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344 Chain-Owned Nursing Homes in Missouri

344 of the 487 Medicare-certified nursing homes in Missouri (71%) are chain-owned, and all are listed below. 11 of the 340 graded homes earn an A and 66 earn a D or F. They average 3.3 nursing hours per resident per day, 0.13 hours below the 3.43 for every home in Missouri. Lutheran Convalescent Home in Webster Groves grades highest at A (99 out of 100).

How chain-owned homes in Missouri compare

This group set against every nursing home in Missouri, from the current CMS release.

Nursing hours per resident per day

3.3

All homes in Missouri: 3.43

Worse than the local average

Nurse staff turnover

57.3%

All homes in Missouri: 56%

Worse than the local average

Average ElderGrade score

64.2/100

All homes in Missouri: 65.7/100

Worse than the local average

Grade spread

B
C
D

11 grade A, 92 grade B, 171 grade C, 66 grade D,

The best-graded chain-owned home in Missouri is Lutheran Convalescent Home in Webster Groves, MO, grade A, 99/100.

Every chain-owned nursing home in Missouri

Showing 121 to 140 of 344, best-graded first.

C

68/100

Stonecrest Healthcare

Viburnum, MO · Iron County

CMS 2/560 bedsFor-profitMedicaid
Nurse hours
2.57 /day
Staff turnover
50%
Serious cites
0

Stonecrest Healthcare runs 60 certified beds in Viburnum under corporate for-profit ownership, and the numbers that stand out most are the staffing ones. At 2.57 nurse hours per resident per day, it sits roughly a third below the national average of 3.86, and weekends drop about 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the staff turns over annually, above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The record shows 21 deficiencies, none rising to harm or jeopardy, though one is abuse-related, and the last inspection was July 31, 2025. Inspection and quality measures each scored 3 of 5; staffing scored 1.

C

68/100

Warrensburg Manor Care Center

Warrensburg, MO · Johnson County

CMS 2/588 bedsFor-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
57%
Serious cites
0

Warrensburg Manor runs on thin staffing: 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday levels, so coverage is at its lightest when families tend to visit. Turnover sits at 56.6%, more than a quarter above the national rate, which means the aides and nurses who know your mother's routines may not be there in six months. Twenty deficiencies appear on the current record, including one abuse-related finding, though none rose to harm or jeopardy. Inspectors last visited in September 2024. A for-profit corporation owns the 88-bed building, and that combination of below-average staffing and above-average turnover shapes the rest.

C

68/100

Villages Of Jackson Creek

Independence, MO · Jackson County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
55%
Serious cites
0

Jackson Creek Post Acute runs about 13% below the national average on nurse staffing, at 3.36 hours per resident day against 3.86 nationally, and weekends drop roughly another 12% below its own weekday levels. That's the number that matters most here, because it's when families tend to visit and when problems surface. Staff turnover sits at 55.2% against a national average of 45.8%, so the aides and nurses working with your relative are likely to change often. The current inspection record shows 39 deficiencies, one at the harm or jeopardy level, with a $29,186 fine and a December 2025 inspection. The quality measure rating is genuinely strong at 4 out of 5, but the staffing and inspection ratings both sit at 2 out of 5, and that split tells you where the risk lives.

C

68/100

Ignite Medical Resort Blue Springs

Blue Springs, MO · Jackson County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
3.51 /day
Staff turnover
56%
Serious cites
0

Ignite Medical Resort Blue Springs is a for-profit, LLC-owned home with 90 certified beds, and the numbers tell a mixed story. Its inspection record is strong, a 4/5 health inspection rating, last survey in October 2024, and 14 deficiencies with none at the harm or jeopardy level, though one is abuse-related. Quality measures score 5/5. Staffing is where it slips: 3.51 nurse hours per resident day sits about 9% under the national average, weekend coverage drops roughly 9% below its own weekday level, and turnover runs 55.7% against a national 45.8%. Good outcomes on paper, but thinner coverage and churning staff are worth asking about directly.

C

67.5/100

Aspire Senior Living Joplin

Joplin, MO · Newton County

CMS 1/5120 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
n/a
Serious cites
0

Aspire Senior Living Joplin runs 120 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing I'd flag. At 3.34 nurse hours per resident per day, it sits about 13% under the national average of 3.86, and weekends drop roughly another 12% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record backs that up: 48 deficiencies on file, including four abuse-related, and a 1/5 health inspection star rating from CMS. Quality measures score well at 4/5, and the most recent inspection was May 2025, so the record is current rather than stale. Ask specifically about weekend nurse coverage and how the abuse-related citations were resolved.

C

67.5/100

Aspire Senior Living Jonesburg

Jonesburg, MO · Montgomery County

CMS 1/581 bedsFor-profitMedicaid
Nurse hours
1.79 /day
Staff turnover
50%
Serious cites
0

Aspire Senior Living Jonesburg runs on thin staffing. At 1.79 nurse hours per resident day, it's about 54% below the national average of 3.86, and weekends drop roughly 19% below its own weekday levels. That's the kind of gap that shows up as slower call-light response and less time for hands-on care. The 50% annual turnover, above the 45.8% national figure, means aides are constantly new. The current record carries 41 deficiencies, including one at the harm level and three tied to abuse. Ownership is for-profit, through a limited liability company. A 4/5 quality measure score sits on the books, but with a 1/5 staffing rating and a 2/5 inspection rating, those quality numbers deserve a closer look.

C

67.5/100

Medicalodges Nevada

Nevada, MO · Vernon County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
4.12 /day
Staff turnover
71%
Serious cites
0

Medicalodges Nevada runs 4.12 nurse hours per resident per day, about 7% above the national average, and that's the strongest part of its record. The catch is who's there to deliver it: turnover sits at 70.6% a year against a national 45.8%, and weekend staffing drops roughly 17% below weekday levels, so the coverage that looks good on paper may not feel steady week to week. The home carries 26 deficiencies from its June 2024 inspection, two of them abuse-related, with no harm-level citations, and it holds two stars each on health inspections and quality measures. A for-profit corporation owns its 100 certified beds.

C

67.5/100

Citizens Memorial Healthcare Facility

Bolivar, MO · Polk County

CMS 2/5111 bedsNon-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
43%
Serious cites
0

Citizens Memorial Healthcare Facility in Bolivar runs 111 certified beds as a nonprofit, and its staffing tells a mixed story. At 3.16 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 18% below its own weekday coverage. Turnover, at 42.5%, is actually a bit better than the 45.8% national figure. The inspection record carries 25 deficiencies, including one at the harm level, though none are abuse-related, and the most recent survey was in December 2025. Quality measure scores are the weak spot here, landing at 1 out of 5 stars.

C

67.5/100

Aspire Senior Living East Prairie

East Prairie, MO · Mississippi County

CMS 3/552 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Aspire Senior Living East Prairie runs 52 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: a 4-out-of-5 health inspection rating with no deficiencies at the harm or jeopardy level. The trouble sits elsewhere. Nurse staffing comes in at 3.45 hours per resident day, roughly 11% under the national average, and weekends run about 19% below the home's own weekday level. Annual turnover of 64.9% is well above the 45.8% national figure, and there's one abuse-related deficiency on the current record. Quality measures rate 2 out of 5. Inspections look solid; daily staffing consistency is the question worth asking about.

C

67.5/100

Forsyth Rehabilitation & Health Care Center

Forsyth, MO · Taney County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
2.90 /day
Staff turnover
37%
Serious cites
0

Forsyth Care Center runs 2.90 nurse hours per resident per day against a national average of 3.86, so the people on staff are covering a lot more ground per person than is typical. Weekends get thinner still, about 16% below weekday coverage, which matters most when families visit and notice who's available. The good news sitting next to that: turnover of 36.5% is well below the national 45.8%, meaning the staff who remain tend to stick around. Twenty-five deficiencies appear on the current record, none at the harm level but two tied to abuse, and the last inspection closed in November 2025. A for-profit corporate owner, 120 certified beds.

C

67.5/100

Fountainbleau Nursing Center

Festus, MO · Jefferson County

CMS 4/5116 bedsFor-profitMedicaid
Nurse hours
2.66 /day
Staff turnover
44%
Serious cites
0

Fountainbleau Nursing Center runs 116 certified beds in Festus under for-profit LLC ownership, and the staffing numbers are the first thing to notice: 2.66 nurse hours per resident day, roughly 31 percent below the national average of 3.86. Weekend coverage drops about 19 percent below its own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. Turnover sits at 44.1 percent, close to the national 45.8 percent, so retention isn't the outlier here, raw hours are. The current inspection record shows 20 deficiencies, none at the harm or jeopardy level but two tied to abuse, with the last inspection dated February 12, 2026.

C

67.5/100

Stonebridge Owensville

Owensville, MO · Gasconade County

CMS 3/5131 bedsFor-profitMedicaid
Nurse hours
3.44 /day
Staff turnover
51%
Serious cites
0

Stonebridge Owensville runs 131 certified beds under corporate ownership, and its staffing is the number worth sitting with. At 3.44 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 19% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 50.8% runs above the 45.8% national figure, meaning more than half the nursing staff turns over each year. The inspection record shows 20 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $20,383 in fines across two penalties. Its last inspection was August 2024.

C

67.5/100

Winchester Nursing Center, Inc

Bernie, MO · Stoddard County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
56%
Serious cites
0

Winchester Nursing Center runs about 3.41 nurse hours per resident day, roughly 12% under the national average of 3.86, and the gap widens on weekends, about 16% thinner than its own weekday coverage. Staff turnover sits at 55.6% against a national 45.8%, so nearly six in ten caregivers leave within a year, which matters for whether aides and nurses know your mother's routine. The good news is the inspection record: a 5/5 health inspection rating, last surveyed July 2025, with seven deficiencies on file but none at the harm level and none abuse-related. The corporation that owns it keeps the building clean on paper; the question is whether the floor stays covered.

C

67/100

Life Care Center Of Sullivan

Sullivan, MO · Franklin County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.32 /day
Staff turnover
58%
Serious cites
0

Life Care Center of Sullivan runs 120 certified beds as a for-profit corporation, and its staffing numbers are the part worth sitting with. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 11% below its own weekday coverage. Turnover is 57.7% against a national 45.8%, which means a good share of the people caring for residents are still learning the building. The inspection record shows 30 deficiencies, two at harm or jeopardy level and one abuse-related, with the most recent inspection in October 2024. Staffing and quality measures each land mid-range; the staffing star doesn't.

C

67/100

Community Springs Healthcare Facility

El Dorado Springs, MO · Cedar County

CMS 3/5120 bedsNon-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
37%
Serious cites
0

Community Springs runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, with weekends about 14 percent below its own weekday coverage. That thin weekend margin matters most when families visit and see less staff on the floor. Turnover works in the home's favor, though: 36.9 percent leaving annually is meaningfully better than the 45.8 percent national figure, so the people who stay tend to know residents. Inspections look solid on the surface, a recent January 2025 visit and no deficiencies at the harm or jeopardy level, but twelve total deficiencies, two tied to abuse, sit on the record. The low quality-measure score suggests outcomes aren't keeping pace with the staffing and inspection picture.

C

67/100

Claru Deville Nursing Center

Fredericktown, MO · Madison County

CMS 3/590 bedsFor-profitMedicaid
Nurse hours
3.36 /day
Staff turnover
79%
Serious cites
0

Claru Deville runs 90 beds in Fredericktown under corporate ownership, and its staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average, with weekends about 9% thinner than weekdays. The bigger number is turnover: 79.1% of staff left over the past year, against a national rate near 46%, which means the people caring for residents are, more often than not, new. Its inspection record shows 26 deficiencies, four of them serious enough to involve harm or jeopardy and three tied to abuse, plus one fine of $81,964, and the most recent inspection was in January 2025.

C

67/100

Country Club Rehab And Healthcare Center

Warrensburg, MO · Johnson County

CMS 1/573 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
55%
Serious cites
0

Country Club Rehab runs 73 beds in Warrensburg under for-profit LLC ownership, and its staffing numbers tell a mixed story. Total nurse hours come in slightly above the national average, but that average masks a 55.4% annual turnover rate, well past the national 45.8%, and weekends run about 6% thinner than weekdays. CMS rates staffing just 1 out of 5 stars despite the decent hours on paper. The inspection record is heavier: 56 deficiencies, including one at the harm-or-jeopardy level and two tied to abuse allegations. A March 2025 inspection is recent, which counts for something, but a 2-star health inspection rating alongside that deficiency count suggests the problems are ongoing rather than past.

C

67/100

Holden Manor Health & Rehabilitation

Holden, MO · Johnson County

CMS 2/552 bedsFor-profitMedicaid
Nurse hours
3.07 /day
Staff turnover
78%
Serious cites
0

Holden Manor runs on about 3.07 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 10% under its own weekday level. Staff turnover sits at 77.8%, well above the 45.8% national figure, which means the people caring for your family member are likely to change often. The current inspection record carries 38 deficiencies, four of them abuse-related, though none reached the harm or jeopardy level. The last inspection was in August 2024. Quality measures score mid-range, but staffing and inspection results both come in at 2 out of 5 stars under a for-profit corporate owner. Worth asking about weekend coverage and how they retain aides before deciding.

C

67/100

Beautiful Savior Home

Belton, MO · Cass County

CMS 3/5126 bedsFor-profitMedicaid
Nurse hours
3.44 /day
Staff turnover
57%
Serious cites
0

Beautiful Savior Home runs 126 certified beds in Belton under for-profit LLC ownership, and its nurse staffing sits about 11 percent under the national average, 3.44 hours per resident day against 3.86. That gap widens on weekends, when coverage drops roughly 10 percent below the home's own weekday levels, and turnover runs 56.8 percent compared with a national 45.8 percent. Its current record carries 22 deficiencies, none flagged at harm or jeopardy level, though two are abuse-related. The last inspection was December 13, 2024, so the picture is fairly recent. Federal ratings land at three stars for health inspections and quality measures, two for staffing. Nothing here reads as dangerous, but the staffing numbers explain why the grade lands where it does.

C

67/100

Seasons Rehab And Healthcare Center

Kansas City, MO · Jackson County

CMS 4/578 bedsFor-profitMedicaid
Nurse hours
3.73 /day
Staff turnover
58%
Serious cites
0

Seasons Rehab runs 78 beds under limited-liability, for-profit ownership, and its inspection record is the bright spot: 23 deficiencies on the current record, none flagged at harm or jeopardy level, and a four-out-of-five health inspection rating with a visit as recent as January 2025. Staffing is where it frays. At 3.73 nurse hours per resident day, it sits about 3% under the national average, weekends run roughly 12% below its own weekday levels, and turnover hits 57.7% against a national 45.8%, meaning more than half the nursing staff turns over in a year. Two abuse-related deficiencies also appear on the record.

Frequently asked questions

How many chain-owned nursing homes are there in Missouri?
There are 344 chain-owned Medicare-certified nursing homes in Missouri, 71% of the 487 nursing homes there.
Are chain-owned nursing homes better staffed?
In Missouri they average 3.3 total nursing hours per resident per day, against 3.43 for all nursing homes in Missouri, a difference of -0.13 hours. Staff turnover averages 57.3% against 56%.
Which chain-owned nursing home grades best in Missouri?
Lutheran Convalescent Home in Webster Groves, MO, grade A, 99 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 340 graded chain-owned homes in Missouri, 11 grade A and 66 grade D or F.
Do chain-owned nursing homes in Missouri accept Medicaid?
340 of the 344 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Missouri