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
Clara Manor runs 90 certified beds in Kansas City under corporate ownership, and the staffing numbers are where things get uncomfortable, a one-star staffing rating means nurse hours sit below what CMS considers adequate for this resident population. The inspection record backs that up: 89 deficiencies, including six at the level where residents were actually harmed or put in immediate jeopardy, and twelve tied to abuse. A four-star quality measure rating looks better on paper, but those scores come from resident assessments the facility largely reports itself, and they don't cancel out a one-star inspection history. The most recent survey was October 2025, so the record is current, not stale. For a family weighing this placement, the staffing and abuse findings deserve direct questions before anything else.
Willow Care runs about 3.67 nursing hours per resident per day, roughly 5% under the national average, and weekends drop about 17% below its own weekday staffing. That gap matters more than the headline number, because weekends are when families often visit and when fewer eyes are on residents. Annual turnover sits at 58.6%, well above the 45.8% national figure, which means the aides and nurses caring for people here are, more often than not, relatively new to the building.
The inspection record is the bright spot: a 4-out-of-5 health inspection rating, 16 deficiencies on file, and none of them at the harm or jeopardy level, with nothing abuse-related. The last inspection was January 8, 2026. Quality measures, though, score 1 out of 5, and that's the split worth asking about on a tour.
New Haven Care Center runs a tight ship on inspections, a perfect five-star health inspection rating and a recent March 2025 survey with 13 deficiencies, none of them causing harm or involving abuse. That's a real strength. The staffing picture is different. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday coverage, so care can thin out exactly when families tend to visit. Turnover at 38.2 percent is better than the national 45.8 percent, meaning workers stay longer than most places. Low quality-measure scores (1/5) round out the concern.
Blue Circle Rehab And Nursing runs about 2.80 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 14% below its own weekday coverage. Staff turnover sits at 69.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 80 deficiencies, including four at harm or jeopardy level and three tied to abuse, with the most recent inspection in December 2024. That combination of thin staffing, heavy turnover, and serious citations is what sits behind the grade, not the 5/5 quality measure score. Worth asking direct questions before you decide.
Chateau Girardeau runs 4.26 nursing hours per resident per day, roughly 10% above the national average, and its most recent inspection from January 2025 turned up no deficiencies at the harm or jeopardy level and nothing abuse-related. That part is solid. The strain shows in the workforce: 65.7% annual turnover, well above the 45.8% national figure, and weekend staffing drops about 17% below the home's own weekday levels, so the hands-on coverage your family sees on a Tuesday isn't what shows up on a Saturday. Fourteen deficiencies sit on the current record, none serious, but the low quality-measure score suggests outcomes haven't kept pace with the hours billed.
Luther Manor runs 64 certified beds as a nonprofit corporation, and its federal ratings land low across the board: one star each for staffing and quality measures, two for health inspections. The record shows 28 deficiencies, including three at the harm or jeopardy level and four tied to abuse, that's a pattern families should ask about directly, not just a number. Staffing sits far enough below what CMS expects to earn a single star, which matters most on nights and weekends when needs don't pause. One fine totaling $13,270 appears on the record, and the last inspection closed in October 2025, so the findings are recent rather than historical. Nonprofit ownership alone doesn't fix any of this.
Woodland Care & Rehab Center runs 94 certified beds in Springfield under individual for-profit ownership, and the staffing numbers are where I'd start. At 3.44 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 19% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 61.5% against a national 45.8%, which means by the time your relative settles in, a good share of the aides who know them may already be gone. The current record shows 43 deficiencies, six tied to abuse, though none at the harm or jeopardy level. State inspectors were last in on June 13, 2025.
Knox County Nursing Home District runs on county government ownership, which usually means stable funding but also slower movement on problems. The staffing numbers are close to average on paper, 3.83 nurse hours per resident day against a national 3.86, but weekends drop about 12% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. The inspection record is the bigger concern: 37 deficiencies, including two at the harm or jeopardy level and five tied to abuse, plus a $93,280 fine. The last inspection was February 2024, so that record is recent. Ask specifically how weekend shifts are covered before you decide.
Parkview Healthcare runs on 2.75 nurse hours per resident day, roughly 29% under the national figure of 3.86, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in its record: 96 deficiencies, seven of them serious enough to put residents in harm's way, nine tied to abuse, and $140,021 in fines across four penalties. Washington has placed it in the Special Focus Facility program, reserved for the country's most troubled homes, and its last inspection closed in February 2025. Ownership is a for-profit limited liability company. Turnover, at 44.8%, is about average, which means the instability isn't the story here, the short staffing and inspection history are.
Cedargate Health Care Center runs 108 certified beds in Poplar Bluff under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.75 nurse hours per resident per day, it sits just under the national average of 3.86, and weekends dip about 3% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. State inspectors were last in on May 22, 2025, and the record shows 40 deficiencies, none at the harm or jeopardy level but two tied to abuse. Quality measures score 2 out of 5 stars, staffing just 1. Ask about weekend aide coverage and how the abuse-related findings were resolved.
Ozark Riverview Manor runs 3.15 nurse hours per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday levels. That staffing pattern, plus 63% annual turnover compared with 45.8% nationally, helps explain the two-out-of-five marks on both staffing and quality measures. The home carries 20 deficiencies, including one at the harm level and one abuse-related, and a $30,319 fine. Its last inspection was in December 2025, so the record is fairly current. As a nonprofit, it isn't chasing a quarterly number, but the numbers here still show thin coverage and a workforce that keeps changing.
Hickory Manor runs 60 beds in Licking under individual for-profit ownership, and the numbers pull in different directions. Nurse staffing sits at 3.70 hours per resident per day, about 4% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the coverage your family member gets depends heavily on which day it is. Annual turnover is 78.8%, well above the national 45.8%, which means most of the people providing daily care are relatively new to the building. The health inspection rating of 4 out of 5 is genuinely strong, and 29 deficiencies with none at the harm level is not alarming on its face. But a 1 out of 5 on quality measures and recent inspection in January 2025 round out a mixed picture.
Pinnacle Point runs 180 beds in Riverside under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage. Staff turnover is the number that should stop you: 80% a year, nearly double the national 45.8%, which means the person caring for your family member is likely new, and likely gone within the year. Inspections turned up 38 deficiencies, including one at the harm level and two tied to abuse, with a $52,878 fine on record. The most recent inspection was November 2025, so the picture is current.
Ratliff Care Center runs about 3.24 nurse hours per resident each day, roughly 16% under the national average, and weekend coverage drops another 6% below its own weekday level. Staff turnover sits at 72.1% against a national 45.8%, which means most of the people caring for your relative are new to the building. The inspection record shows 20 deficiencies, none at the harm level but three tied to abuse, and the last state visit was May 30, 2025. Quality measures score 2 out of 5 and staffing 1 out of 5, though inspections hold at 4. The individual for-profit owner keeps a thin crew on weekends.
Copper Rock Healthcare in Rogersville runs about 90 beds as a nonprofit, and the staffing numbers are the first thing that stands out. At 3.54 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 11 percent below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 77.6 percent, against a national rate near 46 percent, means the people caring for residents are cycling through fast. The current record carries 24 deficiencies, including one at the harm level and three tied to abuse.
Tiffany Heights runs on 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 18% below what the home staffs during the week. That thin coverage sits behind a 69% annual turnover rate, well above the 45.8% national figure. Inspectors have cited 29 deficiencies on the current record, two of them abuse-related, though none reached harm or jeopardy level. The last inspection was December 5, 2025. A for-profit limited liability company owns the 60-bed home in Mound City. Quality measures rate mid-range, but staffing and inspection results are where the concerns concentrate.
Country Aire Retirement Center runs 60 certified beds in Lewistown under for-profit LLC ownership, and its staffing numbers are the first thing to look at: 2.97 nurse hours per resident per day against a national average of 3.86. Weekends drop about 10% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover sits at 61.3%, well above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record shows 66 deficiencies, six of them abuse-related, and CMS gave the health inspection and staffing domains one star each. The last inspection was July 2024.
Bentleys Extended Care is a 72-bed for-profit home in Overland, and the inspection record is the first thing you should look at. The current file shows 67 deficiencies, including 10 at the level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That is a lot of serious findings for a building this size, and the staffing rating sits at the bottom of CMS's scale, so the people working there are stretched thin against what the government expects. A single fine of $28,969 and a last inspection in October 2024 round out the picture.
Ozark Care & Rehab Center runs on 2.90 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekend staffing drops about 9% below its own weekday level. That thin coverage shows up in the federal ratings: one out of five stars for staffing, two for health inspections. The current record carries 39 deficiencies, including 3 at the harm or jeopardy level and 8 tied to abuse, plus two fines totaling $48,557. Inspectors last visited in December 2024. The quality measure score of three stars is the one bright spot, but it doesn't offset what the staffing and inspection numbers say about daily care.
Avenir At Mark Twain runs on thin staffing: 3.47 nurse hours per resident day, roughly 10 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That gap matters most when families visit and when emergencies happen. The record shows 62 deficiencies, including five tied to abuse and two at the level of actual harm or jeopardy, plus eight fines totaling $195,310. Staff turnover sits at 71.4 percent against a national average of 45.8, most caregivers here are new to the building and still learning it. Ownership changed hands within the last year, and the most recent inspection was August 2025.
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?