344 Chain-Owned Nursing Homes in Missouri

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

4.88 /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

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

4.43 /day

Staff turnover

35%

Serious cites

0

Manor At Elfindale runs on more nursing hours than most places, 4.43 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 34.9% versus 45.8% nationally. Weekends get thinner, though, dropping about 16% below weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The home carries 10 deficiencies on its current record, none at the harm level, one tied to abuse; that last one deserves a direct question about what happened and what changed. A November 2025 inspection means the picture is recent.

Nurse hours

3.58 /day

Staff turnover

37%

Serious cites

0

Riverbend Heights runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 36.7%, better than the 45.8% national figure, so aides and nurses tend to stick around longer than at the typical home. The tradeoff shows up in inspections: 37 deficiencies on record, including one at harm or jeopardy level and three abuse-related, with the last inspection in June 2024. Quality and staffing measures rate well; the inspection history is where the risk concentrates.

Nurse hours

4.14 /day

Staff turnover

25%

Serious cites

0

Medicalodges Butler runs a 105-bed for-profit operation in Bates County, and the numbers behind its grade are mostly about consistency. Nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average, and the 25% annual turnover is well below the 45.8% typical nationwide, that matters, because stable staff usually means residents see familiar faces. Weekend coverage does dip about 15% below its own weekday level, so ask how that plays out on Sundays. The last inspection was in September 2025 and the current record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related.

Nurse hours

2.84 /day

Staff turnover

27%

Serious cites

0

Wilson's Creek runs a 172-bed for-profit operation in Springfield, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 27% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 26.9% against a national 45.8%, meaning aides and nurses tend to stick around. Inspections look good on paper, but 18 deficiencies are on the current record, including one at the harm level and four tied to abuse. Ask about those four before you decide anything.

Nurse hours

3.45 /day

Staff turnover

29%

Serious cites

0

Nhc Healthcare, Maryland Heights runs 220 certified beds under for-profit limited liability ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating with 15 total deficiencies, none at the harm or jeopardy level. One abuse-related deficiency is on the record, which is worth asking about directly. Staffing is where the picture gets mixed: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. The offsetting strength is retention, 28.6% annual turnover against a 45.8% national average means familiar faces, which matters for daily care. Quality measures also rate 4/5.

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.

Nurse hours

3.70 /day

Staff turnover

39%

Serious cites

0

Clark's Mountain runs lean on direct care: 3.70 nurse hours per resident day sits about 4% under the national average, and weekends drop roughly 17% below its own weekday staffing. The tradeoff shows up in consistency, not credentials, 38.5% annual turnover is better than the 45.8% national figure, and a 5/5 health inspection rating with just 5 deficiencies, none at harm level and none abuse-related, suggests a stable core staff that knows the building. Quality measures also score 5/5. Inspectors were last in on January 31, 2025. The weak spot is the staffing rating itself, so if your family member needs frequent hands-on help, ask how weekend coverage actually works on the unit.

Nurse hours

3.47 /day

Staff turnover

44%

Serious cites

0

Northwood Hills runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building manages Monday through Friday. That pattern matters, because weekends are when families often can't visit and problems go unnoticed longest. The inspection record shows 33 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Turnover sits at 43.6%, slightly better than the national figure. The most recent inspection was November 2024. Three stars across health inspections, quality measures, and staffing tells you this is a middle-of-the-road operation: not failing, not excelling. Worth a visit on a weekend afternoon to see what staffing actually looks like.

Nurse hours

3.38 /day

Staff turnover

44%

Serious cites

0

Country Meadows runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends dip another 8% below its own weekday schedule. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and the health inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in July 2025. The quality measure side is the softer spot. What you're looking at is a for-profit corporate home that inspectors have found little to fault, but where the daily nurse hours your family member actually sees will land below what most homes provide.

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.

Nurse hours

3.03 /day

Staff turnover

44%

Serious cites

0

Springfield Rehabilitation runs 146 beds under corporate ownership, and its nurse staffing sits at 3.03 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 43.6%, slightly better than the 45.8% national figure, which matters less than the raw hours when aides are stretched. The inspection record shows 31 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in May 2024. Quality measures score well; the inspection history and daily staffing tell the more grounded story.

Nurse hours

n/a /day

Staff turnover

38%

Serious cites

0

Medicalodges Neosho runs on leaner nurse staffing than most homes, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 13% below its own weekday coverage. The trade-off shows up in its people: turnover sits at 37.8%, well under the 45.8% national figure, which suggests a steadier crew than the typical for-profit building. Inspections back that up. The 2024 survey turned up 11 deficiencies, but none rose to harm or jeopardy level; one was abuse-related. Quality measures scored 5/5, and the last inspection is recent enough to trust. For families weighing staffing hours against consistency, that's the real question here.

Nurse hours

2.95 /day

Staff turnover

63%

Serious cites

0

St Francois Manor runs 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 11% below its own weekday staffing. Annual turnover sits at 62.8% against a national 45.8%, meaning a large share of the people caring for residents weren't there a year ago. The inspection record is cleaner than that suggests: 21 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. The for-profit limited liability company that owns it has kept the building out of serious trouble. What families should weigh is whether staffing and turnover hold up on a Saturday night, not just on paper.

Nurse hours

4.00 /day

Staff turnover

61%

Serious cites

0

Linden Woods Village sits in Gladstone with 40 certified beds under for-profit LLC ownership. The clinical picture is genuinely strong on paper: a 4/5 inspection rating, a 5/5 on quality measures, and 12 deficiencies on record with none at the harm level and none abuse-related. Staffing runs 4.00 nurse hours per resident day, roughly 4% above the national average, but weekends drop about 12% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger flag is turnover at 61.1% against a national 45.8%, nearly a third higher. Consistent caregivers matter for people who can't advocate for themselves, and that churn is worth asking about directly.