73 Non-Profit Nursing Homes That Accept Medicaid in Missouri
73 of the 487 Medicare-certified nursing homes in Missouri (15%) are non-profit Medicaid-certified, and all are listed below. 13 of the 73 graded homes earn an A and 1 earn a D or F. Nurse staff turnover runs 46.9%, 9.1 points lower than the 56% across all homes there. Lutheran Senior Services At Meramec Bluffs in Ballwin grades highest at A (96 out of 100).
How non-profit Medicaid-certified homes in Missouri compare
This group set against every nursing home in Missouri, from the current CMS release.
Colonial Springs runs on thinner staffing than most homes its size, 3.27 nurse hours per resident day against a national average of 3.86, and weekends get about 15% less coverage than weekdays. That matters because nursing home needs don't pause on Saturdays. The 24 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the most recent inspection was December 2024, so the picture is current. Turnover sits at 46.5%, right around the national figure. Quality measures are where the home scores worst, at 1 out of 5 stars, which suggests residents aren't faring as well on clinical outcomes as the inspection history alone would indicate.
Pine View Manor runs on a paradox: staff stick around far better than average, 28.6% turnover against a national 45.8%, yet the CMS staffing rating sits at 1 out of 5, which means the retention isn't buying enough hands per resident. The inspection record is the bigger worry. Eighteen deficiencies, including one at the harm level and two abuse-related, with the most recent survey just completed in May 2025. A 2/5 on health inspections and 2/5 on quality measures round out a picture of a nonprofit home that keeps its people but hasn't kept pace on care.
Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.
Willow Care runs about 3.67 nursing hours per resident per day, roughly 5% under the national average, and weekends drop about 17% below its own weekday staffing. That gap matters more than the headline number, because weekends are when families often visit and when fewer eyes are on residents. Annual turnover sits at 58.6%, well above the 45.8% national figure, which means the aides and nurses caring for people here are, more often than not, relatively new to the building.
The inspection record is the bright spot: a 4-out-of-5 health inspection rating, 16 deficiencies on file, and none of them at the harm or jeopardy level, with nothing abuse-related. The last inspection was January 8, 2026. Quality measures, though, score 1 out of 5, and that's the split worth asking about on a tour.
New Haven Care Center runs a tight ship on inspections, a perfect five-star health inspection rating and a recent March 2025 survey with 13 deficiencies, none of them causing harm or involving abuse. That's a real strength. The staffing picture is different. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday coverage, so care can thin out exactly when families tend to visit. Turnover at 38.2 percent is better than the national 45.8 percent, meaning workers stay longer than most places. Low quality-measure scores (1/5) round out the concern.
Chateau Girardeau runs 4.26 nursing hours per resident per day, roughly 10% above the national average, and its most recent inspection from January 2025 turned up no deficiencies at the harm or jeopardy level and nothing abuse-related. That part is solid. The strain shows in the workforce: 65.7% annual turnover, well above the 45.8% national figure, and weekend staffing drops about 17% below the home's own weekday levels, so the hands-on coverage your family sees on a Tuesday isn't what shows up on a Saturday. Fourteen deficiencies sit on the current record, none serious, but the low quality-measure score suggests outcomes haven't kept pace with the hours billed.
Luther Manor runs 64 certified beds as a nonprofit corporation, and its federal ratings land low across the board: one star each for staffing and quality measures, two for health inspections. The record shows 28 deficiencies, including three at the harm or jeopardy level and four tied to abuse, that's a pattern families should ask about directly, not just a number. Staffing sits far enough below what CMS expects to earn a single star, which matters most on nights and weekends when needs don't pause. One fine totaling $13,270 appears on the record, and the last inspection closed in October 2025, so the findings are recent rather than historical. Nonprofit ownership alone doesn't fix any of this.
Ozark Riverview Manor runs 3.15 nurse hours per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday levels. That staffing pattern, plus 63% annual turnover compared with 45.8% nationally, helps explain the two-out-of-five marks on both staffing and quality measures. The home carries 20 deficiencies, including one at the harm level and one abuse-related, and a $30,319 fine. Its last inspection was in December 2025, so the record is fairly current. As a nonprofit, it isn't chasing a quarterly number, but the numbers here still show thin coverage and a workforce that keeps changing.
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.
Ash Grove Healthcare Facility runs on thinner staffing than most homes you'll compare it to, about 3.20 nurse hours per resident day against a national average near 3.86, with weekends dropping roughly 16% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when residents still need the same hands. Annual turnover of 63.6% is well above the 45.8% national figure, so the people providing that care are changing often. The inspection record is genuinely decent: a 4-out-of-5 health inspection rating, no deficiencies at the harm or jeopardy level, and a current survey from January 2025. But 16 deficiencies including two abuse-related citations, and a 1-out-of-5 quality measure rating, mean the day-to-day clinical picture doesn't match the strong inspection score.
Copper Rock Healthcare in Rogersville runs about 90 beds as a nonprofit, and the staffing numbers are the first thing that stands out. At 3.54 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 11 percent below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 77.6 percent, against a national rate near 46 percent, means the people caring for residents are cycling through fast. The current record carries 24 deficiencies, including one at the harm level and three tied to abuse.
Armour Oaks is a 38-bed nonprofit home in Kansas City, and the staffing numbers are the first thing I'd ask about. At 3.27 nurse hours per resident day, it runs roughly 15% under the national average, and weekends drop about 9% below its own weekday levels. The bigger concern is turnover: two out of three caregivers left last year, against a national rate near 46%. Inspections in August 2025 turned up 35 deficiencies, including one at the harm level and four tied to abuse. Ownership is nonprofit, which sometimes signals stability, but the current record doesn't show it here. I'd ask direct questions about who's actually on the floor on Saturday.
Abode Health and Wellness Center in Independence has more direct-care nursing hours than the typical U.S. nursing home, 4.21 per resident day against a national average of 3.86. That's the one number here that looks reassuring, and it comes with a caveat: weekend staffing drops about 4% below the home's own weekday level.
Everything else on the record is hard to get past. CMS has cited 80 deficiencies, including one at the harm or jeopardy level and nine tied to abuse. Fines total $269,476 across 24 penalties, and the home sits in Medicare's Special Focus Facility program, reserved for the country's most persistently troubled homes. Its last inspection was in February 2025. Staffing hours don't fix an inspection record like that.
Frequently asked questions
How many non-profit Medicaid-certified nursing homes are there in Missouri?
There are 73 non-profit Medicaid-certified Medicare-certified nursing homes in Missouri, 15% of the 487 nursing homes there.
Are non-profit Medicaid-certified nursing homes better staffed?
In Missouri they average 3.94 total nursing hours per resident per day, against 3.43 for all nursing homes in Missouri, a difference of +0.51 hours. Staff turnover averages 46.9% against 56%.
Which non-profit Medicaid-certified nursing home grades best in Missouri?