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Here are 7 Nursing Homes in Franklin County, MO

Nursing homes across Franklin County, Missouri, graded on the federal inspection record, nurse staffing and staff turnover. County rank is shown on each home's profile.

Showing 1 to 7 of 7 homes

B

76/100

St Clair Nursing Center

Saint Clair, MO · Franklin County

CMS 5/579 bedsFor-profitMedicaid
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.

B

73/100

Sunset Health Care Center

Union, MO · Franklin County

CMS 2/5120 bedsFor-profitMedicaid
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.

C

69/100

Union Nursing

Union, MO · Franklin County

CMS 4/560 bedsFor-profitMedicaid
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.

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

63.5/100

New Haven Care Center

New Haven, MO · Franklin County

CMS 4/590 bedsNon-profitMedicaid
Nurse hours
3.09 /day
Staff turnover
38%
Serious cites
0

New Haven Care Center runs a tight ship on inspections, a perfect five-star health inspection rating and a recent March 2025 survey with 13 deficiencies, none of them causing harm or involving abuse. That's a real strength. The staffing picture is different. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday coverage, so care can thin out exactly when families tend to visit. Turnover at 38.2 percent is better than the national 45.8 percent, meaning workers stay longer than most places. Low quality-measure scores (1/5) round out the concern.

C

60/100

Grandview Healthcare Center

Washington, MO · Franklin County

CMS 2/5102 bedsFor-profitMedicaid
Nurse hours
3.11 /day
Staff turnover
69%
Serious cites
0

Grandview Healthcare Center runs on thin staffing: 3.11 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 9% below what the home already provides on weekdays. That's the number worth weighing, because turnover sits at 68.6% against a national 45.8%, most of the people caring for your relative are likely new to the building. The record shows 24 deficiencies, including one at the harm level and one tied to abuse, and the quality measure score came in low. A recent inspection doesn't erase a pattern like that. If you're considering this one, ask how they hold staffing on weekends and what's changed since January.

D

52/100

Pacific Care Center

Pacific, MO · Franklin County

CMS 1/5118 bedsFor-profitMedicaid
Nurse hours
2.40 /day
Staff turnover
67%
Serious cites
0

Pacific Care Center runs lean on nursing staff, 2.40 hours per resident day against a national average of 3.86, and weekends drop roughly 14% below its own weekday level. Annual turnover sits at 66.7% versus 45.8% nationally, so the staff you meet on a Tuesday may not be there in six months. Its inspection record is current as of February 2026 and shows 35 deficiencies, none at the harm level but one tied to abuse. The federally reported quality measures rate 1 out of 5 stars, which is worth asking about directly. For-profit LLC ownership out of Franklin County.

Before you shortlist in Franklin County