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344 Chain-Owned Nursing Homes in Missouri

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.

Every chain-owned nursing home in Missouri

Showing 341 to 344 of 344, best-graded first.

-

Not graded

Raintree Village

Lees Summit, MO · Jackson County

40 bedsFor-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
n/a
Serious cites
0

Raintree Village runs a small house, 40 beds, and staffs it well above the national average at 4.92 nurse hours per resident day. That cushion matters most on weekends, and here it thins by about 14% against the home's own weekday coverage, which is worth asking about directly since that's when families tend to visit and notice. The inspection record is thin: one deficiency on file, nothing at the harm or jeopardy level, no abuse citations, and the most recent state visit came in May 2025. Corporate ownership doesn't tell you much on its own, but combined with that staffing and citation picture, the numbers suggest a home that has been running clean.

-

Not graded

Ignite Medical Resort St Peters

Saint Peters, MO · St. Charles County

91 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
n/a
Serious cites
0

Ignite Medical Resort St Peters runs 91 certified beds as a for-profit limited liability company, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That's a real edge on paper, but weekends dip about 19% below the home's own weekday level, so the care you'd see on a Saturday isn't the care reflected in the headline number. The inspection record is the heavier issue: 23 deficiencies, two of them serious enough to reach harm or jeopardy. None were abuse-related. The last inspection was October 2025, so the findings are recent rather than stale.

-

Not graded

Annie's Garden Skilled Nursing

Sikeston, MO · New Madrid County

75 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
n/a
Serious cites
0

Annie's Garden runs 4.11 nurse hours per resident day, roughly 7% above the national average of 3.86, and its record is clean: no deficiencies at any level, none related to abuse, with an inspection completed in October 2025. The one pattern worth watching is weekends, when staffing drops about 16% below what the home runs during the week. That's not unusual in this industry, but it matters for a resident who needs more hands-on help on a Saturday than a Tuesday. The home is for-profit, owned by a limited liability company, licensed for 75 beds. A clean inspection record plus above-average staffing is a decent starting point, ask how they cover weekend shifts before you decide.

-

Not graded

St Louis Altenheim

Saint Louis, MO · St. Louis City County

73 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

St. Louis Altenheim is a 73-bed for-profit home in the city, run by a limited liability company. Its current record shows ten deficiencies, none of which rose to actual harm or jeopardy, that's the key distinction, since most citations at this level are paperwork and process problems rather than incidents where a resident got hurt. One abuse-related deficiency is on the books, though, and that's worth asking about directly. The last inspection was October 2025, so the findings are recent, not stale. What the numbers don't show is how the place is staffed day to day, and with a for-profit LLC operator, that's the question I'd press on before deciding.

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?
Lutheran Convalescent Home in Webster Groves, MO, grade A, 99 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 340 graded chain-owned homes in Missouri, 11 grade A and 66 grade D or F.
Do chain-owned nursing homes in Missouri accept Medicaid?
340 of the 344 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Missouri