Every Medicare-certified nursing home in Missouri, graded on inspections, staffing, turnover
and enforcement history.
18 homes in the state sit in the federal Special Focus programme.
Rocky Ridge Manor runs on thinner nurse coverage than most homes in the country, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 12% below what the building staffs on weekdays. That staffing picture sits alongside 26 deficiencies on the current record, including one at the harm or jeopardy level and nine tied to abuse, with the most recent inspection in September 2024. Annual turnover of 51.2% runs above the 45.8% national figure, meaning more than half the nursing staff leaves each year. Ownership is for-profit and individual. The quality measure score is the lowest CMS gives, and health inspection results land near the bottom too.
Pine View Manor runs on a paradox: staff stick around far better than average, 28.6% turnover against a national 45.8%, yet the CMS staffing rating sits at 1 out of 5, which means the retention isn't buying enough hands per resident. The inspection record is the bigger worry. Eighteen deficiencies, including one at the harm level and two abuse-related, with the most recent survey just completed in May 2025. A 2/5 on health inspections and 2/5 on quality measures round out a picture of a nonprofit home that keeps its people but hasn't kept pace on care.
Seville Care Center in Salem carries 39 deficiencies on its current record, four of them abuse-related, and two fines totaling $17,290. No deficiency rose to the level of actual harm or jeopardy, but the count itself is high, and the abuse citations matter. Staff turnover sits at 59.3% against a national average of 45.8%, which means more than half the workforce left over the year, that's the kind of churn that wears down consistent care. Federal ratings put staffing and quality measures each at one star out of five, with inspections at two. The current owner is a for-profit limited liability company. The last state inspection was January 16, 2025, so the picture is recent.
Aspire Senior Living Warsaw runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average of 3.86. That gap widens on weekends, when coverage drops about 13% below the home's own weekday level, so the thinnest shifts land when families are most likely to visit.
The inspection record carries 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse. One fine totaling $8,824 is on file, and the most recent inspection dates to September 2025. The health inspection and staffing scores both come in at 2 out of 5 stars, while quality measures sit slightly higher at 3. If you're weighing this one, ask directly how weekend coverage is handled and what changed after those abuse-related findings.
Village Care Center runs 46 beds in Maryville under corporate ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 13% under the national 3.86 average. Weekends drop about 15% below its own weekday coverage, which matters when a resident needs help on a Sunday. Turnover is 47.1%, slightly above the 45.8% national figure, so the faces around the building change often. The current record shows 28 deficiencies, including one at the harm level and one abuse-related, with the last inspection in March 2025. CMS gives it 2 stars for health inspections but 5 for quality measures, a split worth asking about directly.
Sunnyview runs in Trenton as a county-owned home with 94 certified beds, and its nurse staffing comes in at 4.46 hours per resident day, roughly 16% above the national average of 3.86. That sounds like a strength until you see who's delivering it: annual turnover is 63.9% against a national figure of 45.8%, and weekend coverage drops about 10% below the home's own weekday level. The current record carries 36 deficiencies, including one at the harm level and three tied to abuse, plus a $30,295 fine. State inspectors were last in on September 19, 2025. High hours with high churn and a stack of deficiencies is the pattern here.
Carmel Hills runs on 2.75 nursing hours per resident each day, roughly a quarter less than the national average, and weekend coverage drops further below its own weekday level. Staff turnover sits near 55%, and the federal staffing rating lands at 1 out of 5. The inspection record is heavier still: 82 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with a $20,787 fine and a 1-star health inspection rating. Quality measures score better at 3 stars, but the most recent inspection was November 2024, so that record is still fresh.
Advanced Care Of St Joseph runs 180 certified beds under for-profit LLC ownership, and its staffing is the number that stands out: 2.48 total nurse hours per resident day, roughly 36% under the national average of 3.86, with weekend coverage about 11% thinner than its own weekdays. Annual turnover sits at 51.7% against a national 45.8%, so the people who do show up are cycling through. The current record carries 45 deficiencies, including one at harm or jeopardy level and two abuse-related, plus a $29,803 fine; the last inspection was July 3, 2025. Its quality measure stars look strong, but that measure leans on charted care, not on how many hands are actually in the building.
St Joseph Manor runs 110 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 15% below its own weekday level, and annual turnover is 50.8% against a national 45.8%, so the staff you meet on a Saturday may be newer and fewer than the ones you meet midweek.
The record shows 57 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $10,414. The last inspection was March 21, 2025. CMS rates staffing and health inspections 2 out of 5 each, with quality measures at 3.
Worth asking the administrator directly how those harm-level findings were corrected and what weekend coverage actually looks like now.
Rosewood runs below the national average on nurse staffing, 3.51 hours per resident day against 3.86, and weekend coverage dips about 5% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 59.8% against a national average of 45.8%, meaning roughly six in ten caregivers left within the year. The inspection record is heavy: 58 deficiencies, five involving harm or jeopardy, six tied to abuse, and three fines totaling $47,917. Two stars for health inspections and two for staffing tell you where the problems concentrate, and ownership is a for-profit limited liability company.
Laverna Manor runs more nursing hours per resident than the typical American home, 4.28 a day against a national average of 3.86, but weekends dip about 7% below its own weekday coverage, so the care your relative gets on a Saturday may look thinner than what's promised. That staffing comes at a price: 57.1% of staff turned over in a year, well above the 45.8% national figure, which means new faces learning the routines again and again. The inspection record is the harder problem, 58 deficiencies, three serious enough to involve harm or jeopardy, and five tied to abuse, with $75,282 in fines. Quality scores look strong, but they can't offset that.
Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.
Morningside Center is county-owned, which usually buys some stability, but the numbers here tell a mixed story. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 50.7%, above the 45.8% national figure, meaning the people at the bedside keep changing. The record shows 16 deficiencies, including one at harm-or-jeopardy level and one abuse-related, and the most recent inspection was January 2025. Quality measures score poorly; staffing scores well on paper.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
Aurora Health and Rehabilitation runs 116 certified beds in Rolla under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover of 73.4% is well above the 45.8% national figure, meaning the people caring for residents are often new to the building. The current inspection record lists 48 deficiencies, one involving harm or jeopardy and seven tied to abuse, plus four fines totaling $46,544. Quality measures look better than the hands-on care.
Clara Manor runs 90 certified beds in Kansas City under corporate ownership, and the staffing numbers are where things get uncomfortable, a one-star staffing rating means nurse hours sit below what CMS considers adequate for this resident population. The inspection record backs that up: 89 deficiencies, including six at the level where residents were actually harmed or put in immediate jeopardy, and twelve tied to abuse. A four-star quality measure rating looks better on paper, but those scores come from resident assessments the facility largely reports itself, and they don't cancel out a one-star inspection history. The most recent survey was October 2025, so the record is current, not stale. For a family weighing this placement, the staffing and abuse findings deserve direct questions before anything else.
Willow Care runs about 3.67 nursing hours per resident per day, roughly 5% under the national average, and weekends drop about 17% below its own weekday staffing. That gap matters more than the headline number, because weekends are when families often visit and when fewer eyes are on residents. Annual turnover sits at 58.6%, well above the 45.8% national figure, which means the aides and nurses caring for people here are, more often than not, relatively new to the building.
The inspection record is the bright spot: a 4-out-of-5 health inspection rating, 16 deficiencies on file, and none of them at the harm or jeopardy level, with nothing abuse-related. The last inspection was January 8, 2026. Quality measures, though, score 1 out of 5, and that's the split worth asking about on a tour.
Life Care Center of Bridgeton runs on thin nursing coverage. At 3.32 nurse hours per resident day, it sits about 14% under the national average, and weekends drop roughly another 15% below its own weekday levels. Staff turnover is the bigger tell: 68.2% annually, well above the 45.8% national figure, which means caregivers are constantly new to residents. The inspection record backs that up, 58 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus one fine of $21,801. The last inspection was February 2025, so the record is current. Ownership is for-profit, a limited liability company. Quality measures look decent; staffing is where the problems concentrate.
Hunter Acres Caring Center runs 120 certified beds in Sikeston under individual for-profit ownership, and the staffing numbers are where the trouble shows. At 3.42 nurse hours per resident day, it sits about 11 percent under the national average, and weekends drop roughly 20 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Half the staff turned over in the past year, above the 45.8 percent national figure. Inspections look decent on paper (4 of 5 stars, most recent in August 2025), but the record carries 24 deficiencies, including one at harm level and two tied to abuse, plus a $10,023 fine. Quality measures earned 2 stars, staffing just 1.
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.