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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

Showing 61 to 68 of 68, best-graded first.

D

48.5/100

Heritage Care Center

Saint Louis, MO · St. Louis County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
1.85 /day
Staff turnover
75%
Serious cites
0

Abuse icon on record

Heritage Care Center runs on 1.85 nurse staffing hours per resident day, roughly half the national average, and weekends drop another 23% below its own weekday level. That thin coverage shows up in the record: 95 deficiencies, 15 of them involving harm or jeopardy to residents, 17 tied to abuse, and six fines totaling $424,748. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents keep changing. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was September 9, 2025. The four-out-of-five quality measure rating rests on a staffing and inspection picture that is among the weakest CMS tracks.

D

47.5/100

Manchester Rehab And Healthcare Center

Ballwin, MO · St. Louis County

CMS 1/5137 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
n/a
Serious cites
0

Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.

D

46.5/100

Athene Nursing And Rehabilitation

Town And Country, MO · St. Louis County

CMS 1/5282 bedsFor-profitMedicaid
Nurse hours
2.90 /day
Staff turnover
61%
Serious cites
0

Abuse icon on record

Athene Nursing and Rehabilitation runs 282 certified beds in Town and Country under for-profit LLC ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover runs 61.2% against a national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record shows 111 deficiencies, including four at harm or jeopardy level and nine tied to abuse, with eight fines totaling $145,782. The most recent inspection was January 13, 2026, so the record is current, not old.

D

46/100

Crestwood Health Care Center

Florissant, MO · St. Louis County

CMS 1/5150 bedsFor-profitMedicaid
Nurse hours
2.62 /day
Staff turnover
65%
Serious cites
0

Abuse icon on record

Crestwood runs on 2.62 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the numbers families can verify: a 1-star health inspection rating, 81 deficiencies on record, 8 of them serious enough to threaten harm, and 25 tied to abuse. Annual turnover sits at 64.6%, well past the 45.8% national figure, meaning the aides and nurses around your relative are likely new to the building. Two fines totaling $146,887 are on file from the state's last visit in June 2024, and the limited liability company that owns this 150-bed home answers to no one above it.

D

45.5/100

Atrium Place Health And Rehabilitation

Saint Louis, MO · St. Louis County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
2.19 /day
Staff turnover
82%
Serious cites
0

Atrium Place runs on 2.19 nurse staffing hours per resident day, roughly 43 percent under the national average, and weekends drop about 18 percent below what the home itself manages on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, with annual turnover at 82 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. The record shows 46 deficiencies, four at harm or jeopardy level and four abuse-related, plus six fines totaling $171,429, with the most recent inspection in August 2024. For-profit, limited liability ownership rounds out the picture.

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

Bentwood Nursing & Rehab

Florissant, MO · St. Louis County

CMS 1/5116 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
77%
Serious cites
0

Bentwood runs 116 certified beds in Florissant under for-profit LLC ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, which matters because that's when families often visit and when problems can go unnoticed. The bigger signal is turnover: 77.3 percent of staff leaving in a year, well above the 45.8 percent national figure. On the record are 60 deficiencies, four of them serious enough to involve harm or jeopardy, plus three tied to abuse, and two fines totaling $107,465. The most recent inspection was February 24, 2026.

D

41.5/100

Arbor Hills Care & Rehab Center

Ferguson, MO · St. Louis County

CMS 1/5150 bedsFor-profitMedicaid
Nurse hours
3.37 /day
Staff turnover
80%
Serious cites
0

Arbor Hills runs 150 beds in Ferguson under for-profit LLC ownership that changed hands less than a year ago. Nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, and weekends dip about 18% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 79.8% is far above the 45.8% national figure, meaning the aides and nurses your relative sees are likely to keep changing. The current record carries 65 deficiencies, including 7 at harm or jeopardy level and 10 abuse-related, plus $282,840 in fines across two penalties. A February 2026 inspection is recent, but the pattern behind it isn't.

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?
Lutheran Convalescent Home in Webster Groves, MO, grade A, 99 out of 100.
Does being Medicaid-certified mean a nursing home is safe?
No. Of the 68 graded Medicaid-certified homes in St. Louis County, Missouri, 7 grade A and 22 grade D or F.
Do Medicaid-certified nursing homes in St. Louis County, Missouri accept Medicaid?
68 of the 68 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in St. Louis County, Missouri