 2024, so that record is current.

Nurse hours

3.20 /day

Staff turnover

55%

Serious cites

0

Meyer Care Center runs on leaner nurse staffing than most homes, 3.20 hours per resident day against a national average of 3.86, roughly 17% below. Weekend coverage holds steady, actually a bit above its own weekday level, so shortfalls aren't a weekend problem; they're baked into the baseline. Staff turnover sits at 54.5%, well past the 45.8% national figure, which means caregivers cycle through faster than residents can get to know them. The inspection record is the harder read: 46 deficiencies on file, including one at the harm level and three tied to abuse, with the most recent state visit in July 2024. Federal ratings land at one star for health inspections, two for quality measures and staffing.

Nurse hours

3.50 /day

Staff turnover

n/a

Serious cites

0

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.

Nurse hours

3.83 /day

Staff turnover

50%

Serious cites

0

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.