344 Chain-Owned Nursing Homes in Missouri

Nurse hours

2.68 /day

Staff turnover

40%

Serious cites

0

Cameron Nursing Center runs about 2.68 nursing hours per resident per day, roughly a third below the national average, and weekends are thinner still, around 12% under its own weekday level. That staffing shortfall shows up plainly in the numbers: 50 deficiencies on the current record, including one tied to abuse, though none at the harm or jeopardy level. Turnover sits at 39.6%, a bit better than the national 45.8%, so the people who stay are staying. The Clinton County home is corporate-owned, last inspected March 2025, and its quality measures look stronger than its inspection and staffing picture. Ask about weekend coverage specifically.

Nurse hours

3.19 /day

Staff turnover

49%

Serious cites

0

Stonebridge Hermann runs a 118-bed for-profit home in Gasconade County, and the numbers pull in two directions. The health inspection side looks solid, a 4-star rating there, last surveyed in September 2024, with eight deficiencies on record and none involving harm, jeopardy, or abuse. Quality measures earned a 5. But staffing is where the picture thins out: 3.19 nurse hours per resident day against a national average of 3.86, and weekends run about 13% leaner than weekdays. Annual turnover of 48.9% sits above the 45.8% national figure. Good inspection history and strong quality scores, but the day-to-day coverage is lighter than most homes, and that's worth asking about directly.

Nurse hours

3.02 /day

Staff turnover

63%

Serious cites

0

Tipton Oak Manor runs lean on nurses. At 3.02 hours per resident day, its staffing sits about 22% under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage. That thin schedule shows up in the numbers: 62.7% of staff left over the past year, well above the 45.8% national rate, and CMS gives staffing 2 out of 5 stars. Inspections tell a better story, 4 stars, 17 deficiencies on record with none at the harm or jeopardy level, though one is abuse-related. The most recent visit was August 2024. Quality measures land at 3 stars. A for-profit corporation owns the 66-bed home.

Nurse hours

3.52 /day

Staff turnover

44%

Serious cites

0

Foxwood Springs Living Center runs 108 certified beds in Raymore under for-profit LLC ownership, and the numbers show a home that's middling across the board. Nurse staffing sits at 3.52 hours per resident day, roughly 9 percent under the national average, and weekends dip about 7 percent below its own weekday coverage, so care gets thinnest exactly when families tend to visit. The inspection record carries 29 deficiencies, including one at the harm level and one tied to abuse, plus a $13,627 fine; the most recent inspection was January 2025. Turnover of 43.5 percent is slightly better than the national 45.8 percent, but it isn't enough to offset the thin staffing and the deficiency history.

Nurse hours

4.81 /day

Staff turnover

42%

Serious cites

0

Communities of Wildwood Ranch runs on for-profit corporate ownership, and its 120 beds are staffed at 4.81 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, and turnover sits at 42.1%, slightly better than the 45.8% national figure. The problem is quality measures: CMS scores that category 1 out of 5, despite a 5 out of 5 on health inspections. Twelve deficiencies sit on the current record, including one at the harm level and one tied to abuse. Staffing and inspection results look strong on paper; the quality numbers pull the other direction.

Nurse hours

3.73 /day

Staff turnover

47%

Serious cites

0

Tiffany Springs runs 120 beds in Kansas City under corporate ownership, and the staffing numbers tell a mixed story. Nurses provide 3.73 hours per resident day, a bit under the national average, and weekend coverage drops roughly 13% below what the home staffs on weekdays, worth knowing if your visits fall on Saturdays or Sundays. Annual turnover sits at 47%, slightly above the national figure. What stands out more is the inspection record: 44 deficiencies, three of them serious enough to put residents at harm or jeopardy, and two fines totaling $48,152. The most recent inspection was January 2026, so the picture is current. Quality measures score well, but quality scores reflect specific clinical metrics, not day-to-day supervision or the problems inspectors actually found.

Nurse hours

3.24 /day

Staff turnover

63%

Serious cites

0

Birch Pointe runs 120 beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.24 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly another 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 63.3% against a national 45.8% means caregivers are cycling through steadily, which matters for anyone who needs consistent hands on deck. The record shows 30 deficiencies, including one at harm or jeopardy level and four tied to abuse, with the most recent inspection in February 2025.

Nurse hours

3.86 /day

Staff turnover

61%

Serious cites

0

Northland Rehabilitation runs 118 beds in Kansas City under for-profit LLC ownership, and its staffing sits right at the national average of 3.86 nurse hours per resident day, not below it, but weekends drop about 14% from weekday coverage, which is when families tend to visit and notice. The bigger issue is turnover: 60.9% annually against a national average of 45.8%, meaning roughly six in ten staff left within the year. Inspections in July 2025 turned up 20 deficiencies, including one at harm or jeopardy level and three tied to abuse. A 3/5 on health inspections and quality measures, with staffing at 2/5, tells you where the pressure points are.

Nurse hours

3.62 /day

Staff turnover

42%

Serious cites

0

Delmar Gardens West is a 321-bed for-profit home in Town and Country, and the numbers pull in different directions. Nurse staffing sits at 3.62 hours per resident day, about 6% under the national average, and weekends run roughly 3% thinner than weekdays, so the floor is leanest exactly when families tend to visit. Turnover at 42.4% is slightly better than the 45.8% national figure, which matters for consistency of care. What weighs things down is the inspection record: 30 deficiencies, two at harm or jeopardy level and one abuse-related, plus $22,623 in fines, with the most recent inspection in April 2025. The staffing rating is strong; the quality measure rating is not. Ask about weekend coverage and how those harm-level deficiencies were corrected.

Nurse hours

3.28 /day

Staff turnover

50%

Serious cites

0

Nhc Healthcare, Joplin runs 124 certified beds under for-profit limited liability ownership, and its last inspection was recent, August 4, 2025, so the 31 deficiencies on record, including one at the harm or jeopardy level and four tied to abuse, reflect current conditions rather than old problems. Staffing is where the numbers get hardest to ignore: CMS gives it 1 out of 5 stars, and annual turnover sits at 50 percent, above the 45.8 percent national average. Inspection and quality measure ratings both land at 3 out of 5. Put plainly, the care measures are middling while the workforce that delivers them is thin and constantly changing.

Nurse hours

3.66 /day

Staff turnover

45%

Serious cites

0

Southbrook runs lean on nurse staffing, 3.66 hours per resident day against a national average of 3.86, with weekends dropping roughly another 10% below its own weekday coverage. Turnover sits at 45.4%, essentially tracking the national rate, so the churn here isn't unusual for the industry, but it doesn't help a floor that's already thin. What keeps this home out of trouble is its inspection record: 17 deficiencies on file with none at the harm or jeopardy level, plus a clean five-star health inspection rating, even with one abuse-related citation in the mix. For-profit, LLC-owned, 104 beds, inspected most recently in April 2026. Families weighing this one should ask how the weekend shift actually gets covered.

Nurse hours

3.47 /day

Staff turnover

n/a

Serious cites

0

Aspire Senior Living Pleasant Hill runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average of 3.86. Weekends drop another 17% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 60 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $14,433. Its last inspection was November 2024. CMS rates staffing 1 out of 5 stars and health inspections 2 out of 5, though quality measures come in at 3. The staffing number is the one I'd ask about directly.

Nurse hours

3.36 /day

Staff turnover

48%

Serious cites

0

Delmar Gardens of Meramec Valley runs 190 beds under corporate ownership, and its inspection record comes back clean where it counts most: zero deficiencies at the harm or jeopardy level, which is not nothing given 22 total findings on the books. Three of those are abuse-related, worth asking about directly. Where the numbers get shakier is staffing, 3.36 nurse hours per resident day sits about 13% under the national average, and weekends drop roughly another 10% below its own weekday levels. Turnover runs 47.8%, slightly above the national 45.8%. A recent December 2025 inspection means the picture is current.

Nurse hours

2.64 /day

Staff turnover

n/a

Serious cites

0

Aspire Senior Living Carthage runs 120 certified beds as a for-profit corporation, and its nurse staffing sits at 2.64 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 14% below its own weekday coverage, which matters when a resident needs help on a Sunday afternoon. The inspection record shows 21 deficiencies, none at harm or jeopardy level, though two are abuse-related; state surveyors last visited March 31, 2025. Quality measures score well, but that strength rests on a thin staffing base in a building where the government's own staffing rating sits at the bottom of the scale.

Nurse hours

2.39 /day

Staff turnover

48%

Serious cites

0

Pillars of North County runs about 2.39 nurse hours per resident day against a national average near 3.86, roughly 38% less hands-on time than the typical home. Weekends dip even further, about 16% below what the building staffs on weekdays, and nearly half the nursing staff turned over in the past year. State inspectors cited 59 deficiencies on the current record, including two at the harm level and four tied to abuse. The five-star quality measure score reflects how well the home documents resident care, but the one-star staffing rating and the inspection history tell you what those daily hours actually look like.

Nurse hours

3.60 /day

Staff turnover

64%

Serious cites

0

James River Nursing and Rehabilitation runs 120 certified beds in Springfield under individual for-profit ownership, and its staffing picture is the main thing to know. Nurses provide 3.60 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 sits at 64% against a national 45.8%, so the people caring for residents change often. The current record shows 27 deficiencies, one abuse-related, though none at the harm or jeopardy level. Inspectors last visited July 30, 2024. CMS gives the home middle marks for health inspections and quality measures, but two stars for staffing, the number that tracks closest to daily care.

Nurse hours

3.02 /day

Staff turnover

44%

Serious cites

0

Heisinger Bluffs runs 60 beds under for-profit LLC ownership in Jefferson City, and its recent inspection record is decent, 18 deficiencies on file, none at the harm level, though one is abuse-related, and the last state visit came in March 2025. The real tension sits in the workforce numbers. At 3.02 nurse hours per resident day, this home staffs roughly a fifth below the national average of 3.86, and weekends drop another 16% beneath its own weekday levels. Turnover, at 44%, is basically in line with the national rate. So you're looking at a home that inspects reasonably well but runs lean on the floor, especially Saturdays and Sundays.

Nurse hours

3.36 /day

Staff turnover

64%

Serious cites

0

Valley Manor runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, with weekends running about 9% thinner than its own weekdays. That gap matters because people don't stop needing help on Saturdays. The bigger signal is the 64% annual turnover against a national average near 46%: nearly two-thirds of the nursing staff leaves every year, which makes consistent care hard to build. The inspection record shows 45 deficiencies, including one abuse-related cite, and a one-star health inspection rating that was last reviewed in December 2025. Quality measures score well; the day-to-day staffing and oversight numbers are what pull this home down.

Nurse hours

3.15 /day

Staff turnover

56%

Serious cites

0

Lebanon South runs on thinner nursing coverage than most homes nationally, 3.15 nurse hours per resident day against a 3.86 average, and weekends drop roughly 11% below what the building staffs Monday through Friday. Annual turnover of 56.1% sits well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 33 deficiencies, including one at the harm level and one tied to abuse, with the most recent survey from May 2025. Ownership is a for-profit limited liability company. Families should ask directly how the weekend shift is covered and what changed after the harm-level finding.

Nurse hours

2.98 /day

Staff turnover

54%

Serious cites

0

Avalon View runs 2.98 nurse hours per resident per day against a national average of 3.86, and weekends dip about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 54% versus 45.8% nationally, which means the people at the bedside keep changing. The record shows 46 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and one fine of $14,267. Inspectors were last in on September 19, 2025, so that picture is recent. Quality measures score well, but those depend on the staff actually present to document them.