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
Baptist Homes of Arcadia Valley runs 36 certified beds in Ironton, under church-related nonprofit ownership. Its eight deficiencies on the current record include nothing at the harm or jeopardy level and nothing tied to abuse, which matters more than the raw count, most of what surveyors flagged is paperwork and process, not resident safety. The last inspection came in March 2025, so the record is recent. At 36 beds, this is a small home where staffing ratios and administrator turnover tend to swing widely from quarter to quarter, and that volatility is what a family should ask about directly on a visit. Ask who the director of nursing is, how long they've been there, and how many CNAs have worked here more than a year.
Maple Lawn has a staffing edge on paper, 4.06 nurse hours per resident day, roughly 5% above the national average, but that number hides two problems. Weekend coverage drops about 9% below its own weekday level, and 65% of staff turn over each year against a national rate near 46%, so the people providing that care keep changing. The inspection record is harder to explain away: 44 deficiencies, five of them serious enough to put residents at risk of harm, seven tied to abuse, and two fines totaling $74,653. County ownership and a December 2025 inspection don't offset what those findings describe.
Avenir At Maple Grove runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 48.8% turnover rate tops the national figure, meaning the aides and nurses on the floor are often new to the building. Its record shows 32 deficiencies, two tied to abuse, with a 2/5 inspection rating and a 1/5 staffing rating; the quality measures also sit at 2. That total comes with real context: none of the deficiencies were cited at harm or jeopardy level. Ownership changed within the past year, and the last inspection was April 2025.
Baptist Homes of Shelbina is county-owned, which in Missouri often means tight budgets, and the numbers here show the strain. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, so aides and nurses have less time per resident than most homes, though weekend coverage actually runs slightly above its own weekday level, which is unusual and worth noting. What stands out more is the inspection record: 35 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, with a $20,695 fine and a survey as recent as July 2025. Ask about the abuse-related citations specifically before you decide anything.
Salem Memorial District Hospital runs a small 18-bed unit, and its recent inspection record is genuinely solid, four stars on health inspections, no deficiencies at the harm level, nothing abuse-related, and a survey as recent as October 2025. The problem sits in staffing, which CMS rates at just one star. That's a meaningful gap: a home can pass inspections and still leave residents waiting too long for help with meals, toileting, or medication. The 12 deficiencies and 13 fines totaling $106,623 also suggest recurring compliance issues despite the decent inspection score, and nonprofit ownership doesn't change the math. Ask about actual direct-care hours per resident per day, and how often the unit relies on agency or on-call staff.
Webco Manor runs 90 certified beds as a nonprofit corporation, and the staffing numbers are the first thing that stands out, one star from CMS, meaning nurse hours per resident land well below what most homes in Missouri report. That shortfall shows up on the inspection side too: 33 deficiencies on the current record, including one at the harm level and six tied to abuse. Quality measures sit at two stars. The one piece of recent news is the inspection itself, dated July 28, 2025, which at least means the record reflects how things stand now rather than two years ago. If you're weighing this one, ask the administrator directly about turnover on the nursing side and what changed after that July visit.
Baisch Nursing Center runs 61 certified beds in De Soto, and its nurse staffing sits around 3.00 hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 36 deficiencies, none flagged at harm or jeopardy level, but two are abuse-related, which is worth asking about directly. The last inspection was in February 2025, so the picture is fairly current. For-profit corporate ownership, a 1-star staffing rating, and 2-star quality measures round out a home that passes the basics without much margin.
Independence Care Center Of Perry County runs a 133-bed nonprofit home in Perryville, and its most recent inspection on January 9, 2026 left 16 deficiencies on the record, none at the harm or jeopardy level, but one abuse-related. Staffing is where the numbers get thin: 2.66 nurse hours per resident day against a national average of 3.86, roughly 31% below, and weekends drop about 13% below the home's own weekday level. The federal staffing star sits at 1 out of 5. Health inspections earned 4 out of 5 and quality measures 2 out of 5, so the care process looks better on paper than the hands-on coverage behind it. Ask how they staff weekends before you decide anything.
Abundant Acres runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 13% below its own weekday staffing. Half the staff turned over in a year, slightly worse than the 45.8% national figure. The current record shows 60 deficiencies, including one at the harm or jeopardy level and six tied to abuse; the single fine on file is $14,498, and the health inspection rating sits at 2 out of 5. Its last inspection was August 21, 2025, so that record is recent. As a nonprofit, it isn't answering to shareholders, but the numbers still describe a home where staffing thinness and a long deficiency history are the main things to ask about.
Salem Care Center runs 60 certified beds under for-profit LLC ownership, and its staffing sits at 3.25 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 11% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is the better number here: 32.4% against a national average of 45.8%, meaning aides and nurses stick around longer than at most homes. The tradeoff shows up in its record, 21 deficiencies, including 2 tied to abuse, with a 1-out-of-5 rating on quality measures and 2 out of 5 on staffing. Its last inspection was August 2024.
Johnson County Care Center runs on 2.21 nurse staffing hours per resident day, roughly 43% under the national average of 3.86, and weekends dip about 24% below its own weekday levels. That thin coverage shows up in the staffing star rating of 1 out of 5, even though the quality measure score sits at 5 out of 5, a gap worth asking about, since quality scores lean on self-reported data while staffing is payroll-verified. The inspection record is mixed: 40 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus nine fines totaling $59,085. The last inspection was October 14, 2025. Corporate-owned and for-profit, 87 beds.
St. Johns Place is a 94-bed for-profit home in St. Louis County with a recent inspection on record from December 2025, so the findings are current. That inspection record carries 36 deficiencies, one of them abuse-related, though none rose to the level of immediate harm or jeopardy. Staffing is where the numbers get harder to explain away: the federal staffing rating sits at 1 out of 5, and the quality measure rating is also 1 out of 5, against a national average that most homes at least approach. Health inspections came in slightly better at 2 stars, but a low mark across all three categories at once is the pattern worth paying attention to.
Ascend At Aurora runs 125 certified beds under corporate ownership, and the numbers split in two directions. Nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average, but weekends drop about 13% below the home's own weekday levels, and turnover runs 54.4% against a national 45.8%. The inspection record is where it gets harder: 49 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus a $46,940 fine. Ownership changed within the past year, and the last inspection was April 2024. Ask about weekend coverage and what the new owners have fixed since taking over.
Garden View Care Center runs 80 certified beds in O'Fallon under corporate for-profit ownership, and its staffing is genuinely above average: 4.67 nurse hours per resident day against a national figure of 3.86. That advantage softens on weekends, when hours drop roughly 13 percent below the home's own weekday level. The harder numbers are elsewhere. Staff turnover sits at 62.1 percent, well above the 45.8 percent national average, and the current record carries 44 deficiencies, including one at the harm level and eight tied to abuse. State inspectors were last in on January 16, 2025, and fines total $3,145. Strong daily coverage, a thin margin on weekends, and a long inspection record.
Pine View Manor runs on a paradox: staff stick around far better than average, 28.6% turnover against a national 45.8%, yet the CMS staffing rating sits at 1 out of 5, which means the retention isn't buying enough hands per resident. The inspection record is the bigger worry. Eighteen deficiencies, including one at the harm level and two abuse-related, with the most recent survey just completed in May 2025. A 2/5 on health inspections and 2/5 on quality measures round out a picture of a nonprofit home that keeps its people but hasn't kept pace on care.
Seville Care Center in Salem carries 39 deficiencies on its current record, four of them abuse-related, and two fines totaling $17,290. No deficiency rose to the level of actual harm or jeopardy, but the count itself is high, and the abuse citations matter. Staff turnover sits at 59.3% against a national average of 45.8%, which means more than half the workforce left over the year, that's the kind of churn that wears down consistent care. Federal ratings put staffing and quality measures each at one star out of five, with inspections at two. The current owner is a for-profit limited liability company. The last state inspection was January 16, 2025, so the picture is recent.
Sunnyview runs in Trenton as a county-owned home with 94 certified beds, and its nurse staffing comes in at 4.46 hours per resident day, roughly 16% above the national average of 3.86. That sounds like a strength until you see who's delivering it: annual turnover is 63.9% against a national figure of 45.8%, and weekend coverage drops about 10% below the home's own weekday level. The current record carries 36 deficiencies, including one at the harm level and three tied to abuse, plus a $30,295 fine. State inspectors were last in on September 19, 2025. High hours with high churn and a stack of deficiencies is the pattern here.
Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.
Morningside Center is county-owned, which usually buys some stability, but the numbers here tell a mixed story. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 50.7%, above the 45.8% national figure, meaning the people at the bedside keep changing. The record shows 16 deficiencies, including one at harm-or-jeopardy level and one abuse-related, and the most recent inspection was January 2025. Quality measures score poorly; staffing scores well on paper.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
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?