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.
Ignite Medical Resort Carondelet runs 162 certified beds in Kansas City under for-profit LLC ownership, and its nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average of 3.86. Weekends dip about 7% below its own weekday numbers, and annual turnover hits 66% against a national 45.8%, so the people who remain are stretched thin. The current record carries 72 deficiencies, including one at the harm or jeopardy level and two tied to abuse. A 4/5 quality measure score stands out against a 1/5 staffing rating, and the last inspection was January 16, 2026. Ask about direct-care hours on weekends before you decide.
Point Lookout runs on thin staffing. At 2.59 nurse hours per resident per day, it sits about a third below the national average of 3.86, and weekends drop roughly another 15% below what the home manages on weekdays. That shows up in the federal staffing rating, which lands at the lowest tier. The inspection record carries 33 deficiencies, one of them abuse-related, though none rose to the level of actual harm or jeopardy, and the most recent visit was in October 2024. Ownership is a for-profit corporation, and turnover at 47.9% edges past the national 45.8%. Quality measures rate below average at 2 out of 5.
Parkview Healthcare runs on 2.75 nurse hours per resident day, roughly 29% under the national figure of 3.86, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in its record: 96 deficiencies, seven of them serious enough to put residents in harm's way, nine tied to abuse, and $140,021 in fines across four penalties. Washington has placed it in the Special Focus Facility program, reserved for the country's most troubled homes, and its last inspection closed in February 2025. Ownership is a for-profit limited liability company. Turnover, at 44.8%, is about average, which means the instability isn't the story here, the short staffing and inspection history are.
Daybreak Nursing Center holds a five-star inspection record, with 13 deficiencies on file and none rising to harm or jeopardy, a genuinely clean survey history, and the last visit was recent, in November 2025. The problem sits on the staffing side. At 3.28 nurse hours per resident day, this for-profit home runs roughly 15% under the national average, and weekends dip about 8% below its own weekday numbers. Annual turnover of 55.7% sits nearly ten points above the national rate, meaning more than half the nursing staff leaves each year. Inspections say the care processes are sound; the daily coverage underneath them is thin and constantly rebuilding.
Oakdale Care Center runs on 2.57 nursing hours per resident per day, roughly a third below the national average of 3.86, and that thin coverage gets thinner on weekends, when staffing drops about 13% below its own weekday level. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people providing that care are cycling through steadily. On paper the record has bright spots: a 4/5 health inspection rating, 22 deficiencies with none at the harm or jeopardy level, and a recent inspection in February 2026. One abuse-related deficiency is on the books, though. The staffing number is the one worth sitting with.
Crown Rehab runs about 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip another 13% below its own weekday numbers, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 45.2%, essentially matching the national rate, so retention isn't the problem here; raw hours are. The inspection record shows 31 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level, and the most recent survey was in March 2025. Cass County families weighing this one should ask how the weekend floor is actually staffed.
St Elizabeth Care Center runs on 1.70 nurse staffing hours per resident day, which is less than half the national average of 3.86, and weekends drop about 11% below its own weekday level, so the thinnest coverage happens when families tend to visit. Staff turnover sits at 51.2%, higher than the 45.8% national figure, and the home carries 42 deficiencies on its current record, including one at the harm or jeopardy level and three tied to abuse. A single fine of $37,733 is on file. The last inspection was February 2025, so the record is recent rather than stale. Corporate ownership and a 1-out-of-5 staffing rating round out a picture worth weighing carefully.
Campbell Healthcare runs on 2.91 nurse hours per resident per day, roughly a quarter below the national figure of 3.86, and the gap widens on weekends, when staffing drops about 15% from its own weekday level. That thin coverage shows up in the federal staffing rating, which sits at the bottom of the scale, and in turnover of 52.1% against a national average of 45.8%, meaning more than half the nursing staff leaves each year. Inspections look better: a recent visit in August 2025 and a clean record on harm and abuse, though 27 deficiencies remain on file. Corporate-owned and for-profit, this one leans on its survey record to offset weak day-to-day staffing.
Troy Manor runs on 2.57 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekends dip another 11 percent below its own weekday levels. That thin coverage sits behind a one-star health inspection rating and a record of 71 deficiencies, including six at the harm or jeopardy level and ten tied to abuse. Two fines add up to $104,685. Staff turnover, at 38.3 percent, is actually better than the national 45.8 percent, and the quality measure rating is a middling three stars. But the last inspection was April 2024, and the staffing and inspection numbers are what families should weigh most.
Crestview Home runs on thin nursing coverage. At 2.89 nurse hours per resident per day, it sits about a quarter below the national average of 3.86, and weekends are slightly leaner than weekdays. Staff turnover is 57.5% a year, well above the national 45.8%, so familiar faces cycle out fast. The inspection record is heavy, 58 deficiencies, though none at harm or jeopardy level and none abuse-related. One fine of $14,498 is on file, and the most recent inspection was in March 2025. The quality measure rating of 3/5 suggests clinical outcomes aren't the problem; the staffing numbers and inspection volume are. For-profit, limited liability ownership. Ask about consistent weekday-to-weekend coverage before deciding.
St. Peters Post Acute runs 130 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.66 nurse hours per resident day, it sits about 5% under the national average, and weekends drop roughly 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 72% 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 backs that up: 63 deficiencies, four of them at harm or jeopardy level and one abuse-related, with a single $69,999 fine. The last inspection was December 2024, so the picture is current, not stale.
Cedargate Health Care Center runs 108 certified beds in Poplar Bluff under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.75 nurse hours per resident per day, it sits just under the national average of 3.86, and weekends dip about 3% below its own weekday level, meaning the thinnest coverage lands exactly when families tend to visit. State inspectors were last in on May 22, 2025, and the record shows 40 deficiencies, none at the harm or jeopardy level but two tied to abuse. Quality measures score 2 out of 5 stars, staffing just 1. Ask about weekend aide coverage and how the abuse-related findings were resolved.
Adair Village runs 4.01 total nurse hours per resident day, which edges past the national average of 3.86, but that average masks a real drop on weekends, when coverage falls roughly 16% below its own weekday level. Staff turnover sits at 61.5% against a national 45.8%, so the people providing that care are cycling through quickly. The current record carries 34 deficiencies, three at harm or jeopardy level and two tied to abuse, plus $72,950 in fines across two penalties. The last inspection was January 2026, so the picture is recent. Quality and staffing each score 2 out of 5 from CMS; health inspection sits at 3.
Ozark Riverview Manor runs 3.15 nurse hours per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday levels. That staffing pattern, plus 63% annual turnover compared with 45.8% nationally, helps explain the two-out-of-five marks on both staffing and quality measures. The home carries 20 deficiencies, including one at the harm level and one abuse-related, and a $30,319 fine. Its last inspection was in December 2025, so the record is fairly current. As a nonprofit, it isn't chasing a quarterly number, but the numbers here still show thin coverage and a workforce that keeps changing.
Livingston Manor Care Center in Chillicothe runs a for-profit corporate operation with 94 certified beds, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average of 3.86. That's the strongest number here, though weekends drop roughly 21% below the home's own weekday staffing, and annual turnover hits 61.9% against a national average of 45.8%. The inspection record is where it gets hard to ignore: 54 deficiencies on file, including four at the harm or jeopardy level and nine tied to abuse, plus a $114,365 fine. CMS rated health inspections and quality measures 1 out of 5, with staffing at 4. The most recent inspection was August 21, 2025.
Greenville Health Care Center runs 60 certified beds as a for-profit limited liability company, and its state inspection history is genuinely decent: four out of five stars for health inspections, with the most recent visit in March 2025 and no deficiencies at the harm or jeopardy level. The staffing picture is the opposite story. One star out of five, with annual turnover at 64.1 percent against a national average of 45.8 percent, roughly two-thirds of the direct-care workforce cycling out in a year. Eighteen deficiencies sit on the current record, one tied to abuse. Quality measures land at three stars. Good inspections can't paper over thin, constantly changing staff.
Nazareth Living Center runs on thin staffing margins. At 3.69 nurse hours per resident day, it sits below the national average, and weekends dip about 11% below its own weekday levels, so the hours when families visit most are often the leanest. The bigger warning sign is turnover: 77.4% of nursing staff leaving annually, well above the 45.8% national figure, which typically means less continuity for residents who need consistent caregivers. Its inspection record shows 49 deficiencies, including two at harm or jeopardy level and three tied to abuse, with one fine of $11,928. The most recent inspection was March 2025, so the record is current, not stale. This nonprofit has real problems worth asking about directly.
Fulton Nursing & Rehab runs on 2.76 nurse hours per resident day, roughly 28% under the national figure of 3.86, and weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 63.6% against a national average of 45.8%, meaning well over half the nursing staff leaves each year. Its inspection record, last reviewed in June 2025, carries 50 deficiencies, including one at the harm level and two tied to abuse, plus an $8,018 fine. All three CMS star ratings land at 2 out of 5. For a 100-bed for-profit home, those numbers describe thin, unstable staffing layered over a troubled survey history.
Lutheran Nursing Home runs 113 certified beds in Concordia under for-profit LLC ownership, and its staffing is the number that stands out: 3.14 nurse hours per resident day, about 19% under the national average, with weekends dipping roughly 12% below its own weekday coverage. Annual turnover sits at 52.5% against a 45.8% national figure, so the people providing that care are cycling through faster than average. Inspections look better on paper, a 4/5 health inspection rating as of August 2025, no deficiencies at the harm level, but 27 total deficiencies include 4 tied to abuse, and one fine of $41,886 is on record. The staffing rating of 2/5 tells you where the pressure actually lives.
Cotton Point Living Center runs about 4.11 nurse hours per resident day, roughly 7% above the national average, so the raw staffing number looks fine. The problem is what's around it. Weekend staffing drops about 14% below the home's own weekday level, and annual turnover sits at 63.1% against a national average of 45.8%, meaning the aides and nurses in the building keep changing, which matters most for residents who need consistent hands.
Then there's the record itself: 32 deficiencies, one at the level of actual harm or jeopardy and four tied to abuse, plus a $14,069 fine. The most recent inspection was March 2025.