68 Nursing Homes That Accept Medicaid in St. Louis County, Missouri
68 of the 69 Medicare-certified nursing homes in St. Louis County, Missouri (99%) are Medicaid-certified, and all are listed below. 7 of the 68 graded homes earn an A and 22 earn a D or F. They average 3.6 nursing hours per resident per day, 0.02 hours below the 3.62 for every home in St. Louis County, Missouri. Lutheran Convalescent Home in Webster Groves grades highest at A (99 out of 100).
How Medicaid-certified homes in St. Louis County, Missouri compare
This group set against every nursing home in St. Louis County, Missouri, from the current CMS release.
Nursing hours per resident per day
3.6
All homes in St. Louis County, Missouri: 3.62
Worse than the local average
Nurse staff turnover
58.7%
All homes in St. Louis County, Missouri: 58.7%
Better than the local average
Average ElderGrade score
64.1/100
All homes in St. Louis County, Missouri: 64.3/100
Worse than the local average
Grade spread
A
B
C
D
7 grade A, 18 grade B, 21 grade C, 22 grade D,
The best-graded Medicaid-certified home in St. Louis County, Missouri is
Lutheran Convalescent Home
in Webster Groves, MO, grade A, 99/100.
Every Medicaid-certified nursing home in St. Louis County, Missouri
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.
Delmar Gardens West is a 321-bed for-profit home in Town and Country, and the numbers pull in different directions. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 3% thinner than weekdays, so the floor is leanest exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, which matters for consistency of care.
What weighs things down is the inspection record: 30 deficiencies, two at harm or jeopardy level and one abuse-related, plus $22,623 in fines, with the most recent inspection in April 2025. The staffing rating is strong; the quality measure rating is not. Ask about weekend coverage and how those harm-level deficiencies were corrected.
Delmar Gardens of Meramec Valley runs 190 beds under corporate ownership, and its inspection record comes back clean where it counts most: zero deficiencies at the harm or jeopardy level, which is not nothing given 22 total findings on the books. Three of those are abuse-related, worth asking about directly. Where the numbers get shakier is staffing, 3.36 nurse hours per resident day sits about 13% under the national average, and weekends drop roughly another 10% below its own weekday levels. Turnover runs 47.8%, slightly above the national 45.8%. A recent December 2025 inspection means the picture is current.
Pillars of North County runs about 2.39 nurse hours per resident day against a national average near 3.86, roughly 38% less hands-on time than the typical home. Weekends dip even further, about 16% below what the building staffs on weekdays, and nearly half the nursing staff turned over in the past year. State inspectors cited 59 deficiencies on the current record, including two at the harm level and four tied to abuse. The five-star quality measure score reflects how well the home documents resident care, but the one-star staffing rating and the inspection history tell you what those daily hours actually look like.
Lemay Nursing runs 60 beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. That thin coverage is the number to weigh most heavily, since it's the daily reality of how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday level, so the gap doesn't close when families visit.
Turnover is 36.8%, actually better than the 45.8% national figure, which means aides and nurses stick around longer than at many homes. But the inspection record carries 37 deficiencies, including one at harm level and two abuse-related, with the last inspection in May 2025. Ask about those directly.
Christian Extended Care & Rehabilitation runs 60 beds as a nonprofit, and its last inspection in March 2025 came back clean at the serious end, 12 deficiencies on record, none causing harm or jeopardy, none tied to abuse. Nurse staffing sits at 3.69 hours per resident day, a bit under the national 3.86, and weekends dip about 12% below the home's own weekday coverage. Turnover is the bright spot: 38.7%, better than the 45.8% national figure, which suggests aides and nurses tend to stay. The tradeoff shows in the federal stars, five for inspections, but two for staffing. Consistent care from a stable team, thinner coverage on weekends.
Sherbrooke Village runs a nonprofit shop with 149 beds in Saint Louis, and the nurses' hours look generous on paper, 4.85 per resident day, about a quarter above the national average. The catch is consistency: weekends drop roughly 18% below weekday coverage, and more than six in ten staff members leave each year, well above the 45.8% national rate. That churn shows up in the inspection record, where 49 deficiencies include 3 at harm or jeopardy level and 4 tied to abuse, with the most recent look coming in June 2024. Quality measures score well, but staffing and health inspection ratings sit at 2 out of 5.
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.
Delmar Gardens North runs 240 beds in Black Jack, and the staffing numbers are the first thing worth knowing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 42.9%, is slightly better than the 45.8% national figure, which is one genuine bright spot. The rest is harder: 34 deficiencies on the current record, including 3 at harm or jeopardy level and 2 tied to abuse, plus a $39,299 fine. Its last inspection was November 2025, so the record is recent.
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.
Monarch Springs runs thin on nursing staff, 2.87 hours per resident day against a national average of 3.86, and weekends drop roughly 12% below what the building already provides on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and notice. The inspection record adds weight: 34 deficiencies, two serious enough to involve harm or jeopardy, with the most recent state visit in July 2024. Corporate for-profit ownership and 119 certified beds round out the picture. Nothing here suggests abuse, and quality measures land mid-range, but the staffing numbers and the harm-level findings are the two things I'd ask about directly before choosing this one.
Life Care Center of Bridgeton runs on thin nursing coverage. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 15% below its own weekday levels. Staff turnover is the bigger tell: 68.2% annually, well above the 45.8% national figure, which means caregivers are constantly new to residents. The inspection record backs that up, 58 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus one fine of $21,801. The last inspection was February 2025, so the record is current. Ownership is for-profit, a limited liability company. Quality measures look decent; staffing is where the problems concentrate.
Nazareth Living Center runs on thin staffing margins. At 3.69 nurse hours per resident day, it sits below the national average, and weekends dip about 11% below its own weekday levels, so the hours when families visit most are often the leanest. The bigger warning sign is turnover: 77.4% of nursing staff leaving annually, well above the 45.8% national figure, which typically means less continuity for residents who need consistent caregivers. Its inspection record shows 49 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $11,928. The most recent inspection was March 2025, so the record is current, not stale. This nonprofit has real problems worth asking about directly.
Stonebridge Florissant runs on thin staffing. At 3.28 nurse hours per resident day, it sits roughly 15 percent under the national average, and weekends drop another 18 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover tells a related story: 75.9 percent of staff leave within a year, well above the 45.8 percent national figure, which means unfamiliar faces and constant retraining.
The inspection record is current, dated August 2025, with 37 deficiencies but none flagged at harm or jeopardy level, and none abuse-related. That's a meaningful distinction. Still, a 1-out-of-5 staffing rating with that churn rate is the number to weigh hardest when you tour.
Delmar Gardens On The Green runs 120 certified beds in Chesterfield under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average, though weekends run about 4% thinner than weekdays and annual turnover hits 57.7% against a national 45.8%, meaning the people providing that above-average care are cycling through fast. The clinical record is harder to defend: 30 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $46,589. A recent October 2024 inspection gives you current information, but a 1/5 quality measure rating alongside that deficiency count suggests the extra staffing hours aren't translating into measured outcomes.
Westchester House runs 159 beds in Chesterfield under corporate ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, with weekends about 9 percent thinner than weekdays. On top of that, 69 percent of its nursing staff turns over in a year against a national rate near 46 percent, so the people providing hands-on care are constantly changing. The inspection record shows 43 deficiencies, including two at the harm level and three tied to abuse, with one fine of $83,824 and a health inspection rating of 2 out of 5. Its quality measure score is a bright spot at 4 out of 5, but quality numbers rest on the staffing that produces them.
Creve Coeur Manor runs on 2.47 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 74.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 66 deficiencies, including one at the harm level and one abuse-related, with a single fine of $9,440. It's a for-profit limited liability company, 149 beds, last inspected November 2024.
Florissant Valley runs 3.94 nurse hours per resident day, a hair above the national average of 3.86, but look closer and the picture changes. Weekend staffing drops roughly 17% below the home's own weekday level, and annual turnover sits at 68.8% against a national figure of 45.8%, meaning most of the people caring for residents are relatively new and the weekend crew is thinner. The inspection record shows 72 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in November 2024. For a 98-bed for-profit corporate home, those numbers, not the staffing headline, are what a family should weigh.
Aegis Health and Rehabilitation in Wildwood runs 66 certified beds under individual for-profit ownership, and its federal record is a heavy one: 66 deficiencies logged, five of them at the level where residents were actually harmed or put in jeopardy. Staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection history is the sharpest signal. This home's last full inspection was in May 2025, and its health inspection star rating stands at 1 out of 5. One fine on record totals $275,739. Turnover at 41.7% is slightly better than the 45.8% national figure, but that's the only number here that isn't working against it. Ask about the plan of correction for those five harm-level citations before you tour.
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.
Frequently asked questions
How many Medicaid-certified nursing homes are there in St. Louis County, Missouri?
There are 68 Medicaid-certified Medicare-certified nursing homes in St. Louis County, Missouri, 99% of the 69 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In St. Louis County, Missouri they average 3.6 total nursing hours per resident per day, against 3.62 for all nursing homes in St. Louis County, Missouri, a difference of -0.02 hours. Staff turnover averages 58.7% against 58.7%.
Which Medicaid-certified nursing home grades best in St. Louis County, Missouri?