344 Chain-Owned Nursing Homes in Missouri

Nurse hours

4.62 /day

Staff turnover

n/a

Serious cites

0

Nurse staffing at Anna House runs about 20% above the national average, at 4.62 hours per resident day, though weekends come in roughly 9% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. That combination, solid overall staffing but a recent serious finding, is why it lands in the middle of the pack rather than at the top. It's a nonprofit home with 105 beds, last inspected in September 2024, and CMS gives it three stars each for health inspections, quality measures, and staffing. Nothing here is alarming, but ask directly about that harm-level deficiency and how weekend coverage actually works.

Nurse hours

4.05 /day

Staff turnover

53%

Serious cites

0

Columbia Post Acute runs about 4.05 nurse hours per resident day, roughly 5% above the national average, and its staffing, inspection, and quality measure ratings all land at 4 out of 5. The catch is consistency: weekend staffing drops about 20% below weekday levels, and annual turnover sits at 52.9% against a national 45.8%. Its current record shows 13 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, with the last inspection in November 2024. For-profit ownership under an LLC is worth keeping in mind when you ask about retention and who's actually on the floor on Saturdays and Sundays.

Nurse hours

3.54 /day

Staff turnover

48%

Serious cites

0

Nhc Healthcare, West Plains runs lean on direct care: 3.54 nurse hours per resident day, roughly 8 percent under the national figure, and weekends dip another 7 percent below its own weekdays. That gap matters more than the total, since care doesn't pause on Saturdays. Staff turnover sits at 47.7 percent, a bit above the 45.8 percent national rate, which usually means familiar faces cycle out and training costs repeat. What offsets this is a clean inspection record: 13 deficiencies, none at the harm or jeopardy level, zero abuse-related, and the most recent state visit was February 2025, recent enough to trust. Corporate ownership and thin weekend coverage are the tradeoffs; the survey history is the strength.

Nurse hours

3.60 /day

Staff turnover

51%

Serious cites

0

New Madrid Living Center just passed a September 2025 inspection with a strong health inspection record, 5 out of 5 stars there, and its quality measures hold up well too. The softer spots are in the day-to-day numbers. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 13% leaner than weekdays, which is when families tend to notice. Staff turnover at 50.9% is higher than the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Eleven deficiencies are on record, two serious enough to involve harm or jeopardy, though none abuse-related, and one fine of $8,824 has been paid.

Nurse hours

3.58 /day

Staff turnover

33%

Serious cites

0

Pleasant Valley Manor Care Center runs 102 certified beds in Liberty under corporate for-profit ownership, and its inspection record is mostly clean, a 4-out-of-5 health inspection rating, with no deficiencies at the harm or jeopardy level. The 24 total deficiencies on file include three flagged as abuse-related, and one fine totaling $24,235, so it isn't spotless. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends run about 8% below its own weekday level, a dip families should ask about directly. Staff turnover, though, is 32.7% against a national 45.8%, which is meaningfully steadier than most homes. Last inspected September 2025.

Nurse hours

3.14 /day

Staff turnover

46%

Serious cites

0

Sunset Home runs on 3.14 nurse hours per resident per day, about 19% under the national average of 3.86, and weekends slip roughly 3% below its own weekday level. That thin margin is the whole story behind its one-star federal staffing rating, even though turnover (46.2%) sits close to the national figure and inspections and quality measures both land at three stars. What stands out on the record itself is 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse, worth asking about directly, especially given the for-profit LLC ownership. The most recent inspection was July 2025, so the findings are current rather than stale.

Nurse hours

4.51 /day

Staff turnover

54%

Serious cites

0

Stonebridge Oak Tree runs about 4.51 nurse hours per resident day, roughly 17% above the national average, which is the kind of number families notice when they're comparing homes. But that staffing thins on weekends, dropping around 12% below its own weekday level, and turnover sits at 54%, higher than the 45.8% national figure, so the people providing that care change often. The health inspection rating is 4 out of 5 with a recent survey from February 2025, though the record shows 18 deficiencies, including one at the harm level and one tied to abuse. For-profit individual ownership, 42 beds.

Nurse hours

4.71 /day

Staff turnover

38%

Serious cites

0

Lutheran Senior Services At Breeze Park runs a 50-bed nonprofit home in Saint Charles, and its nurse staffing sits around 4.71 hours per resident day, roughly a fifth above the national average, though weekends drop about 11% below its own weekday coverage. Staff turnover is 37.9%, better than the 45.8% national figure, and the last inspection was in March 2024. The record also shows 16 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $41,347. Strong daily staffing and steadier retention count for a lot here, but those harm-level findings and the abuse citation are the kind of history worth asking about directly before you decide.

Nurse hours

4.99 /day

Staff turnover

49%

Serious cites

0

Fountainbleau Lodge runs 33 beds in Cape Girardeau, and its nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekends drop about 18% below its own weekday level, so coverage thins out when families tend to visit. Turnover is 48.7%, a bit above the national 45.8%. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,827. The most recent inspection was September 2025, so the picture is fairly current.

Nurse hours

7.18 /day

Staff turnover

n/a

Serious cites

0

Delhaven Manor runs 7.18 nurse hours per resident day, roughly 86% above the national average, and that staffing earns a 4-star CMS rating. The catch is the weekend drop: hours fall about 18% below the home's own weekday level, so coverage is thinner exactly when inspections are less frequent. The health inspection record is the weak point, 48 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, plus a $73,048 fine. Quality measures score 5 out of 5, and the last inspection was November 2024. Corporate for-profit ownership, 156 beds. Strong daily staffing and good clinical measures, but a recent, documented history of serious compliance problems.

Nurse hours

3.79 /day

Staff turnover

47%

Serious cites

0

Parkview Health Care Facility runs on thinner nurse coverage than most homes, 3.79 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday numbers, which is where gaps tend to show up. Staff turnover sits at 47.1%, slightly above the national figure of 45.8%, so this is a place where you'll want to ask how long the current crew has actually been there. The positives are real: a clean inspection record with nine deficiencies, none at the harm level and none tied to abuse, a recent November 2024 survey, and solid marks for both inspections and quality measures. Nonprofit ownership under a corporation, 78 beds.

Nurse hours

4.00 /day

Staff turnover

41%

Serious cites

0

Clearview Nursing Center runs 90 certified beds in Sikeston under corporate ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day, roughly 4% above the national average, with turnover at 41% against a national 45.8%. Weekend coverage does dip about 13% below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 5, 2026, recent enough to trust. Where this home separates from itself is quality measures, which sit at 2 out of 5 stars even as staffing and inspections hold at 4. Ask what specifically is driving that gap.

Nurse hours

4.11 /day

Staff turnover

65%

Serious cites

0

Sunterra Springs Independence runs a small 38-bed operation under for-profit LLC ownership, and the raw staffing number looks decent, 4.11 nurse hours per resident day, roughly 7% above the national average. But that average hides two things: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 65.4% against a national 45.8%. When nearly two-thirds of your nursing staff leaves each year, consistent care gets hard to sustain. The 22 deficiencies on record include 4 tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was February 2025. Strong quality measure scores and a 4-star inspection rating are real, but the staffing picture is shakier than the headline number suggests.

Nurse hours

4.95 /day

Staff turnover

56%

Serious cites

0

Norterre runs a corporate-owned, 60-bed home in Liberty, and the numbers behind its B are mostly about staffing. It reports 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, though weekends dip about 13% below its own weekday level, so coverage isn't perfectly even across the week. Annual turnover sits at 55.8% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in January 2025. The quality measure rating is the strongest of its three CMS scores; staffing and health inspection both land in the middle.

Nurse hours

3.63 /day

Staff turnover

43%

Serious cites

0

Life Care Center of Brookfield runs about 3.63 nursing hours per resident day, roughly 6% under the national average, and weekends dip another 16% below its own weekday coverage. That gap matters more than the headline number, since care doesn't pause on Saturdays. The inspection record is the real concern: 40 deficiencies on file, eight of them serious enough to put residents at harm or jeopardy, and four tied to abuse. One fine totaling $45,159. Staff turnover sits at 43%, slightly better than the 45.8% national figure, and the quality measures look strong on paper. But a one-star inspection rating with recent findings from December 2024 is what a family should weigh hardest here.

Nurse hours

3.54 /day

Staff turnover

32%

Serious cites

0

Chaffee Nursing Center runs 3.54 nurse hours per resident per day, about 8% under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. That pattern matters more than the raw total, since gaps tend to show up when fewer people are watching. Turnover sits at 31.7%, well below the 45.8% national figure, which suggests the staff who are there tend to stay. The last inspection was in February 2025 and produced nine deficiencies, none at the harm level and none abuse-related. Quality measure scores are the weak spot here at 2 out of 5, so ask what those measures cover and whether they've been improving.

Nurse hours

4.14 /day

Staff turnover

47%

Serious cites

0

Heisinger Bluffs Healthcare Western Campus runs on 4.14 nurse hours per resident day, roughly 7% above the national average of 3.86, which is the main reason its staffing rating lands at 4 out of 5. The catch is weekends: coverage drops about 9% below what the home staffs on weekdays, so the hours aren't spread evenly across the week. Turnover sits at 46.8%, essentially level with the national 45.8%, and the home carries 24 deficiencies on its current record, none at the harm or jeopardy level, one abuse-related. Its last inspection was October 18, 2024, and the 4/5 health inspection rating suggests that survey went reasonably well.

Nurse hours

3.72 /day

Staff turnover

55%

Serious cites

0

Arrowhead Senior Living in Osage Beach runs on thinner staffing than most homes nationally, about 3.72 nurse hours per resident day against a 3.86 average, and weekends drop roughly 13% below its own weekday levels, so families should ask who's actually on the floor Saturday and Sunday. Turnover sits at 54.7%, well above the 45.8% national figure, which matters because caregivers who leave take familiarity with your parent with them. The inspection record is genuinely strong: a 5-star health inspection rating, 14 deficiencies with none at the harm level, and a recent October 2024 survey. One abuse-related deficiency is on the record, though, so ask directly how it was resolved.

Nurse hours

3.34 /day

Staff turnover

59%

Serious cites

0

Nhc Healthcare, St Charles runs about 3.34 nurse hours per resident each day, roughly 14% under the national average of 3.86, and weekends dip another 11% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. Turnover sits at 59% against a national 45.8%, which means many of the aides and nurses you'd meet are relatively new to the building. The inspection record is cleaner: eight deficiencies, none at the harm level, though one is abuse-related, and the last survey was in June 2024. Ownership is corporate for-profit, with 120 certified beds.

Nurse hours

3.02 /day

Staff turnover

51%

Serious cites

0

Republic Nursing & Rehab runs about 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends dip another 10% below its own weekday staffing. That matters more than the strong inspection and quality scores suggest, since 51% annual turnover means the aides and nurses around your relative are frequently new, and three abuse-related deficiencies sit on a record that otherwise shows no harm-level findings. Greene County families weighing this 127-bed corporate-owned home should ask how the weekend shift is actually covered before assuming the recent September 2025 inspection tells the whole story.