344 Chain-Owned Nursing Homes in Missouri

Nurse hours

3.85 /day

Staff turnover

50%

Serious cites

0

The Maples sits at 120 beds in Springfield under individual for-profit ownership, and its last full inspection was in March 2025, recent enough that the 22 deficiencies on record, including one at the harm level and two tied to abuse, reflect how the home is running now rather than problems long since fixed. Staffing lands right at the national average of 3.86 nurse hours per resident day, but weekends run about 11% thinner than weekdays, and turnover hits 49.5% against a 45.8% national benchmark. Federal quality measures look strong at 5 out of 5 stars, which makes the inspection findings and the churn worth asking about directly.

Nurse hours

4.16 /day

Staff turnover

40%

Serious cites

0

Neighborhoods At Quail Creek runs a for-profit operation under a limited liability company, and the numbers tell a mixed story. Nurse staffing sits at 4.16 hours per resident day, about 8% above the national average, though weekends drop roughly 11% below the home's own weekday coverage. Staff turnover comes in at 40%, a bit better than the 45.8% national figure. The current inspection record shows 23 deficiencies, including 6 tied to abuse, though none reached the harm or jeopardy level, and the last inspection was in August 2024. Federal ratings place staffing at 4 out of 5 stars but quality measures at just 2, with health inspections at 3, worth asking about directly before you decide.

Nurse hours

3.01 /day

Staff turnover

47%

Serious cites

0

Meadow View runs on thinner staffing than most homes its size, 3.01 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends dip further, about 9% below its own weekday numbers, so the quietest shifts are also the leanest. The inspection record shows 44 deficiencies, including four at harm or jeopardy level and four tied to abuse, though the most recent inspection was February 2026, so that picture is current. Turnover sits at 46.5%, essentially matching the national rate rather than standing out either way. Quality measures score well; staffing and inspections are where the gaps live.

Nurse hours

3.83 /day

Staff turnover

56%

Serious cites

0

St. Clair Nursing Center in Franklin County scores a 5/5 on both health inspections and quality measures, and its last inspection was recent, February 2025, so the survey record is current. The staffing picture is where it gets less comfortable: 3.83 nurse hours per resident day, slightly under the national average, with weekends running about 12% leaner than weekdays. Annual turnover of 56.2% is well above the 45.8% national figure, which matters because constant churn tends to make consistent care harder. The home carries 8 deficiencies, one at the harm level, and a single $12,735 fine. Strong inspections and quality marks, thinner staffing and high turnover, that's the trade-off worth weighing.

Nurse hours

3.30 /day

Staff turnover

44%

Serious cites

0

Independence Manor runs about 3.30 nursing hours per resident per day, roughly 15% under the national average of 3.86, a real gap if your family member needs help with daily tasks or has complex medical needs. The current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and state inspectors were last in the building in December 2025. Staff turnover of 43.6% sits slightly better than the national 45.8%, and weekend coverage barely dips from weekday levels. Ownership is for-profit corporate, and its quality measure rating of 2 out of 5 is the softest number in the file.

Nurse hours

3.73 /day

Staff turnover

63%

Serious cites

0

Brookhaven runs 90 beds under corporate ownership, and its staffing is the part that stands out, 3.73 nurse hours per resident day sits a little under the national average, and weekends drop roughly 15% below its own weekday coverage. That thin weekend margin matters more when turnover is 62.5% against a national 45.8%, because replacements are constantly learning the building. The inspection record shows 37 deficiencies, none flagged at harm or jeopardy level, though four are abuse-related and the last survey was December 2024. None of this reads as dangerous, exactly; it reads as a building running lean on people while staying in reasonable regulatory standing. The quality and inspection ratings land mid-range, and the staffing rating is where the strain shows.

Nurse hours

3.26 /day

Staff turnover

63%

Serious cites

0

Heritage Hall runs about 3.26 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage drops another 20% below its own weekday levels. Staff turnover sits at 62.8% against a national 45.8%, so aides and nurses are cycling through faster than at the typical home. What keeps this one from sinking is its inspection record: nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, with the most recent survey in August 2025 and four-star marks across health inspections, quality measures, and staffing. It's a corporation-owned, 60-bed building that looks solid on paper but asks a lot of a thin, churning workforce.

Nurse hours

3.93 /day

Staff turnover

40%

Serious cites

0

Heritage Nursing Center runs 3.93 nurse hours per resident day, a touch above the national average of 3.86, and its 40.4% turnover beats the 45.8% norm, both signs of a stable floor. Weekends are the soft spot: staffing drops roughly 18% below its own weekday level, so coverage thins when families tend to visit. The inspection record shows 11 deficiencies with none at harm level, though one is abuse-related, and the last survey was February 2026. Quality measure scores sit at 2 of 5 stars, which suggests the clinical outcomes data isn't keeping pace with the staffing picture.

Nurse hours

3.15 /day

Staff turnover

26%

Serious cites

0

McDonald County Living Center runs lean on nursing hours, 3.15 per resident day, roughly 18% under the national average, and weekends dip about 11% below its own weekday coverage. That's the weak spot. What partly offsets it: turnover here is 25.6%, well below the national 45.8%, so the staff who are present tend to stay, which matters for consistency of care. The current record shows 15 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Inspectors last visited in December 2024, and the home scores 4 out of 5 on both health inspections and quality measures, with staffing at 3. It's a for-profit corporate operation, and the numbers say decent care with thinner coverage than most.

Nurse hours

2.62 /day

Staff turnover

38%

Serious cites

0

Hilltop At Blue River runs about 2.62 nurse hours per resident day, roughly a third below the national average, and weekends drop another 11% under its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 37.9%, actually better than the national 45.8%. The split shows in the numbers: quality measures score 5/5, but staffing sits at 1/5 and inspections at 2/5, with 48 deficiencies on record, two at harm or jeopardy level and two abuse-related, plus a $34,704 fine. Last inspected March 2025. For-profit corporate ownership. Ask about weekday-to-weekend staffing and how those abuse findings were resolved.

Nurse hours

3.41 /day

Staff turnover

56%

Serious cites

0

Ashley Manor runs about 3.41 nursing hours per resident per day, roughly 12% under the national average of 3.86, and weekends dip another 14% below its own weekday staffing. That thin coverage shows up in the staffing rating. Turnover sits at 55.8% against a national 45.8%, so aides and nurses are cycling through faster than average. On paper, care quality looks solid, four stars each on health inspections and quality measures, with a January 2025 inspection and no deficiencies at the harm level. But 24 total deficiencies and one abuse-related finding on the record is a lot to carry, and it's the staffing math, not the inspection score, that families should weigh hardest here.

Nurse hours

2.73 /day

Staff turnover

65%

Serious cites

0

Maries Manor runs on 2.73 nurse hours per resident day, roughly a quarter below the national average, and the gap widens on weekends when staffing drops about 17 percent from its own weekday level. Annual turnover sits at 64.7 percent against a national 45.8, so nearly two of every three caregivers left last year, that churn matters more than any single inspection result. The record itself is fairly clean: 18 deficiencies, none causing harm or involving abuse, and the state was last in on August 14, 2025. This is a for-profit LLC running a 98-bed home that stays in compliance, but the day-to-day coverage is thin and the workforce doesn't stay.

Nurse hours

3.83 /day

Staff turnover

50%

Serious cites

0

Cypress Point runs 79 certified beds in Dexter under corporate for-profit ownership, and its nurse staffing sits just under the national average at 3.83 hours per resident day. That gap is small, but the weekend picture matters more: staffing drops roughly 20% below the home's own weekday levels, which is when families tend to visit and when problems often surface. Annual turnover hits 50%, above the 45.8% national figure, so the people at the bedside change often. Inspections look strong on paper, but the current record carries 16 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $73,743 fine.

Nurse hours

3.58 /day

Staff turnover

42%

Serious cites

0

Nhc Healthcare, Kennett runs 170 beds under corporate ownership, and its last health inspection came back clean at the top rating, 11 deficiencies on record, none of them causing harm or tied to abuse. That's the strongest part of the picture. Staffing is where it thins out: 3.58 nurse hours per resident day sits about 7% under the national average, and weekends drop roughly another 5% below the home's own weekday level. Turnover lands at 42%, a touch better than the 45.8% national figure. Inspection history looks solid; day-to-day coverage is the number worth asking about.

Nurse hours

3.07 /day

Staff turnover

45%

Serious cites

0

California Care Center runs about 3.07 nurse hours per resident per day, roughly 20 percent under the national average of 3.86, and weekends drop another 14 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover sits at 44.8 percent, essentially at the national rate. The five-star health inspection rating and a recent August 2024 inspection look strong on paper, but six deficiencies are on record, two of them at the harm or jeopardy level. A for-profit corporation owns the 60-bed home, and the staffing number is what pulls the overall picture down.

Nurse hours

4.04 /day

Staff turnover

64%

Serious cites

0

Farmington Presbyterian Manor runs a nonprofit home with 90 certified beds, and its staffing sits at 4.04 nurse hours per resident day, a bit above the national average of 3.86. That edge narrows on weekends, when coverage drops roughly 11 percent below the home's own weekday level, and annual turnover hits 64.4 percent against a national 45.8 percent, so the familiar faces aren't staying long. The inspection record is the strong part: a 5/5 health inspection star, last surveyed January 30, 2025, with 8 deficiencies on file and none at the harm or jeopardy level. Quality measures land at 3/5. Read together, the care environment looks safe and well-monitored, but the workforce churns enough to matter over a longer stay.

Nurse hours

3.05 /day

Staff turnover

37%

Serious cites

0

Hartville Care Center runs lean on nursing hours, 3.05 per resident per day against a national average of 3.86, roughly a fifth below it, and weekends drop another 12% under its own weekday level. Turnover sits at 36.7%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The current record shows nine deficiencies, none at the harm or jeopardy level, though two are abuse-related, and the last inspection was in June 2025. A four-star inspection history and four-star quality measures carry real weight here; the staffing number is the piece worth asking about directly.

Nurse hours

3.59 /day

Staff turnover

60%

Serious cites

0

Living Community of St Joseph runs 96 beds as a nonprofit, and its recent inspection history is the main thing to know. The home carries 36 deficiencies on its current record, including two at the harm or jeopardy level and three tied to abuse. Federal inspectors last visited in January 2025. Nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 9% below the home's own weekday coverage. Staff turnover is 60% a year against a national average of 45.8%, that's a lot of churn for residents who need consistent faces. CMS gives the home middling marks on health inspections and quality measures, with staffing scoring comparatively better.

Nurse hours

3.57 /day

Staff turnover

63%

Serious cites

0

Pioneer Skilled Nursing Center runs 96 certified beds in Marceline under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.57 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 18% below what the home staffs on weekdays. Annual turnover of 62.7% is well above the national 45.8%, which matters for how well staff know residents and how consistently care gets delivered. On the inspection side, the home carries 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Its last inspection was March 20, 2025, so the record is recent. State surveyors rated health inspections 3 out of 5 and quality measures 4 out of 5, while staffing earned 2 out of 5, the weakest mark of the three.

Nurse hours

3.38 /day

Staff turnover

56%

Serious cites

0

Shepherd Of The Hills Living Center runs 100 certified beds in Branson under for-profit LLC ownership, and its staffing is the weak point: 3.38 nurse hours per resident day against a national average of 3.86, with weekends about 19% thinner than its own weekdays. Annual turnover of 55.6% sits well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record backs that up, 30 deficiencies, including one at harm level and two related to abuse, with the most recent inspection in February 2026. Quality measures score well, but that staffing shortfall is the thing to ask about directly.