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.
Four Seasons Living Center runs 239 certified beds in Sedalia under corporate for-profit ownership, and the staffing numbers tell the clearest story: 1.57 total nurse hours per resident day against a national average of 3.86. That's about 59% below what residents elsewhere typically receive, and weekends run roughly 9% thinner than the home's own weekdays. Staff turnover sits at 71.1%, well above the 45.8% national figure, meaning the people providing care are constantly changing. The inspection record shows 60 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $25,605 and the most recent inspection dated December 8, 2025.
Sarcoxie Health Care Center runs on nurse staffing that lands at 1.49 hours per resident day, a little over a third of the national figure, and weekends drop roughly another quarter below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover sits at 84%. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and five tied to abuse, and the most recent survey was in March 2025. With 40 beds and corporate for-profit ownership, the numbers point to a home where day-to-day care depends on a small, constantly changing staff.
Lawson Manor runs on about 3.02 nurse hours per resident per day, roughly 22 percent under the national average, and weekends drop another 9 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 73.6 percent against a national 45.8, meaning most of the people caring for your relative are new to the building. The current record carries 62 deficiencies, three serious enough to involve harm or jeopardy and six tied to abuse, plus a $51,856 fine. Ownership is for-profit, through a limited liability company, and the last inspection was June 9, 2025.
Athene Nursing and Rehabilitation runs 282 certified beds in Town and Country under for-profit LLC ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop another 16% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover runs 61.2% against a national 45.8%, meaning the aides and nurses caring for residents are, more often than not, new to the building. The inspection record shows 111 deficiencies, including four at harm or jeopardy level and nine tied to abuse, with eight fines totaling $145,782. The most recent inspection was January 13, 2026, so the record is current, not old.
Buffalo Prairie Center has 66 deficiencies on its record, including two at the harm or jeopardy level and three tied to abuse. CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of serious problems, and the last inspection in October 2024 was recent enough that this is a current picture, not an old one. The one number that looks fine, 4.03 nurse hours per resident day, slightly above the national average, is undercut by 77.2% annual staff turnover, well above the 45.8% national figure. Ownership is a for-profit limited liability company, and a $92,080 fine is on file. High turnover means the people providing that care keep changing.
Legendary Health Care Center runs on 2.75 nurse hours per resident day, roughly 29% under the national average of 3.86, and weekend coverage drops about 16% below its own weekday level. Its current record carries 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus $93,208 in CMS fines across two penalties. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5. The last inspection was May 20, 2025, so the record is recent. If you're considering this home, ask specifically how they cover weekends and what's changed since that May inspection.
Aspire Senior Living Platte City runs 97 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.16 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 66.2% against a national 45.8% means caregivers cycle through fast, which matters for anyone who needs consistent eyes on a resident. The inspection record shows 70 deficiencies, including one at harm or jeopardy level and 11 abuse-related, with $70,892 in fines. A June 2025 inspection is recent enough that the picture is current, not stale.
Crestwood runs on 2.62 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 12% under its own weekday level. That thin coverage shows up in the numbers families can verify: a 1-star health inspection rating, 81 deficiencies on record, 8 of them serious enough to threaten harm, and 25 tied to abuse. Annual turnover sits at 64.6%, well past the 45.8% national figure, meaning the aides and nurses around your relative are likely new to the building. Two fines totaling $146,887 are on file from the state's last visit in June 2024, and the limited liability company that owns this 150-bed home answers to no one above it.
Atrium Place runs on 2.19 nurse staffing hours per resident day, roughly 43 percent under the national average, and weekends drop about 18 percent below what the home itself manages on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, with annual turnover at 82 percent against a national 45.8, meaning most of the people caring for residents this year likely won't be there next year. The record shows 46 deficiencies, four at harm or jeopardy level and four abuse-related, plus six fines totaling $171,429, with the most recent inspection in August 2024. For-profit, limited liability ownership rounds out the picture.
Rest Haven runs on 1.72 nurse hours per resident per day, less than half the national figure of 3.86, and weekends drop about 22% below what the home itself staffs during the week. Turnover sits at 68.5% against a national 45.8%. Inspectors logged 38 deficiencies, two of them harm-level and two abuse-related, with a $24,850 fine. That's a lot of record for an 86-bed for-profit building.
Clinton Healthcare runs 120 beds under corporate ownership, and the numbers that stand out most are on the staffing side. Nurses give 3.57 hours per resident per day against a national average of 3.86, weekends drop roughly 12% below the home's own weekday level, and annual turnover sits at 82.2%, nearly double the 45.8% national figure. On the inspection record, 31 deficiencies are logged, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $83,041. The last inspection was September 5, 2024. Ownership and consistency of care are the things to press on when you call.
Country View Nursing runs on 3.25 nurse staffing hours per resident day, about 16% under the national average, and weekend coverage drops roughly another 10% below its own weekday level. That thin bench turns over constantly, 82.6% annual staff turnover against a national average near 46%, which matters more in a 60-bed home where residents see the same few faces. The inspection record backs up the concern: 70 deficiencies, including 9 at harm or jeopardy level and 3 tied to abuse, with $192,533 in federal fines. All three CMS ratings, health inspections, quality measures, staffing, sit at the bottom. For-profit, limited liability ownership, last inspected January 2026.
Maryville Living Center runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday level, so the hours your family member gets on a Saturday are thinner than the weekday number suggests. Staff turnover is 68.9% against a national 45.8%, meaning roughly two of every three caregivers left within a year. The current record carries 42 deficiencies, including five at the harm or jeopardy level and five tied to abuse. Fines total $22,337, and the last inspection was June 19, 2025.
St. Peters Rehab and Healthcare Center carries a record that families should look at closely before deciding. The home is in CMS's Special Focus Facility program, a designation reserved for nursing homes with a persistent pattern of poor inspections, and the numbers behind that status are hard to read any other way: 101 deficiencies on the current record, six of them at the harm or jeopardy level, three tied to abuse, and four fines totaling $168,026. Staffing sits about 14% under the national average, weekends run roughly 18% thinner than weekdays, and annual turnover hits 67% against a 45.8% national figure, meaning the aides and nurses who do stay are often new.
Strafford Care Center runs on thin staffing: 3.16 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday levels. The workforce is churning hard, 82.3 percent annual turnover against a national average of 45.8, which matters because 76 deficiencies sit on the current record, including 14 tied to abuse and one at the harm or jeopardy level. Inspectors were last in on April 21, 2025, and a $52,456 fine stands against the limited-liability company that owns the place. Every CMS rating category here, health inspections, quality measures, staffing, comes in at one out of five. Families weighing this home should start by asking who's actually on the floor on a Saturday.
Gregory Ridge is a 116-bed for-profit home in Kansas City, and the numbers behind its record are hard to argue with. Nurse staffing sits at 2.37 hours per resident day, roughly 39% below the national average, and it thins out further on weekends. Staff turnover runs 68.4% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new or on their way out.
That instability shows up in the inspection record: 100 deficiencies, 15 of them at harm or jeopardy level, 18 abuse-related, and six fines totaling $708,002. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
North Village Park runs on 1.60 nurse hours per resident per day, roughly 59% below the national average, and weekends drop about 17% below its own weekday numbers. Staff turnover sits near 70%, well above the 45.8% national figure. On its current record: 129 deficiencies, 25 involving harm or jeopardy, 26 abuse-related, and 11 fines totaling $521,334. This is a for-profit LLC of 183 certified beds with a one-star health inspection rating, a one-star staffing rating, and a place in CMS's Special Focus Facility program. Its most recent inspection was December 12, 2025.
Meramec Nursing runs on 2.79 nurse hours per resident day, roughly 28% below the national average, and weekends drop about 16% below what the home already provides on weekdays. Staff turnover sits at 76.9% against a national figure of 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The inspection record shows 26 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, plus $46,449 in fines. A 1-out-of-5 quality measure score alongside a 1-out-of-5 staffing score tells you the federal data itself flags concerns here across multiple dimensions, not just one.
Bentwood runs 116 certified beds in Florissant under for-profit LLC ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, which matters because that's when families often visit and when problems can go unnoticed. The bigger signal is turnover: 77.3 percent of staff leaving in a year, well above the 45.8 percent national figure. On the record are 60 deficiencies, four of them serious enough to involve harm or jeopardy, plus three tied to abuse, and two fines totaling $107,465. The most recent inspection was February 24, 2026.
Arbor Hills runs 150 beds in Ferguson under for-profit LLC ownership that changed hands less than a year ago. Nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, and weekends dip about 18% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 79.8% is far above the 45.8% national figure, meaning the aides and nurses your relative sees are likely to keep changing. The current record carries 65 deficiencies, including 7 at harm or jeopardy level and 10 abuse-related, plus $282,840 in fines across two penalties. A February 2026 inspection is recent, but the pattern behind it isn't.
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?