344 Chain-Owned Nursing Homes in Missouri

Nurse hours

3.42 /day

Staff turnover

46%

Serious cites

0

Aspire Senior Living Malden runs about 3.42 nurse hours per resident per day, roughly 11% under the national average of 3.86, and weekend coverage dips a bit further below its own weekday levels. Staff turnover sits at 45.9%, almost exactly the national figure, so retention here isn't unusually bad for the industry, but it isn't a strength either. The health inspection record looks solid on paper: 29 deficiencies, none at the harm level, none abuse-related, and a survey as recent as May 2025. What drags the overall picture down is the quality measure side, where the home scores near the bottom even as its inspection history holds up.

Nurse hours

2.86 /day

Staff turnover

37%

Serious cites

0

Lemay Nursing runs 60 beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. That thin coverage is the number to weigh most heavily, since it's the daily reality of how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday level, so the gap doesn't close when families visit. Turnover is 36.8%, actually better than the 45.8% national figure, which means aides and nurses stick around longer than at many homes. But the inspection record carries 37 deficiencies, including one at harm level and two abuse-related, with the last inspection in May 2025. Ask about those directly.

Nurse hours

5.17 /day

Staff turnover

58%

Serious cites

0

Neighborhoods Rehabilitation And Skilled Nursing B runs 5.17 nurse hours per resident day, roughly a third more hands-on time than the national average, but the staff giving that care turn over at 57.9% a year, well above the 45.8% norm. That churn sits alongside a troubled inspection file: 30 deficiencies, four serious enough to put residents at risk of harm, two tied to abuse, and $85,344 in fines, all from a survey finished in November 2024. For a 120-bed for-profit, the pattern is clear, enough people on the clock, but not the same ones for long, and the state's findings back that up.

Nurse hours

3.33 /day

Staff turnover

n/a

Serious cites

0

Gideon Care Center runs lean on nurse staffing, 3.33 hours per resident day against a national average of 3.86, roughly 14% below, and weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is genuinely strong: a perfect health inspection rating, last survey in March 2026, zero deficiencies at the harm or jeopardy level, and no abuse citations among the 19 on file. Quality measures land mid-range. The tension is straightforward: good survey results and thin daily staffing can both be true, and staffing is what residents live with every shift, not once a year. Corporate-owned, 72 beds.

Nurse hours

3.49 /day

Staff turnover

n/a

Serious cites

0

Aspire Senior Living Roaring River runs 90 certified beds in Cassville under for-profit LLC ownership, and its record shows why the federal inspection score sits at the bottom. Inspectors have cited 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Two fines totaling $46,303 are on file. Nurse staffing runs 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 11% below the home's own weekday coverage. Quality measures score better than the inspection or staffing ratings. Ownership is for-profit through a limited liability company, and the last inspection was March 1, 2024.

Nurse hours

3.69 /day

Staff turnover

39%

Serious cites

0

Christian Extended Care & Rehabilitation runs 60 beds as a nonprofit, and its last inspection in March 2025 came back clean at the serious end, 12 deficiencies on record, none causing harm or jeopardy, none tied to abuse. Nurse staffing sits at 3.69 hours per resident day, a bit under the national 3.86, and weekends dip about 12% below the home's own weekday coverage. Turnover is the bright spot: 38.7%, better than the 45.8% national figure, which suggests aides and nurses tend to stay. The tradeoff shows in the federal stars, five for inspections, but two for staffing. Consistent care from a stable team, thinner coverage on weekends.

Nurse hours

2.76 /day

Staff turnover

47%

Serious cites

0

Westwood Hills runs lean on nursing hours, 2.76 per resident day against a national average of 3.86, and that gap, about 28%, is the single biggest thing pulling its grade down. Weekends are thinner still, roughly 10% below what the home staffs on weekdays, so a Saturday or Sunday shift is where you'd notice it most. Turnover sits at 47.4%, a touch above the national 45.8%, meaning the people at the bedside keep changing. The good news: inspections are recent and clean at the harm level, with no abuse citations among the 19 deficiencies, and quality measures score well. It's a for-profit LLC with 132 beds, solid on care outcomes, short on hands.

Nurse hours

3.92 /day

Staff turnover

50%

Serious cites

0

Puxico Nursing and Rehabilitation Center sits in Stoddard County with 60 certified beds under individual for-profit ownership. Its last health inspection, in November 2025, found 16 deficiencies, none of them causing harm or involving abuse, a record that supports the four-star inspection rating. The trouble is elsewhere. Quality measures earn only two stars, and staffing earns two as well despite total nurse hours of 3.92 per resident day, just barely above the national average of 3.86. Weekend coverage drops about 10% below weekday levels, and annual turnover runs 50% against a national 45.8%. Roughly half the staff leaving each year is worth asking about directly before you visit.

Nurse hours

3.44 /day

Staff turnover

52%

Serious cites

0

Windsor Healthcare & Rehab Center runs on thinner staffing than most homes, about 3.44 nurse hours per resident each day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday levels. That's when families tend to notice. Annual turnover sits at 51.5%, well above the 45.8% national figure, so the people caring for your relative are likely to change. The current record shows 23 deficiencies, none at harm or jeopardy level, though one is abuse-related. A June 2025 inspection is recent, and the 3/5 health inspection rating isn't alarming on its own. The 1/5 quality measure rating is the number worth asking about directly.

Nurse hours

3.15 /day

Staff turnover

53%

Serious cites

0

Ignite Medical Resort St Marys runs 130 beds in Blue Springs under for-profit LLC ownership, and its nurses provide 3.15 hours of care per resident per day, roughly 18 percent below the national average, with weekends dropping another 13 percent below its own weekday levels. Staff turnover sits at 52.9 percent against a national 45.8 percent, so the aides and nurses cycling through are not staying long. The inspection record shows 35 deficiencies, one involving actual harm or jeopardy and one abuse-related, and the last state visit was August 2024. Quality scores look strong, but staffing and inspection results are where the concern sits, and both are rated two out of five.

Nurse hours

2.67 /day

Staff turnover

41%

Serious cites

0

St. Joseph Chateau runs lean on nursing hours, 2.67 per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 15% below its own weekday coverage, so the thinnest shifts come when families often visit. The inspection history is better than that staffing picture suggests: 52 deficiencies on record with none at the harm level, though two are abuse-related, and the last survey was in May 2025. Turnover at 40.7% is slightly better than the national 45.8%, and the health inspection rating sits at 4 of 5. The staffing rating of 2 tells you where the real concern lies.

Nurse hours

3.47 /day

Staff turnover

50%

Serious cites

0

Ignite Medical Resort Kansas City runs 90 beds under for-profit LLC ownership, and its staffing is the weak spot: 3.47 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 13% below its own weekday coverage. Annual turnover sits at 50%, above the 45.8% national figure, which means the people helping your family member may be relatively new to the building. The current record shows 30 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a $6,368 fine; the last inspection was February 2026. Quality measures score well, but staffing and inspection history are where the concerns concentrate.

Nurse hours

2.95 /day

Staff turnover

55%

Serious cites

0

Union Nursing runs 60 beds in Franklin County under corporate ownership, and its staffing is the number that stands out: 2.95 nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekends dip another 9% below its own weekday level, and 54.5% of staff turn over annually against a national rate near 46%, so the thin coverage is also a moving target. Inspections look steadier, a 4-star health inspection rating, 14 deficiencies on record with none at harm level, though two are abuse-related, and the most recent survey was August 2025. Quality measures also rate 4 stars; staffing rates 2.

Nurse hours

4.46 /day

Staff turnover

76%

Serious cites

0

Sunterra Springs Dardenne Prairie runs a 38-bed for-profit home in St. Charles County where the nursing hours look better than average, 4.46 per resident day, roughly 15% above the national figure, but weekends drop about 12% below the home's own weekday level, so coverage isn't steady across the week. The bigger issue is stability: 76.1% annual turnover against a national average of 45.8% means most of the people caring for residents are new, and 31 deficiencies on the current record, three at harm or jeopardy level, with two fines totaling $49,722, point to real gaps in care delivery. The most recent inspection was January 2026, so the record is current, not stale.

Nurse hours

3.49 /day

Staff turnover

60%

Serious cites

0

Nhc Healthcare, Desloge runs 120 beds under corporate ownership, and its inspection history is genuinely solid, a recent April 2025 survey with no abuse citations and only one deficiency serious enough to cause harm. Where it slips is in the day-to-day. Nurse staffing sits about 10% under the national average, weekends drop roughly 17% below the home's own weekday coverage, and turnover runs near 60% against a national figure closer to 46%. Quality measures, which track how residents actually fare, land at 2 out of 5 stars. The care may be adequate on paper, but thin weekend coverage and heavy staff churn are worth asking about directly.

Nurse hours

4.85 /day

Staff turnover

61%

Serious cites

0

Sherbrooke Village runs a nonprofit shop with 149 beds in Saint Louis, and the nurses' hours look generous on paper, 4.85 per resident day, about a quarter above the national average. The catch is consistency: weekends drop roughly 18% below weekday coverage, and more than six in ten staff members leave each year, well above the 45.8% national rate. That churn shows up in the inspection record, where 49 deficiencies include 3 at harm or jeopardy level and 4 tied to abuse, with the most recent look coming in June 2024. Quality measures score well, but staffing and health inspection ratings sit at 2 out of 5.

Nurse hours

3.54 /day

Staff turnover

60%

Serious cites

0

Granby House runs about 3.54 nurse hours per resident per day, roughly 8% under the national average, and weekend coverage drops about a fifth below its own weekday level. Staff turnover is 60.3% a year, well above the 45.8% national figure, which means the people caring for residents keep changing. The current record shows 27 deficiencies, including one at the harm level and two related to abuse. Its last inspection was June 27, 2024, and the quality measure rating is stronger than the staffing picture. For-profit corporate ownership rounds it out.

Nurse hours

3.15 /day

Staff turnover

57%

Serious cites

0

Glendale Gardens runs lean on nursing hours, 3.15 per resident day against a national average of 3.86, and weekends drop about 22% below what the building staffs on weekdays. That gap matters more than the headline number, because weekends are when families often visit and when problems surface. Turnover sits at 57.3%, well above the 45.8% national figure, so the people providing care keep changing. The inspection record shows 34 deficiencies, six of them abuse-related, though none at the harm or jeopardy level, and the last survey was recent, in December 2025. Quality measures score well at 4 out of 5, but staffing sits at 2, which is the number to weigh when you're deciding whether this place can reliably cover a 120-bed building.

Nurse hours

4.10 /day

Staff turnover

49%

Serious cites

0

Crystal Oaks sits in Festus with 131 certified beds and a for-profit LLC behind it. Nurse staffing runs 4.10 hours per resident day, about 6% above the national average, but weekends dip roughly 11% below what the home staffs on weekdays, so the coverage your family member gets depends partly on which day they need it. Annual turnover of 48.6% edges past the national 45.8%, meaning nearly half the nursing staff turns over each year. Inspections landed 4 out of 5 stars and the most recent visit was December 2025, but the record still carries 12 deficiencies, one at harm or jeopardy level, and a single fine of $165,187.

Nurse hours

3.31 /day

Staff turnover

31%

Serious cites

0

Stonebridge Marble Hill runs leaner on nursing hours than most homes, about 3.31 per resident per day against a national average near 3.86, and weekends get thinner still, dropping roughly 13% below its own weekday coverage. The 98-bed for-profit home holds a four-star inspection record with a recent visit in January 2026, and its 20 deficiencies include no harm-level findings, though one is abuse-related. Staff turnover sits at 31.1%, well under the 45.8% national figure, which matters for continuity of care. The weaker spot is quality measures at two stars, even as staffing earns three.