Showing 1 to 20
of 73, best-graded first.
Ballwin, MO · St. Louis County
★★★★★CMS 5/532 bedsNon-profitMedicaid
- 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.
Cape Girardeau, MO · Cape Girardeau County
★★★★★CMS 5/5274 bedsNon-profitMedicaid
- 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.
Columbia, MO · Boone County
★★★★★CMS 5/556 bedsNon-profitMedicaid
- 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.
Chesterfield, MO · St. Louis County
★★★★★CMS 5/563 bedsNon-profitMedicaid
- 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.
Kansas City, MO · Jackson County
★★★★★CMS 5/552 bedsNon-profitMedicaid
- 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.
Kansas City, MO · Jackson County
★★★★★CMS 5/516 bedsNon-profitMedicaid
- 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.
Chesterfield, MO · St. Louis County
★★★★☆CMS 4/5130 bedsNon-profitMedicaid
- 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.
Lincoln, MO · Benton County
★★★★☆CMS 4/566 bedsNon-profitMedicaid
- 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.
Kansas City, MO · Jackson County
★★★☆☆CMS 3/557 bedsNon-profitMedicaid
- 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.
Adrian, MO · Bates County
★★★★☆CMS 4/538 bedsNon-profitMedicaid
- 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.
Chesterfield, MO · St. Louis County
★★★★★CMS 5/598 bedsNon-profitMedicaid
- 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.
Saint Louis, MO · St. Louis County
★★★☆☆CMS 3/5144 bedsNon-profitMedicaid
- 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.
Springfield, MO · Greene County
★★★★☆CMS 4/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.94 /day
- Staff turnover
- 41%
- Serious cites
- 0
Maranatha Village runs on better-than-average nursing hours, 3.94 per resident day against a national 3.86, and its 40.8% turnover comes in under the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops roughly 14% below weekday levels, so pay attention to Saturday and Sunday care if you visit then. The 26 deficiencies on record include five tied to abuse, none reaching harm or jeopardy level, and the last full inspection was April 2024. Quality measures score at the top of CMS's scale, with staffing close behind; inspections sit in the middle.
Rolla, MO · Phelps County
★★★★★CMS 5/530 bedsNon-profitMedicaid
- Nurse hours
- 4.49 /day
- Staff turnover
- 53%
- Serious cites
- 0
Rolla Presbyterian Manor runs a tight ship on nurse staffing, 4.49 hours per resident day, about 16 percent more than the national average, enough to earn the top federal staffing rating. That's the strongest thing going for it. Turnover sits at 53.3 percent, though, higher than the 45.8 percent national figure, and weekend coverage dips roughly 8 percent below its own weekday level. Eight deficiencies appear on the current record, none involving harm or abuse, and the last inspection was in March 2025. As a small nonprofit with 30 beds, it's the kind of place where you can ask directly who stays on weekends and how long aides tend to last.
Saint Louis, MO · St. Louis County
★★★★★CMS 5/5130 bedsNon-profitMedicaid
- 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.
Kirkwood, MO · St. Louis County
★★★★★CMS 5/538 bedsNon-profitMedicaid
- 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.
Saint Louis, MO · St. Louis County
★★★☆☆CMS 3/5120 bedsNon-profitMedicaid
- 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.
Sedalia, MO · Pettis County
★★★☆☆CMS 3/566 bedsNon-profitMedicaid
- Nurse hours
- 5.85 /day
- Staff turnover
- 38%
- Serious cites
- 0
E W Thompson Health & Rehabilitation Center runs on more nursing hours than most homes, 5.85 per resident day against a national average of 3.86, and that staffing strength carries its ratings. Weekend coverage dips about 9% below weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 37.6%, better than the 45.8% national figure, so the people caring for residents tend to stay. The tradeoffs show up elsewhere: 15 deficiencies on the current record, one abuse-related, though none rose to harm or jeopardy level, and quality measures scored lower than staffing did. A January 2025 inspection means the record is recent. Nonprofit ownership, steady staffing, and no harm-level findings are real strengths; the quality and deficiency numbers are what hold it back.
Bridgeton, MO · St. Louis County
★★★☆☆CMS 3/5105 bedsNon-profitMedicaid
- 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.
Cabool, MO · Texas County
★★★★★CMS 5/599 bedsNon-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- 35%
- Serious cites
- 0
Kabul Nursing Homes is a nonprofit with 99 beds in Cabool, and its last inspection was recent, August 2025, with 12 deficiencies on record, none at the harm level and none related to abuse. The staffing picture is mixed: 3.14 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends run roughly 4% leaner than weekdays. What offsets that is stability, 35% turnover beats the national 45.8%, meaning the aides and nurses who are there tend to stay, which matters more for daily care than raw headcount alone.