344 of the 487 Medicare-certified nursing homes in Missouri (71%) are chain-owned, and all are listed below. 11 of the 340 graded homes earn an A and 66 earn a D or F. They average 3.3 nursing hours per resident per day, 0.13 hours below the 3.43 for every home in Missouri. Lutheran Convalescent Home in Webster Groves grades highest at A (99 out of 100).
How chain-owned homes in Missouri compare
This group set against every nursing home in Missouri, from the current CMS release.
Nursing hours per resident per day
3.3
All homes in Missouri: 3.43
Worse than the local average
Nurse staff turnover
57.3%
All homes in Missouri: 56%
Worse than the local average
Average ElderGrade score
64.2/100
All homes in Missouri: 65.7/100
Worse than the local average
Grade spread
B
C
D
11 grade A, 92 grade B, 171 grade C, 66 grade D,
The best-graded chain-owned home in Missouri is
Lutheran Convalescent Home
in Webster Groves, MO, grade A, 99/100.
Alpine Breeze runs on 2.40 nurse hours per resident day, roughly 38% under the national average, and weekends drop about 14% below what the home already provides on weekdays. Staff turnover sits at 58.6% against a national 45.8%, so the people giving care keep changing. The inspection record shows 53 deficiencies, including 3 at harm or jeopardy level and 6 abuse-related, with $35,683 in fines across three penalties; the last inspection was August 2025. Quality measures score well, but that's the part of the record families can't easily verify, the staffing and inspection numbers are the ones that describe daily life there.
Quail Run runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 8 percent below its own weekday staffing. With 63.5% annual turnover, versus 45.8% nationally, that shortfall means a rotating cast of caregivers, which matters more in a building this size, 84 beds, than the raw hours suggest. The 45 deficiencies on record include nothing flagged at the harm or jeopardy level and no abuse citations, so what's documented is largely process and paperwork problems rather than injuries. The last inspection was November 2024, recent enough to reflect current conditions. Two out of five stars across health inspections, quality measures, and staffing tells the same story on all three fronts.
Capitol River Wellness & Rehabilitation runs 120 beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.66 nurse hours per resident day, it sits about 5% under the national average, weekends drop roughly 13% below its own weekday coverage, and annual turnover hits 64.5% against a national 45.8%, that's a lot of churn for a building this size. The current record shows 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $14,446. Quality measures score well, but staffing is the weak point, and with the last inspection in December 2024, ask directly how they hold weekday coverage steady on Saturdays and Sundays.
Carroll House runs on 2.44 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That thin coverage sits behind a two-star staffing rating and a two-star inspection record: 26 deficiencies, three tied to abuse, one serious enough to reach harm or jeopardy, plus an $84,890 fine. Staff turnover, at 45.2%, is essentially the national norm, so the problem isn't retention, it's how few hands are scheduled per resident. The most recent inspection was July 2025, and the quality measure rating sits higher than the rest.
Stonebridge Westphalia runs 64 certified beds in Osage County under corporate for-profit ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average. Weekends are thinner still, about 15% below the home's own weekday level, so coverage dips when families tend to visit. Annual turnover of 56.7% is well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. The last inspection was July 2025, so the picture is reasonably current.
Prairie View runs 3.59 nurse hours per resident day, roughly 7% under the national average, and weekends drop about 11% below its own weekday staffing. The government's staffing and quality measure ratings both land at 1 out of 5 stars, which tracks with that thin coverage. Inspections are a different story, a 4-star health inspection rating, no harm-level or abuse-related deficiencies, and a survey as recent as April 2025. The 18 total deficiencies are mostly paperwork-level. Owner is a for-profit LLC. If your family member needs skilled nursing care, the clinical side looks okay; the daily direct-care hours are the thing to watch.
Parkdale Manor runs on 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 21% below its own weekday staffing. That thin coverage is paired with 77.1% annual turnover, well above the 45.8% national figure, meaning the aides and nurses at the bedside change over constantly. The current record carries 51 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level, and the last inspection was in March 2025. It's a for-profit limited liability company operating 86 certified beds, with middling two-star marks for inspections and quality measures.
Southgate Living Center sits in Caruthersville with 94 certified beds and an individual for-profit owner. The staffing picture is the real story here: 3.57 nurse hours per resident day, about 8% under the national average, with weekends running roughly 18% thinner than weekdays, and half the staff turning over each year. Inspections look decent on paper, a 4 out of 5 star rating, most recent visit in March 2025, but 28 deficiencies sit on the record, including one at the harm or jeopardy level. One fine totaling $13,397. Quality measures come in at 3 stars. The pattern is a home that inspects reasonably well but runs lean on the people doing the daily work.
Stonebridge Lake Ozark runs 3.67 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 20% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 57.8% against a national 45.8%, a lot of the people on those shifts are new. The good news is inspections: a 4-star health inspection result, 16 deficiencies on record with none at the harm or jeopardy level. Two are abuse-related, which is worth asking about directly. The August 2024 inspection is recent enough to reflect current conditions. Ownership is for-profit, individual.
River Oaks runs a 90-bed home in Steele, and the staffing numbers are where I'd start. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level. Turnover is the bigger flag: 60.6% of staff leaving annually against a national 45.8% means aides and nurses are cycling through constantly, and that's hard on residents who need consistency. The inspection record shows 15 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus one fine of $41,389. The most recent inspection was in August 2025, so the picture is current. Ownership is for-profit, individual.
Nurse staffing at The Villa At Blue Ridge runs about 3.10 hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 12% under its own weekday level. That matters because direct care is what most shapes daily life, and here it's stretched.
The numbers behind the grade tell a clearer story than a letter can. Staff turnover sits at 73.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record, 40 deficiencies, including seven tied to abuse and one at the harm level, was last updated in October 2024, so it's recent, not stale. For-profit, limited-liability ownership. Worth asking hard questions before you decide.
Heart Of The Ozarks runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 14% below its own weekday staffing. Annual turnover sits at 52.9% against a national 45.8%, so nearly a third of the typical caregiver churn comes on top of an already thin floor. The good news is inspections: a 4/5 health inspection rating, with the last visit in August 2024 and none of the 23 deficiencies flagged at harm or jeopardy level, though two are abuse-related, which families should ask about directly. Quality and staffing measures both land at 2/5, and that gap between a clean inspection record and weak daily numbers is the whole story here.
Ignite Medical Resort Carondelet runs 162 certified beds in Kansas City under for-profit LLC ownership, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 7% below its own weekday numbers, and annual turnover hits 66% against a national 45.8%, so the people who remain are stretched thin. The current record carries 72 deficiencies, including one at the harm or jeopardy level and two tied to abuse. A 4/5 quality measure score stands out against a 1/5 staffing rating, and the last inspection was January 16, 2026. Ask about direct-care hours on weekends before you decide.
Point Lookout runs on thin staffing. At 2.59 nurse hours per resident per day, it sits about a third below the national average of 3.86, and weekends drop roughly another 15% below what the home manages on weekdays. That shows up in the federal staffing rating, which lands at the lowest tier. The inspection record carries 33 deficiencies, one of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in October 2024. Ownership is a for-profit corporation, and turnover at 47.9% edges past the national 45.8%. Quality measures rate below average at 2 out of 5.
Daybreak Nursing Center holds a five-star inspection record, with 13 deficiencies on file and none rising to harm or jeopardy, a genuinely clean survey history, and the last visit was recent, in November 2025. The problem sits on the staffing side. At 3.28 nurse hours per resident day, this for-profit home runs roughly 15% under the national average, and weekends dip about 8% below its own weekday numbers. Annual turnover of 55.7% sits nearly ten points above the national rate, meaning more than half the nursing staff leaves each year. Inspections say the care processes are sound; the daily coverage underneath them is thin and constantly rebuilding.
Oakdale Care Center runs on 2.57 nursing hours per resident per day, roughly a third below the national average of 3.86, and that thin coverage gets thinner on weekends, when staffing drops about 13% below its own weekday level. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. On paper the record has bright spots: a 4/5 health inspection rating, 22 deficiencies with none at the harm or jeopardy level, and a recent inspection in February 2026. One abuse-related deficiency is on the books, though. The staffing number is the one worth sitting with.
Crown Rehab runs about 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip another 13% below its own weekday numbers, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 45.2%, essentially matching the national rate, so retention isn't the problem here; raw hours are. The inspection record shows 31 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level, and the most recent survey was in March 2025. Cass County families weighing this one should ask how the weekend floor is actually staffed.
St Elizabeth Care Center runs on 1.70 nurse staffing hours per resident day, which is less than half the national average of 3.86, and weekends drop about 11% below its own weekday level, so the thinnest coverage happens when families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, and the home carries 42 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse. A single fine of $37,733 is on file. The last inspection was February 2025, so the record is recent rather than stale. Corporate ownership and a 1-out-of-5 staffing rating round out a picture worth weighing carefully.
Campbell Healthcare runs on 2.91 nurse hours per resident per day, roughly a quarter below the national figure of 3.86, and the gap widens on weekends, when staffing drops about 15% from its own weekday level. That thin coverage shows up in the federal staffing rating, which sits at the bottom of the scale, and in turnover of 52.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. Inspections look better: a recent visit in August 2025 and a clean record on harm and abuse, though 27 deficiencies remain on file. Corporate-owned and for-profit, this one leans on its survey record to offset weak day-to-day staffing.
Troy Manor runs on 2.57 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends dip another 11 percent below its own weekday levels. That thin coverage sits behind a one-star health inspection rating and a record of 71 deficiencies, including six at the harm or jeopardy level and ten tied to abuse. Two fines add up to $104,685. Staff turnover, at 38.3 percent, is actually better than the national 45.8 percent, and the quality measure rating is a middling three stars. But the last inspection was April 2024, and the staffing and inspection numbers are what families should weigh most.
Frequently asked questions
How many chain-owned nursing homes are there in Missouri?
There are 344 chain-owned Medicare-certified nursing homes in Missouri, 71% of the 487 nursing homes there.
Are chain-owned nursing homes better staffed?
In Missouri they average 3.3 total nursing hours per resident per day, against 3.43 for all nursing homes in Missouri, a difference of -0.13 hours. Staff turnover averages 57.3% against 56%.
Which chain-owned nursing home grades best in Missouri?