Missouri Best Medicaid Nursing Homes 2026

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

4.54 /day

Staff turnover

35%

Serious cites

0

The Lutheran Home runs 4.54 nurse hours per resident day, roughly 17% above the national average, and weekends dip only about 8% below its own weekday level, a modest drop, not a cliff. Staff turnover sits at 34.9%, well under the 45.8% national figure, which matters for whether caregivers actually stick around long enough to know residents. Its last inspection was March 2025, with 8 deficiencies on record, none at the harm level and none abuse-related. A 274-bed nonprofit carrying 5/5 stars across health inspection, quality measures, and staffing is rare company. The numbers here are consistent, not lucky.

Nurse hours

4.88 /day

Staff turnover

35%

Serious cites

0

Lenoir Health Care Center runs on 4.88 nurse hours per resident day, about 27% above the national average, and its weekend staffing only dips roughly 5% below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 34.8% against a national average near 46%, so the people caring for residents tend to stick around. The trade-off is a longer deficiency record: 13 citations on file, including one abuse-related finding, though none rose to actual harm or jeopardy. Its last inspection was April 2025, and the nonprofit operator posts top marks across health inspections, quality measures, and staffing.

Nurse hours

3.50 /day

Staff turnover

21%

Serious cites

0

Macon Health Care Center runs on a for-profit corporate model with 84 certified beds, and its nursing hours land at 3.50 per resident day, about 9% under the national average of 3.86. Weekends get thinner still, roughly 19% below the home's own weekday staffing. What stands out is retention: turnover sits at 20.6% against a national average of 45.8%, meaning the people here tend to stay. The inspection record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2025. Quality and staffing measures both rate well above average, and while the raw nursing hours trail the norm, a stable workforce and a clean harm record count for something a family should weigh.

Nurse hours

3.93 /day

Staff turnover

34%

Serious cites

0

The Jeanne Jugan Center runs 52 certified beds in Kansas City under nonprofit ownership, and the numbers back up that mission-driven setup. Nurse staffing sits at 3.93 hours per resident day, a bit above the national average, with weekend coverage dipping about 10% below weekdays, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 34.1%, well under the national 45.8%, which matters because consistent caregivers know residents' routines. On inspections, the record is clean where it counts: four deficiencies total, none at the harm level, none abuse-related, and the most recent inspection was in August 2025. Quality measures score mid-range, so care outcomes look solid rather than exceptional.

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

4.20 /day

Staff turnover

43%

Serious cites

0

Delmar Gardens of O'Fallon runs on more nurse hours than most homes, 4.20 per resident day against a national average of 3.86, and staffing barely dips on weekends. Turnover sits at 42.7%, a bit better than the 45.8% national figure, which matters for whether your parent sees the same faces. The trouble is the inspection record: 39 deficiencies, one serious enough to reach harm or jeopardy level, and a 2-out-of-5 health inspection rating from CMS. The 5/5 quality measure score reflects clinical metrics like falls and infections, not the survey findings. A for-profit LLC operates the building. Five stars on quality measures with a two-star inspection history is a split record worth asking about directly.

Nurse hours

4.10 /day

Staff turnover

38%

Serious cites

0

Madison Medical Center is county-owned, and its 4.10 nurse hours per resident day sits about 6% above the national average, with a five-star staffing rating to back it up. Turnover runs 38.3%, noticeably better than the 45.8% national figure, so the people caring for residents tend to stay. Five deficiencies on record, none involving harm or abuse, and the last inspection was recent. The one thing to ask about: weekend staffing drops roughly 19% below weekday levels, so visit on a Saturday if you can.

Nurse hours

4.51 /day

Staff turnover

n/a

Serious cites

0

Hope Care Center runs on a small scale, 16 beds, nonprofit owned, and the staffing reflects that attention. At 4.51 nurse hours per resident day, it sits about 17% above the national average of 3.86, though weekend coverage drops roughly 17% below its own weekday level, so care may thin out on Saturdays and Sundays. The inspection record shows 27 deficiencies, none at the harm or jeopardy level, with one tied to abuse. State surveyors were last in the building in September 2025, so the picture is current. Quality measures score at the top of CMS's scale, and the health inspection rating is strong, but that abuse-related citation is worth asking about directly before you decide.

Nurse hours

3.81 /day

Staff turnover

29%

Serious cites

0

Lincoln Community Care Center runs on 3.81 nurse hours per resident day, just under the national average of 3.86, and weekend coverage drops roughly 14% from its weekday level, a gap worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 29.3%, well below the national 45.8%, so the aides and nurses here tend to stay. The inspection record shows 11 deficiencies, one serious enough to involve harm or jeopardy, and a single fine of $13,667; the most recent inspection was in January 2026.

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

5.46 /day

Staff turnover

41%

Serious cites

0

Bishop Spencer Place runs a nonprofit shop with 57 beds, and the staffing numbers stand out: 5.46 nurse hours per resident day, roughly 41% above the national average. Turnover sits at 40.6%, better than the 45.8% norm, though weekend coverage dips about 19% below weekday levels. The tradeoff shows up in its record, 25 deficiencies, including one at the harm level and one tied to abuse, plus an $8,021 fine. Last inspection was January 2026, so the picture is current. Strong hands on deck, but a survey history that needs watching.

Nurse hours

3.76 /day

Staff turnover

55%

Serious cites

0

Baptist Homes of Adrian runs 38 certified beds as a nonprofit, and its inspection history looks solid: seven deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, and a survey completed in November 2025. The staffing picture is where you'll want to pay attention. At 3.76 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip about 1% below its own weekday levels. Annual turnover of 54.5% runs well above the 45.8% national figure, which matters in a small building where residents see the same faces day to day.

Nurse hours

4.08 /day

Staff turnover

38%

Serious cites

0

Shirkey runs on county money, which usually means steadier budgets than the for-profit chains, and the staffing numbers bear that out, 4.08 nurse hours per resident day, about 6% above the national average. Turnover sits at 37.6%, well under the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The catch is on record: 47 deficiencies, one at the level that signals actual harm or jeopardy, and two tied to abuse. Inspectors were last in on May 8, 2025. Weekend coverage drops roughly 10% from weekday levels, so ask specifically who is on the floor on Saturdays.