35 Nursing Homes That Accept Medicaid in Saint Louis, MO
35 of the 36 Medicare-certified nursing homes in Saint Louis, MO (97%) are Medicaid-certified, and all are listed below. 1 of the 34 graded homes earn an A and 12 earn a D or F. They average 3.3 nursing hours per resident per day, 0.06 hours below the 3.36 for every home in Saint Louis, MO. Friendship Village Sunset Hills in Saint Louis grades highest at A (85 out of 100).
How Medicaid-certified homes in Saint Louis, MO compare
This group set against every nursing home in Saint Louis, MO, from the current CMS release.
Nursing hours per resident per day
3.3
All homes in Saint Louis, MO: 3.36
Worse than the local average
Nurse staff turnover
61%
All homes in Saint Louis, MO: 60.9%
Worse than the local average
Average ElderGrade score
61/100
All homes in Saint Louis, MO: 61.5/100
Worse than the local average
Grade spread
B
C
D
1 grade A, 7 grade B, 14 grade C, 12 grade D,
The best-graded Medicaid-certified home in Saint Louis, MO is
Friendship Village Sunset Hills
in Saint Louis, MO, grade A, 85/100.
Every Medicaid-certified nursing home in Saint Louis, MO
River Crossing runs on thin staffing. At 3.52 nurse hours per resident day, it sits about 9% under the national average, and the gap widens on weekends, roughly 11% below its own weekday level, which is when families tend to visit and notice. Annual turnover of 65.6% against a 45.8% national average means aides and nurses cycle through faster than residents can get used to them, and CMS rates staffing 1 out of 5. The record shows 30 deficiencies, none at harm level but one tied to abuse, with the most recent inspection in January 2025. For-profit, LLC-owned, 120 beds.
Normandy Nursing Center runs on 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends dip about 12 percent below its own weekday staffing. That shortfall shows up in the numbers: 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with staff turnover at 56.3 percent against a national 45.8 percent. The last inspection was in May 2025, so the record is recent, not stale. A for-profit corporation owns the 116-bed home.
The Estates of St. Louis runs on 2.49 nurse hours per resident per day, about 35% under the national average, and weekend coverage drops roughly a fifth below its own weekday level. Staff turnover sits at 65.6%, well above the 45.8% national rate, which means the people caring for residents are constantly changing. Its inspection record shows 60 deficiencies, including two at the harm or jeopardy level and eight tied to abuse, plus a $66,640 fine. The quality measure score looks good on paper, but that's largely self-reported data, and it doesn't offset a one-star inspection history or thin staffing on weekends.
Estates of Spanish Lake runs on 2.30 nurse hours per resident day, roughly 40% under the national average, and weekend coverage dips about 13% below its own weekday level. The for-profit LLC carries 66 deficiencies on its current record, including 3 at harm or jeopardy level and 11 tied to abuse; two fines total $57,868, and the most recent inspection was April 2025. Staff turnover sits at 68.8% against a national 45.8%, meaning most of the people caring for residents are new to the building. The quality measure star comes in at 4 out of 5, but that number reflects charted outcomes, not the hands available to deliver care.
Magnolia Wellness Center runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 16% below its own weekday coverage. That thin staffing shows in the numbers that matter: 63.6% annual turnover, 81 deficiencies on the current record, seven of them at harm or jeopardy level, and six tied to abuse. Four fines total $209,790, and the last inspection was February 2024. The four-star quality measure rating reflects resident assessments, not the hands available to act on them; the one-star inspection and staffing ratings come closer to daily reality. A for-profit individual owner with this record is worth asking hard questions about before you decide.
Hidden Lake runs on 2.52 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends drop another 4% below its own weekday level. The inspection record shows 83 deficiencies, seven of them serious enough to indicate harm or jeopardy, three tied to abuse, plus $123,610 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care, and ownership changed within the past year. The last inspection was August 2024.
Grand Manor runs on about 2.00 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 20% below its own weekday level. That thin coverage shows up in the record: 46 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $99,988 fine. Inspectors were last on site September 13, 2024, and the federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. The for-profit limited liability company that owns it has kept the building certified, but the numbers describe a home where residents get substantially less nursing time than most places in the country.
Amberwood Estates runs on 0.71 nurse staffing hours per resident day, that's about a fifth of the national average of 3.86, and weekends drop roughly 13% below its own weekday level. Staff turnover sits at 84.5%, well above the national 45.8%, so the people around your family member change often. Inspectors documented 67 deficiencies, six tied to abuse, with $19,760 in fines; the most recent inspection was February 2026. It's a for-profit LLC with 115 beds. If you're considering this one, ask specifically how they cover nursing hours on weekends and how they screen and train staff.
Carrie Elligson Gietner Health Care Center runs 130 certified beds in Saint Louis, and the numbers behind its record aren't reassuring. Nurse staffing sits at 2.48 hours per resident day, roughly 36% under the national average of 3.86, and weekends run about 13% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The inspection history carries 55 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, along with two CMS fines totaling $92,561. The most recent inspection was in June 2024. Corporate for-profit ownership and a one-star inspection and staffing rating round out a picture worth weighing carefully against other options.
Bluebird Wellness and Rehabilitation runs on 2.96 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 18% below what the home itself staffs Monday through Friday. Turnover sits at 62.3% against a national 45.8%, so the aides and nurses present on any given shift are often new to the building.
The inspection record backs up the numbers: 84 deficiencies, eight of them serious enough to put residents in harm’s way and four tied to abuse, plus a $234,836 fine. CMS gave its lowest marks to both staffing and health inspections. At 188 beds under for-profit LLC ownership, this is a home where the people providing care are stretched thin and frequently replaced.
Fountain Care At Sunset Hills runs 166 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends drop another 6% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to be there. Annual turnover is 79.8%, against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 78 deficiencies, six at harm or jeopardy level and 13 abuse-related, with four fines totaling $119,588 and a survey completed in April 2025.
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.
Hillside Health Care Center runs on 2.46 nurse staffing hours per resident day, roughly a third less than the national average, and weekends drop about 15% below what it manages on weekdays. Annual turnover of 60.3% means most of the staff you'd meet are relatively new. The record shows 122 deficiencies, 17 of them at the harm or jeopardy level and 10 tied to abuse, plus $106,588 in federal fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was July 2024. If you're considering this one, ask what specifically has changed since then.
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.
St. Louis Altenheim is a 73-bed for-profit home in the city, run by a limited liability company. Its current record shows ten deficiencies, none of which rose to actual harm or jeopardy, that's the key distinction, since most citations at this level are paperwork and process problems rather than incidents where a resident got hurt. One abuse-related deficiency is on the books, though, and that's worth asking about directly. The last inspection was October 2025, so the findings are recent, not stale. What the numbers don't show is how the place is staffed day to day, and with a for-profit LLC operator, that's the question I'd press on before deciding.
Frequently asked questions
How many Medicaid-certified nursing homes are there in Saint Louis, MO?
There are 35 Medicaid-certified Medicare-certified nursing homes in Saint Louis, MO, 97% of the 36 nursing homes there.
Are Medicaid-certified nursing homes better staffed?
In Saint Louis, MO they average 3.3 total nursing hours per resident per day, against 3.36 for all nursing homes in Saint Louis, MO, a difference of -0.06 hours. Staff turnover averages 61% against 60.9%.
Which Medicaid-certified nursing home grades best in Saint Louis, MO?