68 Nursing Homes That Accept Medicaid in St. Louis County, Missouri

Nurse hours

4.82 /day

Staff turnover

32%

Serious cites

0

Lutheran Convalescent Home runs 4.82 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its staff tends to stay, 31.5% turnover against a 45.8% national figure. Weekend coverage dips about 8% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record shows nine deficiencies, none at the harm level, though one is abuse-related, and the last full inspection was in November 2024. For a 251-bed for-profit home, that combination of heavy staffing and low turnover is the main thing separating it from the pack.

Nurse hours

5.25 /day

Staff turnover

27%

Serious cites

0

Lutheran Senior Services At Meramec Bluffs runs a small operation, 32 certified beds in Ballwin, and it's staffed like a place that intends to keep them. At 5.25 nurse hours per resident day, it sits roughly 36% above the national average of 3.86, and its 27.1% turnover is well under the 45.8% national figure, which suggests people stay. The tradeoff is weekends, when staffing drops about 14% below its own weekday level. The inspection record is strong: a 5-star health inspection rating, eight total deficiencies with none at the harm or jeopardy level, and a survey completed in October 2024. One abuse-related deficiency is on the record, so ask about it directly. Church-affiliated nonprofit ownership, and quality measures land at 4 stars.

Nurse hours

4.32 /day

Staff turnover

40%

Serious cites

0

Mason Pointe runs a nonprofit home with 63 beds in Chesterfield, and the numbers behind its record are mostly strong. Nurse staffing sits at 4.32 hours per resident day, about 12 percent above the national average, though weekend coverage drops roughly 13 percent from weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 40.3 percent, below the national 45.8 percent, and its last health inspection came in August 2024 with a 5-star inspection rating and 17 deficiencies on record, none at the harm level, one abuse-related. That single abuse citation is the item to ask about directly before you decide.

Nurse hours

4.72 /day

Staff turnover

44%

Serious cites

0

Staffing is the strongest thing going for this nonprofit home in Chesterfield, 4.72 nurse hours per resident day, roughly 22% above the national average, which earned it a top federal staffing rating. Turnover sits at 44.3%, slightly better than the national average of 45.8%, though weekend coverage drops about 11% below its own weekday levels, so ask how that plays out on Saturdays and Sundays. Its inspection record shows 13 deficiencies with nothing at the harm level, but one is abuse-related, worth asking about directly. The last full inspection was in August 2024, so the record is reasonably current.

Nurse hours

4.40 /day

Staff turnover

47%

Serious cites

0

Friendship Village Chesterfield runs a nonprofit home of 98 beds in St. Louis County, and the staffing numbers are its strongest card: 4.40 nurse hours per resident day, roughly 14 percent above the national average, which is why CMS gives it five stars on staffing. The catch is consistency, weekend coverage drops about 13 percent below its own weekday level, so care on a Saturday isn't quite what it is on a Tuesday. Turnover sits at 46.6 percent, essentially the national rate. Inspections from September 2024 produced 21 deficiencies, none at the harm level, but four tied to abuse.

Nurse hours

4.60 /day

Staff turnover

48%

Serious cites

0

Friendship Village Sunset Hills runs 4.60 nurse staffing hours per resident day, about 19% above the national average of 3.86, a real margin, though weekends dip roughly 4% below its own weekday level. That strong staffing sits alongside a rougher inspection record: 24 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $14,433 and a January 2025 inspection. Staff turnover of 48.1% edges past the national 45.8%, meaning the people providing that above-average care are still cycling out. High staffing hours and a meaningful resident census don't erase what inspectors found here.

Nurse hours

3.45 /day

Staff turnover

29%

Serious cites

0

Nhc Healthcare, Maryland Heights runs 220 certified beds under for-profit limited liability ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating with 15 total deficiencies, none at the harm or jeopardy level. One abuse-related deficiency is on the record, which is worth asking about directly. Staffing is where the picture gets mixed: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. The offsetting strength is retention, 28.6% annual turnover against a 45.8% national average means familiar faces, which matters for daily care. Quality measures also rate 4/5.

Nurse hours

4.32 /day

Staff turnover

32%

Serious cites

0

Bethesda Southgate runs on better-than-average staffing for a 130-bed nonprofit home in St. Louis County, 4.32 nurse hours per resident day, roughly 12% above the national figure. Weekend coverage dips about 12% below its own weekday level, and annual turnover sits at 31.5%, well under the 45.8% national average, which suggests people tend to stay. The tradeoff shows up in the record: 15 deficiencies, including one at the harm level and one abuse-related, against an otherwise strong inspection history from July 2024. Quality measure scores land mid-range, so the clinical picture is decent but not standout.

Nurse hours

4.86 /day

Staff turnover

65%

Serious cites

0

Aberdeen Heights runs a genuinely strong staffing operation: 4.86 nurse hours per resident day, roughly a quarter above the national average, and a perfect federal staffing star to match. The catch is turnover, which sits at 65.4% against a national average of 45.8%, that much churn undercuts consistency even when the daily hours look good on paper, and weekend coverage drops about 14% below weekday levels. Inspections are current and clean where it counts: nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related.

Nurse hours

5.09 /day

Staff turnover

55%

Serious cites

0

Barnes-Jewish Extended Care runs 120 certified beds as a nonprofit, and its nurse staffing sits at 5.09 hours per resident day, roughly a third above the national average of 3.86. That's the strongest part of the picture, though weekends dip about 19% below the home's own weekday coverage. Staff turnover is 54.5%, higher than the 45.8% national average, so people are cycling through even with the generous staffing numbers. The inspection record shows 30 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated March 2026. Federal ratings land at 3 stars for health inspections and quality measures, 4 for staffing.

Nurse hours

5.39 /day

Staff turnover

62%

Serious cites

0

Garden View Care Center Of Chesterfield runs a for-profit corporate home with 52 certified beds, and its nurse staffing sits at 5.39 hours per resident day, roughly 40% above the national average of 3.86. That's real coverage, though weekend hours dip about 8% below the home's own weekday level, and annual staff turnover is 61.6% against a national average of 45.8%. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated January 9, 2025. High staffing and clean harm-level findings carry weight; the turnover and abuse citations are the parts a family should ask about directly.

Nurse hours

4.62 /day

Staff turnover

n/a

Serious cites

0

Nurse staffing at Anna House runs about 20% above the national average, at 4.62 hours per resident day, though weekends come in roughly 9% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. That combination, solid overall staffing but a recent serious finding, is why it lands in the middle of the pack rather than at the top. It's a nonprofit home with 105 beds, last inspected in September 2024, and CMS gives it three stars each for health inspections, quality measures, and staffing. Nothing here is alarming, but ask directly about that harm-level deficiency and how weekend coverage actually works.

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

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

3.56 /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

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

5.42 /day

Staff turnover

56%

Serious cites

0

Delmar Gardens South runs on more nursing hours than most homes in the country, 5.42 per resident day against a national average of 3.86, and weekend coverage slips only about 6% below weekdays. That's the strongest thing it has going. The trade-off shows up in turnover: 55.9% of staff leave each year, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections look solid, ten deficiencies with one at the harm level and no abuse citations, and the most recent visit was September 2024. Quality measures score low, though, so the daily care picture is more mixed than the staffing numbers suggest.

Nurse hours

3.77 /day

Staff turnover

49%

Serious cites

0

Delmar Gardens of Chesterfield runs 227 certified beds under a for-profit limited liability company, and its staffing sits a bit thin, 3.77 nurse hours per resident day, roughly 2% under the national average, with weekends about 9% lighter than its own weekdays. Annual turnover is 48.8%, above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 39 deficiencies, including one tied to abuse; none reached harm or jeopardy level, and the most recent inspection was August 2025. Federal ratings land at 3 of 5 for health inspections and 2 of 5 for both quality measures and staffing.

Nurse hours

3.18 /day

Staff turnover

52%

Serious cites

0

Parkwood runs on 3.18 nursing hours per resident day, about 18% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 51.6%, above the 45.8% national figure, which means many of the people caring for your relative are new to the building. The current record carries 65 deficiencies, including one at the harm or jeopardy level and two tied to abuse; its last inspection was August 2024. Inspections and quality measures each score 2 out of 5, staffing 1 out of 5. Corporate-owned, 130 beds. Ask how the low-staffing shifts are actually covered.