La Belle, MO · Lewis County
★☆☆☆☆CMS 1/594 bedsFor-profitMedicaid
- Nurse hours
- 3.83 /day
- Staff turnover
- 69%
- Serious cites
- 0
La Belle Manor runs on thin staffing, and the numbers show it. At 3.83 nurse hours per resident day, it sits just under the national average, but weekends drop about 10% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Staff turnover is the bigger red flag: 68.6% a year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 21 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. Inspectors last visited in May 2025. Federal ratings put staffing at 1 out of 5 and inspections and quality measures at 2 each.
Windsor, MO · Henry County
★★☆☆☆CMS 2/560 bedsFor-profitMedicaid
- 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.
Blue Springs, MO · Jackson County
★★☆☆☆CMS 2/5130 bedsFor-profitMedicaid
- 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.
Saint Joseph, MO · Buchanan County
★★★★☆CMS 4/569 bedsFor-profitMedicaid
- 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.
Kansas City, MO · Platte County
★★★☆☆CMS 3/590 bedsFor-profitMedicaid
- 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.
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.
Dardenne Prairie, MO · St. Charles County
★★☆☆☆CMS 2/538 bedsFor-profit
- 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.
Desloge, MO · St. Francois County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- 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.
Saint Louis, MO · St. Louis County
★★☆☆☆CMS 2/5149 bedsFor-profitMedicaid
- 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.
Granby, MO · Newton County
★★☆☆☆CMS 2/560 bedsFor-profitMedicaid
- 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.
Springfield, MO · Greene County
★★★☆☆CMS 3/5120 bedsFor-profitMedicaid
- 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.
Braymer, MO · Caldwell County
★★★★☆CMS 4/583 bedsGovernmentMedicaid
- Nurse hours
- 3.42 /day
- Staff turnover
- 56%
- Serious cites
- 0
Golden Age runs on county money in a small Caldwell County town, and its inspection record is the strongest thing about it, a four-star health inspection rating with the most recent visit in September 2025. But 23 deficiencies sit on the current record, including one that caused actual harm and four tied to abuse, and those don't disappear because the last inspection went reasonably well. Direct care runs about 12% under the national average, weekends drop roughly 17% below weekdays, and more than half the nursing staff turned over in a year against a national rate near 46%. Quality measures score two stars. Families should ask who's on duty Saturday and how abuse findings were resolved.
Kansas City, MO · Jackson County
★★☆☆☆CMS 2/564 bedsFor-profitMedicaid
- Nurse hours
- 1.77 /day
- Staff turnover
- 55%
- Serious cites
- 0
Summit, The runs 64 beds in Kansas City under corporate ownership, and its staffing numbers are the first thing to notice: 1.77 nurse hours per resident day against a national average of 3.86. Weekends drop about 16% below its own weekday level, and annual turnover sits at 54.8%. The inspection record shows 67 deficiencies, three tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in August 2025. Its quality measure score is strong, but that sits alongside a one-star inspection rating and a one-star staffing rating. For a family weighing this one, the question is whether the clinical outcomes you see on paper can hold up when the day-to-day staffing is this thin.
Shrewsbury, MO · St. Louis County
★★☆☆☆CMS 2/5217 bedsNon-profitMedicaid
- Nurse hours
- 3.31 /day
- Staff turnover
- 52%
- Serious cites
- 0
Mary, Queen And Mother Center runs 217 certified beds under church-related nonprofit ownership, and its inspection record is the part that stands out. Federal inspectors logged 41 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $19,133. The last inspection was March 24, 2025, so that record is recent. Nurse staffing sits at 3.31 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends run about 11 percent thinner than weekdays. Staff turnover is 52.1 percent against a national 45.8. The 4/5 quality measure rating reflects resident care measures, but the 2/5 inspection rating and thin coverage tell a harder story.
Festus, MO · Jefferson County
★★★★☆CMS 4/5131 bedsFor-profitMedicaid
- 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.
Marble Hill, MO · Bollinger County
★★★★☆CMS 4/598 bedsFor-profitMedicaid
- 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.
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.
Vandalia, MO · Audrain County
★☆☆☆☆CMS 1/590 bedsNon-profitMedicaid
- Nurse hours
- 3.93 /day
- Staff turnover
- 60%
- Serious cites
- 0
Baptist Homes, Tri-County runs 90 certified beds in Vandalia as a nonprofit, and its nurse staffing sits at 3.93 hours per resident day, slightly above the national average of 3.86. That's the good news, and it's thin. Weekend staffing dips about 1% below its own weekday level, and annual turnover hits 60% against a national average of 45.8%, meaning most of the people providing that care are new to the building or on their way out.
The inspection record is where the real weight sits: 64 deficiencies on file, five of them at harm or jeopardy level, two tied to abuse, plus a $13,039 fine. Federal ratings put health inspections and quality measures at 1 out of 5. The last inspection was February 2024, so that record is current.
Higginsville, MO · Lafayette County
★☆☆☆☆CMS 1/556 bedsNon-profitMedicaid
- Nurse hours
- 3.20 /day
- Staff turnover
- 55%
- Serious cites
- 0
Meyer Care Center runs on leaner nurse staffing than most homes, 3.20 hours per resident day against a national average of 3.86, roughly 17% below. Weekend coverage holds steady, actually a bit above its own weekday level, so shortfalls aren't a weekend problem; they're baked into the baseline. Staff turnover sits at 54.5%, well past the 45.8% national figure, which means caregivers cycle through faster than residents can get to know them. The inspection record is the harder read: 46 deficiencies on file, including one at the harm level and three tied to abuse, with the most recent state visit in July 2024. Federal ratings land at one star for health inspections, two for quality measures and staffing.
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.