344 Chain-Owned Nursing Homes in Missouri

Nurse hours

3.99 /day

Staff turnover

66%

Serious cites

0

Sunterra Springs Springfield runs 38 beds under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, slightly above the national average of 3.86. That margin narrows on weekends, when coverage drops about 15% below the home's own weekday level. Staff turnover is the bigger issue: 66% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new or on their way out. The inspection record shows 29 deficiencies, including one at the harm level and three tied to abuse, with 12 fines totaling $67,701. The most recent inspection was June 2, 2025. Quality measures score well, but the inspection and turnover numbers are what families should weigh.

Nurse hours

3.24 /day

Staff turnover

60%

Serious cites

0

Life Care Center of Carrollton runs a 120-bed for-profit partnership, and the numbers split in two directions. The quality measure score is strong at 4 out of 5, but the staffing score sits at 2, nurse coverage averages 3.24 hours per resident day, about 16% under the national figure of 3.86, and weekends drop roughly 15% below the home's own weekday level. Turnover is 59.6% against a national 45.8%, meaning well over half the nursing staff leaves each year. Inspections in April 2025 turned up 33 deficiencies, none at harm or jeopardy level, though four are abuse-related, and health inspection came in at 3 out of 5. Families should ask how the home covers weekend shifts and what those abuse citations involved.

Nurse hours

5.42 /day

Staff turnover

56%

Serious cites

0

Delmar Gardens South runs on more nursing hours than most homes in the country, 5.42 per resident day against a national average of 3.86, and weekend coverage slips only about 6% below weekdays. That's the strongest thing it has going. The trade-off shows up in turnover: 55.9% of staff leave each year, well above the 45.8% national figure, which matters for how well residents know their caregivers. Inspections look solid, ten deficiencies with one at the harm level and no abuse citations, and the most recent visit was September 2024. Quality measures score low, though, so the daily care picture is more mixed than the staffing numbers suggest.

Nurse hours

3.49 /day

Staff turnover

59%

Serious cites

0

Life Care Center of Waynesville runs 120 certified beds under corporate ownership, and its staffing tells the story here: 3.49 nurse hours per resident day, about 10% under the national average, with weekends running roughly 8% thinner than weekdays. Annual turnover sits at 59.1% against a national 45.8%, which means the aides and nurses at the bedside keep changing. The current record shows 32 deficiencies, including one at the harm level and two tied to abuse. Fines total $22,081, and the last inspection was March 2025. The 4/5 quality measure rating reflects good clinical numbers on paper; the 2/5 staffing rating and three-star inspection record show what happens between the measurements.

Nurse hours

2.91 /day

Staff turnover

27%

Serious cites

0

Sunset Health Care Center runs a 120-bed for-profit operation in Union, and the numbers tell two different stories. The clinical quality measures look strong at 4 out of 5 stars, and a 26.7% turnover rate is well below the national average of 45.8%, that kind of stability matters for residents who need consistent caregivers. But nurse staffing sits at 2.91 hours per resident day, roughly a quarter below the national figure of 3.86, and weekend coverage drops another 9% below its own weekday level. Then there's the inspection record: 26 deficiencies, including one at the harm level and two tied to abuse, with a 2-star health inspection rating and the most recent survey in May 2025.

Nurse hours

2.72 /day

Staff turnover

44%

Serious cites

0

Sunrise Nursing & Rehabilitation runs 2.72 nursing hours per resident day against a national average of 3.86, roughly 30 percent less hands-on care than typical. Weekends drop another 11 percent below the home's own weekday staffing, and 34 deficiencies sit on the current record, including five tied to abuse and one flagged at the harm or jeopardy level. The 43.5 percent turnover rate is slightly better than the national figure, which helps, and the most recent inspection was in June 2025, so the record is current. What stands out is the split: federal quality measures score 5 out of 5, while inspectors and the staffing calculation both land at 2. This is a for-profit, individually owned 152-bed home where the care numbers, not the quality scores, are the part to weigh.

Nurse hours

3.54 /day

Staff turnover

66%

Serious cites

0

Life Care Center Of St Louis runs about 8% under the national average for nurse staffing, and weekends dip roughly 11% below its own weekday levels, that's when families often notice the difference. Staff turnover sits at 66.4%, well above the 45.8% national figure, so the person caring for your relative may not be there in six months. The health inspection record shows 37 deficiencies, one serious enough to reach harm or jeopardy level, plus a $15,646 fine; the most recent inspection was in January 2026. Quality measures score well, but strong chart numbers and a thin, churning floor staff are two different pictures of the same building.

Nurse hours

2.93 /day

Staff turnover

31%

Serious cites

0

Cuba Manor runs 90 certified beds as a for-profit corporation, and the numbers telling the clearest story here are about who's on the floor. Nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below the home's own weekday levels. The tradeoff is stability: turnover is 31.4%, well under the 45.8% national figure, so the aides and nurses you'd meet are likelier to stick around. The health inspection side is genuinely strong, a 4-out-of-5 CMS rating, with the most recent inspection in December 2024 and 20 deficiencies on record, none tied to harm or abuse.

Nurse hours

3.30 /day

Staff turnover

46%

Serious cites

0

Hillcrest Care Center runs 120 certified beds in De Soto under corporate for-profit ownership. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekends drop about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Its inspection history is the strongest part of the picture: the last survey was in January 2026 and the health inspection rating is 4 out of 5, though the record still carries 22 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single $10,845 fine. Staff turnover matches the national average at 45.8%.

Nurse hours

3.46 /day

Staff turnover

54%

Serious cites

0

Magnolia Square runs on about 3.46 nurse hours per resident per day, roughly 10% under the national average, and staffing thins out on weekends, about 23% below the home's own weekday level. Annual turnover sits at 53.8%, well above the national 45.8%, so the people caring for your relative are changing often. The inspection record shows seven deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $26,215 fine; the last inspection was February 2025. Ownership is a for-profit limited liability company. The 4/5 quality measure score reflects charted care outcomes, but it doesn't offset thin staffing or those inspection findings.

Nurse hours

3.52 /day

Staff turnover

40%

Serious cites

0

Stonebridge Chillicothe runs about 3.52 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 17% below its own weekday level, that gap is where problems tend to surface. The inspection history is genuinely strong on paper, a five-star health inspection rating with the most recent survey in January 2025, but seven deficiencies sit on the current record, including one at the harm level and one tied to abuse. Staff turnover at 40% is better than the 45.8% national figure, though it still means a lot of new faces. Corporate for-profit ownership, 75 beds, and thin weekend staffing are the context behind a middling grade.

Nurse hours

3.77 /day

Staff turnover

49%

Serious cites

0

Delmar Gardens of Chesterfield runs 227 certified beds under a for-profit limited liability company, and its staffing sits a bit thin, 3.77 nurse hours per resident day, roughly 2% under the national average, with weekends about 9% lighter than its own weekdays. Annual turnover is 48.8%, above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 39 deficiencies, including one tied to abuse; none reached harm or jeopardy level, and the most recent inspection was August 2025. Federal ratings land at 3 of 5 for health inspections and 2 of 5 for both quality measures and staffing.

Nurse hours

3.07 /day

Staff turnover

43%

Serious cites

0

Warrenton Manor runs 120 beds in Wright City under corporate ownership, and its nurse staffing sits at 3.07 hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 43.2%, slightly better than the 45.8% national figure, which matters less than the raw hours. The inspection record shows 47 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. State inspectors last visited in March 2025. Quality measure scores rank lowest; staffing scores mid-range.

Nurse hours

3.36 /day

Staff turnover

45%

Serious cites

0

Nixa Nursing & Rehab runs 82 certified beds under corporate ownership, and its last full inspection came back clean at the harm level, nine deficiencies total, none causing injury or jeopardy, though two were abuse-related. Staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, and weekends dip about 11% below the home's own weekday coverage. Turnover of 45.1% lands right at the national norm, so retention isn't the problem here; raw hours are. The five-star inspection history and four-star staffing rating carry real weight, but a two-star quality measure score and thin weekend coverage are the tradeoffs worth asking about before you decide.

Nurse hours

3.38 /day

Staff turnover

44%

Serious cites

0

Lake Stockton Healthcare Facility runs on thinner nursing hours than most homes, 3.38 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 44.2%, roughly in line with the national rate. The inspection record is strong: a five-star health inspection rating, no deficiencies at the harm level, and the last survey in March 2024. But 17 total deficiencies, including one abuse-related, and a two-star quality measure rating show the clinical picture isn't as clean as the survey history suggests.

Nurse hours

3.86 /day

Staff turnover

47%

Serious cites

0

Houston House sits right at the national average for nurse staffing, 3.86 hours per resident day, essentially matching it. But that average hides a drop on weekends, when coverage runs about 11% thinner than on weekdays, and turnover is slightly worse than typical at 47.2%. The inspection record is the stronger part of the story: a recent February 2025 survey, 21 deficiencies but none at the harm level, though one is abuse-related and worth asking about directly. Quality measure scores come in at 2 out of 5, which tends to reflect resident outcomes rather than the building itself. For-profit individual ownership means the person answering to regulators is also the person collecting the revenue. Ask about weekend coverage and that abuse citation before you decide.

Nurse hours

3.18 /day

Staff turnover

52%

Serious cites

0

Parkwood runs on 3.18 nursing hours per resident day, about 18% under the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 51.6%, above the 45.8% national figure, which means many of the people caring for your relative are new to the building. The current record carries 65 deficiencies, including one at the harm or jeopardy level and two tied to abuse; its last inspection was August 2024. Inspections and quality measures each score 2 out of 5, staffing 1 out of 5. Corporate-owned, 130 beds. Ask how the low-staffing shifts are actually covered.

Nurse hours

2.52 /day

Staff turnover

44%

Serious cites

0

Glasgow Gardens runs on thin staffing: 2.52 nurse hours per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels. That shortfall is what drags its CMS staffing rating down to 1 out of 5, even though turnover at 44% is basically in line with the national figure. The good news sits elsewhere. Its last inspection was in April 2025 and produced a 4-star health inspection rating, with 16 deficiencies on record but none at the harm level and none related to abuse. Quality measures also score 4 stars. For a 59-bed for-profit home, the care record looks solid; the question is whether there are enough hands on duty each day.

Nurse hours

3.59 /day

Staff turnover

53%

Serious cites

0

Crowley Ridge Care Center runs 90 certified beds in Dexter under individual for-profit ownership, and the staffing picture is the weak spot. At 3.59 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends drop roughly 8% below its own weekday levels. Annual turnover of 52.6% tops the national 45.8%, so aides and nurses cycle through faster than average. The inspection record looks stronger at first glance, a recent March 2025 survey, 11 deficiencies with none at harm or jeopardy level, but two are abuse-related, which families should ask about directly.

Nurse hours

3.71 /day

Staff turnover

55%

Serious cites

0

Monterey Park Rehabilitation & Health Care Center is a 122-bed for-profit in Independence with a solid recent inspection record, a 4/5 health inspection rating and 25 total deficiencies on the books, none at the harm or jeopardy level. That's a cleaner picture than plenty of homes its size carry. Staffing is where the story turns. At 3.71 nurse hours per resident day, it runs about 4% under the national average, and weekends drop roughly 13% below its own weekday level. Annual turnover sits at 54.7%, well above the 45.8% national figure. That churn is hard on residents who rely on familiar faces. There's also one abuse-related deficiency on record, worth asking about directly. The last inspection was November 2025.