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.
Oak Park Care Center runs 120 beds under corporate ownership, and its numbers tell a mixed story. The health inspection and quality measure ratings both sit at 4 out of 5, and the most recent inspection in August 2024 turned up no abuse citations, but there are 39 deficiencies on record, one of them serious enough to cause harm or jeopardy. Staffing is where the cracks show: 3.80 nurse hours per resident day, just under the national average, with weekend coverage dropping roughly 16% below weekdays. Annual turnover of 55.4% is nearly ten points above the national rate, which means the people caring for residents are frequently new. Plenty of homes in worse shape, but the thin weekend staffing and constant churn are worth asking about directly.
Aspen Point runs 180 beds in Saint Charles under limited-liability ownership, and the direct-care staffing sits at 3.41 hours per resident day, roughly 12% under the national average, while weekend coverage drops another 11% below its own weekday level. The inspection record is what stands out: 74 deficiencies, 20 of them serious enough to put residents in harm or jeopardy, 8 tied to abuse, and 9 fines totaling $464,634, with the most recent inspection in February 2026. Turnover runs at 52.1% against a national 45.8%, so aides cycle out faster than average. The quality-measure score (4 of 5) may look reassuring, but it measures a narrower set of clinical outcomes than the staffing and inspection picture, and those two tell a harder story.
St James Living Center runs 90 certified beds under corporate for-profit ownership, and the staffing numbers are where families should focus first. At 3.12 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. Turnover compounds that: 58% of staff leave annually against a national 45.8%.
The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and three tied to abuse. One fine totaling $14,069 is on file, and the most recent inspection was November 2025. Federal quality measures rate 1 out of 5 stars, and the surrounding ratings only reach the middle.
Alpine Breeze runs on 2.40 nurse hours per resident day, roughly 38% under the national average, and weekends drop about 14% below what the home already provides on weekdays. Staff turnover sits at 58.6% against a national 45.8%, so the people giving care keep changing. The inspection record shows 53 deficiencies, including 3 at harm or jeopardy level and 6 abuse-related, with $35,683 in fines across three penalties; the last inspection was August 2025. Quality measures score well, but that's the part of the record families can't easily verify, the staffing and inspection numbers are the ones that describe daily life there.
Quail Run runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 8 percent below its own weekday staffing. With 63.5% annual turnover, versus 45.8% nationally, that shortfall means a rotating cast of caregivers, which matters more in a building this size, 84 beds, than the raw hours suggest. The 45 deficiencies on record include nothing flagged at the harm or jeopardy level and no abuse citations, so what's documented is largely process and paperwork problems rather than injuries. The last inspection was November 2024, recent enough to reflect current conditions. Two out of five stars across health inspections, quality measures, and staffing tells the same story on all three fronts.
Capitol River Wellness & Rehabilitation runs 120 beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.66 nurse hours per resident day, it sits about 5% under the national average, weekends drop roughly 13% below its own weekday coverage, and annual turnover hits 64.5% against a national 45.8%, that's a lot of churn for a building this size. The current record shows 27 deficiencies, two serious enough to reach harm or jeopardy level, plus one fine of $14,446. Quality measures score well, but staffing is the weak point, and with the last inspection in December 2024, ask directly how they hold weekday coverage steady on Saturdays and Sundays.
Carroll House runs on 2.44 nurse hours per resident day, roughly 37% under the national average of 3.86, and weekends drop about 9% below its own weekday levels. That thin coverage sits behind a two-star staffing rating and a two-star inspection record: 26 deficiencies, three tied to abuse, one serious enough to reach harm or jeopardy, plus an $84,890 fine. Staff turnover, at 45.2%, is essentially the national norm, so the problem isn't retention, it's how few hands are scheduled per resident. The most recent inspection was July 2025, and the quality measure rating sits higher than the rest.
Stonebridge Westphalia runs 64 certified beds in Osage County under corporate for-profit ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average. Weekends are thinner still, about 15% below the home's own weekday level, so coverage dips when families tend to visit. Annual turnover of 56.7% is well above the 45.8% national figure, which means caregivers are cycling through faster than residents can get to know them. The current record carries 20 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. The last inspection was July 2025, so the picture is reasonably current.
Blue Circle Rehab And Nursing runs about 2.80 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 14% below its own weekday coverage. Staff turnover sits at 69.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 80 deficiencies, including four at harm or jeopardy level and three tied to abuse, with the most recent inspection in December 2024. That combination of thin staffing, heavy turnover, and serious citations is what sits behind the grade, not the 5/5 quality measure score. Worth asking direct questions before you decide.
Chateau Girardeau runs 4.26 nursing hours per resident per day, roughly 10% above the national average, and its most recent inspection from January 2025 turned up no deficiencies at the harm or jeopardy level and nothing abuse-related. That part is solid. The strain shows in the workforce: 65.7% annual turnover, well above the 45.8% national figure, and weekend staffing drops about 17% below the home's own weekday levels, so the hands-on coverage your family sees on a Tuesday isn't what shows up on a Saturday. Fourteen deficiencies sit on the current record, none serious, but the low quality-measure score suggests outcomes haven't kept pace with the hours billed.
Prairie View runs 3.59 nurse hours per resident day, roughly 7% under the national average, and weekends drop about 11% below its own weekday staffing. The government's staffing and quality measure ratings both land at 1 out of 5 stars, which tracks with that thin coverage. Inspections are a different story, a 4-star health inspection rating, no harm-level or abuse-related deficiencies, and a survey as recent as April 2025. The 18 total deficiencies are mostly paperwork-level. Owner is a for-profit LLC. If your family member needs skilled nursing care, the clinical side looks okay; the daily direct-care hours are the thing to watch.
Parkdale Manor runs on 2.99 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 21% below its own weekday staffing. That thin coverage is paired with 77.1% annual turnover, well above the 45.8% national figure, meaning the aides and nurses at the bedside change over constantly. The current record carries 51 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level, and the last inspection was in March 2025. It's a for-profit limited liability company operating 86 certified beds, with middling two-star marks for inspections and quality measures.
Luther Manor runs 64 certified beds as a nonprofit corporation, and its federal ratings land low across the board: one star each for staffing and quality measures, two for health inspections. The record shows 28 deficiencies, including three at the harm or jeopardy level and four tied to abuse, that's a pattern families should ask about directly, not just a number. Staffing sits far enough below what CMS expects to earn a single star, which matters most on nights and weekends when needs don't pause. One fine totaling $13,270 appears on the record, and the last inspection closed in October 2025, so the findings are recent rather than historical. Nonprofit ownership alone doesn't fix any of this.
Woodland Care & Rehab Center runs 94 certified beds in Springfield under individual for-profit ownership, and the staffing numbers are where I'd start. 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 its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 61.5% against a national 45.8%, which means by the time your relative settles in, a good share of the aides who know them may already be gone. The current record shows 43 deficiencies, six tied to abuse, though none at the harm or jeopardy level. State inspectors were last in on June 13, 2025.
Knox County Nursing Home District runs on county government ownership, which usually means stable funding but also slower movement on problems. The staffing numbers are close to average on paper, 3.83 nurse hours per resident day against a national 3.86, but weekends drop about 12% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. The inspection record is the bigger concern: 37 deficiencies, including two at the harm or jeopardy level and five tied to abuse, plus a $93,280 fine. The last inspection was February 2024, so that record is recent. Ask specifically how weekend shifts are covered before you decide.
Southgate Living Center sits in Caruthersville with 94 certified beds and an individual for-profit owner. The staffing picture is the real story here: 3.57 nurse hours per resident day, about 8% under the national average, with weekends running roughly 18% thinner than weekdays, and half the staff turning over each year. Inspections look decent on paper, a 4 out of 5 star rating, most recent visit in March 2025, but 28 deficiencies sit on the record, including one at the harm or jeopardy level. One fine totaling $13,397. Quality measures come in at 3 stars. The pattern is a home that inspects reasonably well but runs lean on the people doing the daily work.
Stonebridge Lake Ozark runs 3.67 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 20% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 57.8% against a national 45.8%, a lot of the people on those shifts are new. The good news is inspections: a 4-star health inspection result, 16 deficiencies on record with none at the harm or jeopardy level. Two are abuse-related, which is worth asking about directly. The August 2024 inspection is recent enough to reflect current conditions. Ownership is for-profit, individual.
River Oaks runs a 90-bed home in Steele, and the staffing numbers are where I'd start. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 11% below its own weekday level. Turnover is the bigger flag: 60.6% of staff leaving annually against a national 45.8% means aides and nurses are cycling through constantly, and that's hard on residents who need consistency. The inspection record shows 15 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus one fine of $41,389. The most recent inspection was in August 2025, so the picture is current. Ownership is for-profit, individual.
Nurse staffing at The Villa At Blue Ridge runs about 3.10 hours per resident day, roughly a fifth below the national average, and weekends are thinner still, about 12% under its own weekday level. That matters because direct care is what most shapes daily life, and here it's stretched.
The numbers behind the grade tell a clearer story than a letter can. Staff turnover sits at 73.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record, 40 deficiencies, including seven tied to abuse and one at the harm level, was last updated in October 2024, so it's recent, not stale. For-profit, limited-liability ownership. Worth asking hard questions before you decide.
Heart Of The Ozarks runs about 3.37 nurse hours per resident each day, roughly 13% under the national average, and weekends drop another 14% below its own weekday staffing. Annual turnover sits at 52.9% against a national 45.8%, so nearly a third of the typical caregiver churn comes on top of an already thin floor. The good news is inspections: a 4/5 health inspection rating, with the last visit in August 2024 and none of the 23 deficiencies flagged at harm or jeopardy level, though two are abuse-related, which families should ask about directly. Quality and staffing measures both land at 2/5, and that gap between a clean inspection record and weak daily numbers is the whole story here.