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.
Fulton Manor runs on thin staffing: 2.60 nurse hours per resident per day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 85.9%, nearly double the national rate, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 49 deficiencies, six tied to abuse, with the most recent survey in January 2025. The corporate owner operates for profit. Taken together, the numbers describe a home where care depends heavily on a workforce that keeps changing.
Aspire Senior Living Excelsior Springs runs 108 beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.01 nurse hours per resident day, it sits about 22% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover of 59.6% means well over half the nursing staff leaves each year, national turnover runs 45.8%. The current record lists 34 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. The last inspection was recent, January 2026. A 3/5 on health inspections and 2/5 on quality measures suggest the care itself isn't the main concern here, the thin, unstable staffing is.
Camdenton Windsor Estates runs on thin staffing: 2.78 nurse hours per resident day against a national average of 3.86, and weekends dip about 16 percent below its own weekday levels, so coverage is scarcest exactly when families tend to visit. Three out of four employees left over the past year, the national figure is closer to 46 percent, and CMS rates the home 1 out of 5 on quality measures and 2 out of 5 on both staffing and health inspections. Its record shows 45 deficiencies, including one at the harm level and two tied to abuse. The last inspection was April 10, 2025.
Bernard Care Center runs on 1.99 nurse hours per resident day, roughly half the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in its CMS staffing rating of 1 out of 5, and the health inspection and quality measure ratings sit at 2 out of 5 each. State inspectors have cited 68 deficiencies, none rising to harm or jeopardy and none abuse-related, with one fine of $37,388 on record. Turnover is 45.3%, basically in line with the national figure. The last inspection was December 2025. Ownership is a for-profit limited liability company.
Valley View runs about 3.13 nurse hours per resident day, roughly 19% under the national average, and the gap widens on weekends when staffing drops another 17%. That thin coverage sits behind a 2-out-of-5 CMS staffing rating, and with 62.5% of staff turning over annually against a national 45.8%, caregivers are cycling through faster than residents can get to know them.
The inspection record shows 25 deficiencies, including 3 at the harm or jeopardy level and 2 tied to abuse. Two fines totaling $62,733 have been levied, and the most recent inspection was October 2024. This individually owned, for-profit home in Moberly carries real compliance problems alongside its staffing shortfall.
Aegis Health and Rehabilitation in Wildwood runs 66 certified beds under individual for-profit ownership, and its federal record is a heavy one: 66 deficiencies logged, five of them at the level where residents were actually harmed or put in jeopardy. Staffing sits at 3.41 nurse hours per resident day, roughly 12% under the national average, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. The inspection history is the sharpest signal. This home's last full inspection was in May 2025, and its health inspection star rating stands at 1 out of 5. One fine on record totals $275,739. Turnover at 41.7% is slightly better than the 45.8% national figure, but that's the only number here that isn't working against it. Ask about the plan of correction for those five harm-level citations before you tour.
Fair View Health Care Center runs about 3.64 nurse hours per resident day, roughly 6% under the national average, and weekends dip another 11% below its own weekday staffing. That thin coverage lines up with the federal staffing and quality ratings both sitting at 1 out of 5, while the inspection rating reached 3, the surveyors found problems, but nothing at the harm or jeopardy level. Thirty-five deficiencies sit on the current record, including one abuse-related finding, from an inspection dated August 2024. The corporate for-profit owner keeps 75 beds certified here, and families weighing this Sedalia home should ask directly how the weekend shift is covered.
Marymount Manor runs 174 beds in Eureka under corporate ownership, and its staffing is thinner than it looks at first glance, 3.69 nurse hours per resident day sits below the national average of 3.86, and weekends drop roughly 8% below what the home itself staffs on weekdays. The bigger concern is stability: 56.3% annual turnover means more than half the nursing staff leaves each year, well above the 45.8% national figure. On inspections, the record shows 51 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with a $132,696 fine and a June 2025 inspection. The pattern in these numbers, heavy turnover, weekend shortfalls, repeat serious findings, is what drives the low marks on quality and inspection performance despite the staffing star.
Stonebridge Villa Marie runs on thin staffing. At 3.15 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the number that stands out most: 74.3% of staff leave each year, against a national average of 45.8%, which means the people caring for residents are often new and still learning the building. The health inspection record shows 33 deficiencies, two tied to abuse, though none reached the level of actual harm or jeopardy. Last inspected in August 2024 under for-profit limited liability ownership.
Milan Health Care Center runs on 2.01 nurse staffing hours per resident day, roughly half the national figure of 3.86, and weekends drop about 11% below its own weekday level. That thin coverage shows up in the numbers: a one-star CMS staffing rating, a one-star inspection rating, and 45 deficiencies on the current record, including two at the harm or jeopardy level and eight tied to abuse. Staff turnover sits at 58.8% against a national 45.8%, so the people providing that care keep changing. Inspectors were last in on March 5, 2025, and one fine of $49,897 stands against the home. Corporate-owned, 100 beds, quality measures rated mid-pack, the staffing and inspection picture is where the concern lives.
New Mark Rehab runs 199 beds in Kansas City under for-profit LLC ownership, and its nursing hours come in around 3.51 per resident day, roughly 9% under the national average, with weekends dipping another 9% below its own weekday coverage. That thin schedule sits alongside a 70.6% annual turnover rate, well above the 45.8% national figure, meaning the staff present are often new. The inspection record shows 44 deficiencies, including four at harm or jeopardy level and six tied to abuse, with two fines totaling $12,279 and a June 2025 inspection. CMS rates staffing 1 out of 5 stars and health inspections 2 out of 5, while quality measures land at 3.
Westview Nursing Home runs on 2.32 nurse hours per resident day, roughly 40% under the national average of 3.86, and weekend coverage drops about 10% below its own weekday level. Staff turnover sits at 62.5% against a national 45.8%, so the aides and nurses who know your mother's routine may not be there in six months. Its inspection record is the harder problem: 49 deficiencies, six at harm or jeopardy level, two tied to abuse, and a $42,680 fine, with the last inspection in May 2025. The quality measure score looks decent, but that reflects charted care, not the staffing that delivers it.
Blue Springs Wellness & Rehabilitation runs on 2.69 nurse hours per resident day, roughly 30% under the national average, with weekends about 12% thinner than weekdays. That staffing shortfall sits alongside a 68.9% annual turnover rate, well above the national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record shows 66 deficiencies, including three at harm or jeopardy level and one tied to abuse, with $116,230 in fines and a March 2025 inspection. The five-star quality measure rating reflects resident assessment data, not the hands available to deliver care.
Hill Crest Manor runs about 3.01 nurse staffing hours per resident each day against a national average of 3.86, roughly a fifth less hands-on time than most homes provide, and weekends dip further below its own weekday pattern. Staff turnover sits at 54.2%, well above the 45.8% national figure, so the people caring for residents are changing often. The inspection record shows 45 deficiencies, including one tied to abuse, and federal fines total $13,033. CMS rates its staffing, quality measures, and inspection results at the low end, with the most recent state visit in January 2025. This is a for-profit, individually owned 90-bed home in Caldwell County where the numbers point to thin coverage and a rocky regulatory history.
Eastview Manor runs on 2.12 nurse staffing hours per resident day, roughly 45% under the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. That thin margin shows up in the inspection record: 106 deficiencies, eight serious enough to put residents in harm's or jeopardy's way, and 11 tied to abuse. The health inspection rating sits at 1 out of 5 stars, and two fines total $163,472 against a for-profit limited liability company. Turnover runs 48.1%, a bit above the national 45.8%. The quality measure score is 4 stars, but that's built from reporting, not from enough hands on the floor.
Silverstone Place runs on 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 5% below its own weekday levels. Staff turnover sits at 57.7% against a national 45.8%, so more than half the nursing staff leaves each year. The 33 deficiencies on record include two abuse-related citations, though none reached harm or jeopardy. A June 2025 inspection is recent, and the 4/5 health inspection rating suggests the building itself is kept in reasonable order, but a 1/5 staffing rating and 2/5 quality measures tell you where the strain shows up. Ask about weekend coverage and how they retain aides before deciding.
Jackson Manor runs a tight ship on inspections, a five-star health inspection rating and a clean record with no deficiencies at the harm level and nothing abuse-related is genuinely hard to find. The problem sits on the staffing side. At 3.35 nurse hours per resident day, it runs about 13 percent under the national average, and weekends drop roughly 19 percent below its own weekday numbers. Annual turnover of 64.3 percent is well above the 45.8 percent national figure, which means the people delivering care keep changing. Its quality measure rating is middling too. For-profit, individually owned, 90 beds. If you're considering it, ask how they cover weekend shifts and how long the current director of nursing has been there.
Sikeston Convalescent Center runs 120 certified beds under individual for-profit ownership, and its inspection record looks solid on the surface, a 4-out-of-5 health inspection rating, with the most recent survey completed in April 2026. The staffing numbers tell a different story: 3.85 nurse hours per resident day sits essentially at the national average of 3.86, but weekend coverage drops roughly 17% below the home's own weekday levels, and annual turnover hits 61.2% against a national average of 45.8%. Quality measures score just 1 out of 5. There are 27 deficiencies on record, one at the harm level, and a single fine of $13,627.
Stonebridge Maryland Heights runs 223 beds under corporate ownership, and the numbers suggest a building stretched thin. Nurses provide 3.50 hours of care per resident daily, roughly 9% under the national average, and weekends drop about 16% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Turnover sits at 66.1% against a national 45.8%, meaning most of the people caring for your relative are new and likely to leave. The inspection record shows 46 deficiencies, two tied to abuse, with the most recent state visit in February 2025. Staffing, inspections, and quality measures all land at two stars.
Beauvais Rehab runs 184 beds in St. Louis under for-profit LLC ownership, and the staffing numbers tell the clearest story: 3.24 nurse hours per resident day against a national average of 3.86, with weekends dipping about 15% below its own weekday coverage. That thin margin shows up in who's actually there on a Sunday. Staff turnover sits at 64.1%, well above the 45.8% national figure, and the inspection record carries 66 deficiencies, including five at harm or jeopardy level and four tied to abuse, plus a $64,695 fine. The most recent inspection was March 2025, so the record is current rather than stale. A 1-out-of-5 staffing rating and 2s on inspections and quality measures describe a home where the gaps are consistent, not isolated.
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?