Louisiana, MO · Pike County
★☆☆☆☆CMS 1/590 bedsFor-profitMedicaid
- Nurse hours
- 3.18 /day
- Staff turnover
- 49%
- Serious cites
- 0
Avenir At Maple Grove runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 48.8% turnover rate tops the national figure, meaning the aides and nurses on the floor are often new to the building. Its record shows 32 deficiencies, two tied to abuse, with a 2/5 inspection rating and a 1/5 staffing rating; the quality measures also sit at 2. That total comes with real context: none of the deficiencies were cited at harm or jeopardy level. Ownership changed within the past year, and the last inspection was April 2025.
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.
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.
Belton, MO · Cass County
★★★☆☆CMS 3/578 bedsFor-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 69%
- Serious cites
- 0
Carnegie Village runs 3.99 nurse hours per resident day, slightly above the national average of 3.86, but the staffing picture gets thinner on weekends, about 13% below its own weekday level. More telling is the 69.4% annual turnover, well above the 45.8% national figure, which means the people showing up are often new. The inspection record shows 42 deficiencies, including one at the harm level and two tied to abuse, with a $15,646 fine and a survey as recent as July 2025. The quality measure rating sits at 4 out of 5, but the staffing rating is 2 out of 5, and with a for-profit corporate owner, that gap between clinical scores and day-to-day coverage is worth asking about directly.
Advance, MO · Stoddard County
★★★★☆CMS 4/555 bedsFor-profitMedicaid
- Nurse hours
- 3.37 /day
- Staff turnover
- 52%
- Serious cites
- 0
Aspire Senior Living Advance runs on 3.37 nurse hours per resident day, about 13% under the national average of 3.86, and weekends drop roughly 19% below its own weekday staffing. That thin coverage shows up in the staffing star rating of 2 out of 5, and annual turnover of 51.6% means more than half the nursing staff leaves each year, compared with 45.8% nationally. The inspection record is the bright spot: a 4-out-of-5 health inspection rating with 32 deficiencies, none at harm or jeopardy level, though one is abuse-related. This corporate-owned 55-bed home was inspected recently, in March 2026. Families should ask how the weekend shift is actually covered.
Shelbina, MO · Shelby County
★☆☆☆☆CMS 1/5120 bedsGovernmentMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- n/a
- Serious cites
- 0
Baptist Homes of Shelbina is county-owned, which in Missouri often means tight budgets, and the numbers here show the strain. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, so aides and nurses have less time per resident than most homes, though weekend coverage actually runs slightly above its own weekday level, which is unusual and worth noting. What stands out more is the inspection record: 35 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, with a $20,695 fine and a survey as recent as July 2025. Ask about the abuse-related citations specifically before you decide anything.
Salem, MO · Dent County
★★★☆☆CMS 3/518 bedsNon-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Salem Memorial District Hospital runs a small 18-bed unit, and its recent inspection record is genuinely solid, four stars on health inspections, no deficiencies at the harm level, nothing abuse-related, and a survey as recent as October 2025. The problem sits in staffing, which CMS rates at just one star. That's a meaningful gap: a home can pass inspections and still leave residents waiting too long for help with meals, toileting, or medication. The 12 deficiencies and 13 fines totaling $106,623 also suggest recurring compliance issues despite the decent inspection score, and nonprofit ownership doesn't change the math. Ask about actual direct-care hours per resident per day, and how often the unit relies on agency or on-call staff.
Saint Charles, MO · St. Charles County
★☆☆☆☆CMS 1/5142 bedsFor-profitMedicaid
- Nurse hours
- 3.48 /day
- Staff turnover
- 53%
- Serious cites
- 0
Lewis & Clark Gardens runs 142 certified beds under for-profit LLC ownership, and its staffing sits around 3.48 nurse hours per resident day, roughly 10% under the national average, with weekends about 13% thinner than weekdays. Turnover is 53.4% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 63 deficiencies, four at harm or jeopardy level, nine abuse-related, and $139,916 in fines across three events, with the last inspection in August 2024. A 1-out-of-5 health inspection rating alongside a 4-out-of-5 staffing rating tells you the hours exist on paper, but the survey history shows what happens in practice.
Thayer, MO · Oregon County
★★★★★CMS 5/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.18 /day
- Staff turnover
- 54%
- Serious cites
- 0
Shady Oaks runs a split operation: its last inspection, in December 2025, came back clean on the things that hurt residents most, thirteen deficiencies on record, but none at the harm level and none tied to abuse. The strain shows up in daily care instead. At 3.18 nurse hours per resident day, staffing sits about 18% under the national average, and weekends drop roughly 15% below the home's own weekday coverage. Annual turnover of 54% runs well past the 45.8% national figure, so the people handing out medications and answering call lights keep changing. For a 120-bed corporate-owned building, the pattern is straightforward: safe on paper, thin on the floor.
Columbia, MO · Boone County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.00 /day
- Staff turnover
- 57%
- Serious cites
- 0
Parkside Manor runs about 3.00 nurse staffing hours per resident day, roughly 22% below the national average, and weekend coverage dips another 11% below its own weekday levels. Annual turnover sits at 57.1% against a national 45.8%, so the people around your family member change often. The inspection record shows 51 deficiencies, including one at the harm level and two tied to abuse, with the last visit in December 2024. Columbia has other options, and it's worth comparing them on staffing hours and turnover before deciding.
Farmington, MO · St. Francois County
★★★★★CMS 5/597 bedsFor-profitMedicaid
- Nurse hours
- 4.12 /day
- Staff turnover
- 66%
- Serious cites
- 0
Camelot runs on thin staffing margins despite what the headline number suggests. The 4.12 nurse hours per resident day sits about 7% above the national average, but weekends drop roughly 15% below the home's own weekday levels, so the coverage you see on a Tuesday isn't what you get on a Saturday. Turnover is the bigger concern: 66.3% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new or on their way out. Inspections look strong on paper, a 5/5 star rating, 12 deficiencies on record, none at harm or jeopardy level, and a recent survey in February 2026. Owned by a for-profit LLC.
Dexter, MO · Stoddard County
★★★★☆CMS 4/573 bedsFor-profitMedicaid
- Nurse hours
- 3.29 /day
- Staff turnover
- n/a
- Serious cites
- 0
Memory Lane of Dexter runs 73 certified beds under for-profit LLC ownership, and its strongest card is inspections: a recent January 2025 survey, no harm-level deficiencies, and nothing abuse-related across 18 total citations. The trouble sits on the other side of the ledger. Nurse staffing averages 3.29 hours per resident day, roughly 15% under the national figure, and weekends drop about 12% below the home's own weekday coverage, which matters in a memory care setting where needs don't pause on Saturday. Quality measure scores land near the bottom of CMS's five-point scale. A clean inspection record buys some confidence, but thin and thinning weekend staffing is the number a family should press on before choosing this home.
Odessa, MO · Lafayette County
★☆☆☆☆CMS 1/560 bedsFor-profitMedicaid
- Nurse hours
- 1.40 /day
- Staff turnover
- n/a
- Serious cites
- 0
Odessa Health Care Center runs on 1.40 nurse staffing hours per resident day, roughly 64% under the national average of 3.86, and weekends drop about 5% further below its own weekday level, so the thinnest coverage happens when families tend to visit. Its record shows 74 deficiencies, including three tied to abuse, with a health inspection rating of 1 out of 5 and staffing at 1 out of 5; quality measures score 3. The last inspection was February 2026, so the findings are recent. None of the 74 deficiencies rose to harm or jeopardy level, which matters. This is a for-profit limited liability company with 60 certified beds.
Marshfield, MO · Webster County
★★☆☆☆CMS 2/590 bedsNon-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Webco Manor runs 90 certified beds as a nonprofit corporation, and the staffing numbers are the first thing that stands out, one star from CMS, meaning nurse hours per resident land well below what most homes in Missouri report. That shortfall shows up on the inspection side too: 33 deficiencies on the current record, including one at the harm level and six tied to abuse. Quality measures sit at two stars. The one piece of recent news is the inspection itself, dated July 28, 2025, which at least means the record reflects how things stand now rather than two years ago. If you're weighing this one, ask the administrator directly about turnover on the nursing side and what changed after that July visit.
De Soto, MO · Jefferson County
★★★☆☆CMS 3/561 bedsFor-profitMedicaid
- Nurse hours
- 3.00 /day
- Staff turnover
- n/a
- Serious cites
- 0
Baisch Nursing Center runs 61 certified beds in De Soto, and its nurse staffing sits around 3.00 hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 36 deficiencies, none flagged at harm or jeopardy level, but two are abuse-related, which is worth asking about directly. The last inspection was in February 2025, so the picture is fairly current. For-profit corporate ownership, a 1-star staffing rating, and 2-star quality measures round out a home that passes the basics without much margin.
Jackson, MO · Cape Girardeau County
★★★☆☆CMS 3/5105 bedsFor-profitMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- n/a
- Serious cites
- 0
Hubble Creek runs about 3.28 nurse hours per resident day, roughly 15% under the national average, and weekends drop another 14% below its own weekday levels, that staffing shortfall is what a 1-out-of-5 staffing rating reflects. The inspection record shows 42 deficiencies, including two at the harm level and three tied to abuse, plus $26,628 in fines across two penalties. Ownership changed hands within the past year, which can unsettle routines. A recent inspection in February 2026 and a 4-star health inspection rating suggest the home can pass muster when surveyors arrive, but quality measures sit at 2 stars. Ask directly how weekend coverage is handled and who is on the floor overnight.
Perryville, MO · Perry County
★★★☆☆CMS 3/5133 bedsNon-profitMedicaid
- Nurse hours
- 2.66 /day
- Staff turnover
- n/a
- Serious cites
- 0
Independence Care Center Of Perry County runs a 133-bed nonprofit home in Perryville, and its most recent inspection on January 9, 2026 left 16 deficiencies on the record, none at the harm or jeopardy level, but one abuse-related. Staffing is where the numbers get thin: 2.66 nurse hours per resident day against a national average of 3.86, roughly 31% below, and weekends drop about 13% below the home's own weekday level. The federal staffing star sits at 1 out of 5. Health inspections earned 4 out of 5 and quality measures 2 out of 5, so the care process looks better on paper than the hands-on coverage behind it. Ask how they staff weekends before you decide anything.
Black Jack, MO · St. Louis County
★★☆☆☆CMS 2/5240 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 43%
- Serious cites
- 0
Delmar Gardens North runs 240 beds in Black Jack, and the staffing numbers are the first thing worth knowing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly another 8% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 42.9%, is slightly better than the 45.8% national figure, which is one genuine bright spot. The rest is harder: 34 deficiencies on the current record, including 3 at harm or jeopardy level and 2 tied to abuse, plus a $39,299 fine. Its last inspection was November 2025, so the record is recent.
Poplar Bluff, MO · Butler County
★★☆☆☆CMS 2/583 bedsFor-profitMedicaid
- Nurse hours
- 3.72 /day
- Staff turnover
- 64%
- Serious cites
- 0
Aspire Senior Living Poplar Bluff runs 83 certified beds under for-profit, limited-liability ownership, and its strongest card is inspection history: a four-star health inspection rating with the most recent survey in January 2025. The clinical picture is shakier. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and drops about 11% further on weekends. Turnover is the number that stands out, 63.6% of staff leaving annually against a national rate near 46%. Its record shows 37 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. Quality measures score one star despite that clean inspection. Those two things together tell you care planning and daily consistency are where the gaps likely live.
Mount Vernon, MO · Lawrence County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.08 /day
- Staff turnover
- 38%
- Serious cites
- 0
Mt Vernon Nursing runs on 3.08 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 10% below its own weekday staffing. The 37.5% annual turnover is better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on October 10, 2024, and found 12 deficiencies on the current record, one serious enough to involve harm or jeopardy, none related to abuse. The four-star health inspection rating reflects that recent visit, while the two-star quality measure rating suggests the clinical numbers families watch most closely aren't where they should be.