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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 141 to 143 of 143, best-graded first.

D

47.5/100

Appleton City Manor

Appleton City, MO · St. Clair County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
1.37 /day
Staff turnover
n/a
Serious cites
0

Appleton City Manor sits at 60 certified beds under for-profit LLC ownership, and every CMS star category comes back at one out of five, health inspections, quality measures, and staffing alike. The deficiency record tells the story behind those numbers: 63 total, including two at the harm or jeopardy level and four tied to abuse. Two fines totaling $92,020 are on file. Staffing falls short of what CMS expects for a home this size, which matters most when residents need hands-on help. The last inspection was June 27, 2025, so the record is current. Families considering this home should ask directly about the abuse-related findings and what's changed since that inspection.

D

42/100

Big Bend Woods Healthcare Center

Valley Park, MO · St. Louis County

CMS 1/5135 bedsFor-profitMedicaid
Nurse hours
2.84 /day
Staff turnover
67%
Serious cites
0

Big Bend Woods runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage drops about 11% below its own weekday level. Staff turnover sits at 67% against a national 45.8%. The inspection record shows 64 deficiencies, including four at harm or jeopardy level and five tied to abuse, plus an $85,176 fine and a 1-out-of-5 CMS rating on both staffing and quality measures. Ownership is for-profit and individual. The most recent inspection was September 2025.

D

41.5/100

Estates Of Perryville, Llc, The

Perryville, MO · Perry County

CMS 1/5156 bedsFor-profitMedicaid
Nurse hours
2.10 /day
Staff turnover
61%
Serious cites
0

Abuse icon on record

If you're looking at Estates of Perryville, the numbers behind its federal record are worth your time. The home has 156 certified beds and a for-profit LLC owner, and its nurse staffing comes in at 2.10 hours per resident day, roughly 46% below the national average, with weekend coverage dropping about 18% below its own weekday levels. Annual turnover sits at 61.4%, well above the 45.8% national figure. On the current record: 45 deficiencies, six at harm or jeopardy level, six abuse-related, and three fines totaling $303,763. All three CMS star ratings land at 1 out of 5, and the last inspection was March 11, 2026.

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