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.
Stonebridge Florissant runs on thin staffing. At 3.28 nurse hours per resident day, it sits roughly 15 percent under the national average, and weekends drop another 18 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover tells a related story: 75.9 percent of staff leave within a year, well above the 45.8 percent national figure, which means unfamiliar faces and constant retraining.
The inspection record is current, dated August 2025, with 37 deficiencies but none flagged at harm or jeopardy level, and none abuse-related. That's a meaningful distinction. Still, a 1-out-of-5 staffing rating with that churn rate is the number to weigh hardest when you tour.
The Manor in Poplar Bluff runs about 4.10 nurse hours per resident day, roughly 6% above the national average, but that cushion thins on weekends when staffing drops about 18% below its own weekday level. Annual turnover sits at 61.9% against a national average of 45.8%, so a large share of the people providing that care are new or on their way out.
The current record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was April 2025. State inspectors rated health inspection at 4 of 5 stars, but quality measures came in at 1 of 5.
Ash Grove Healthcare Facility runs on thinner staffing than most homes you'll compare it to, about 3.20 nurse hours per resident day against a national average near 3.86, with weekends dropping roughly 16% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when residents still need the same hands. Annual turnover of 63.6% is well above the 45.8% national figure, so the people providing that care are changing often. The inspection record is genuinely decent: a 4-out-of-5 health inspection rating, no deficiencies at the harm or jeopardy level, and a current survey from January 2025. But 16 deficiencies including two abuse-related citations, and a 1-out-of-5 quality measure rating, mean the day-to-day clinical picture doesn't match the strong inspection score.
Hickory Manor runs 60 beds in Licking under individual for-profit ownership, and the numbers pull in different directions. Nurse staffing sits at 3.70 hours per resident per day, about 4% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the coverage your family member gets depends heavily on which day it is. Annual turnover is 78.8%, well above the national 45.8%, which means most of the people providing daily care are relatively new to the building. The health inspection rating of 4 out of 5 is genuinely strong, and 29 deficiencies with none at the harm level is not alarming on its face. But a 1 out of 5 on quality measures and recent inspection in January 2025 round out a mixed picture.
Rehab Of Kansas City South runs about 3.10 nurse hours per resident each day, roughly 20% under the national average of 3.86, and weekends are about 17% thinner than its own weekdays. That staffing shortfall shows up in other numbers: 59.5% of staff left over the past year against a 45.8% national rate, and CMS gives staffing a single star out of five. The inspection record carries 45 deficiencies, including two tied to abuse, though none reached harm or jeopardy, and the last survey was in February 2025. This is a for-profit LLC with 100 certified beds, a two-star inspection rating, and a three-star quality measure score.
Pine Grove Manor runs 3.14 nurse hours per resident day, about 19 percent under the national average, and weekend coverage drops roughly 11 percent below its own weekday levels. That thin staffing sits alongside a one-star inspection record carrying 34 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus $31,665 in fines across two penalties. Quality measures score well, but that's family-reported and assessment-based data; the inspection and staffing numbers are what regulators actually observed. The last inspection was March 2026, so the record is current. For-profit corporate ownership, 77 beds, and a staffing picture that leaves little margin when a resident needs more attention than the schedule allows.
Woodland Manor runs 178 certified beds under for-profit LLC ownership, and its last health inspection came through in late March 2026 with a clean record on harm-level deficiencies, 39 findings total, none rising to actual harm or jeopardy, though one is abuse-related. The staffing picture is where the trouble sits: 3.76 nurse hours per resident day, a bit under the national average, with weekends about 8% thinner than weekdays and turnover at 63.1% against a national 45.8%. Inspectors rated the place 4 of 5, but quality measures and staffing both came back 1 of 5. High turnover plus weekend gaps is what tends to wear on day-to-day care.
Grandview Healthcare Center runs on thin staffing: 3.11 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 9% below what the home already provides on weekdays. That's the number worth weighing, because turnover sits at 68.6% against a national 45.8%, most of the people caring for your relative are likely new to the building. The record shows 24 deficiencies, including one at the harm level and one tied to abuse, and the quality measure score came in low. A recent inspection doesn't erase a pattern like that. If you're considering this one, ask how they hold staffing on weekends and what's changed since January.
Pinnacle Point runs 180 beds in Riverside under for-profit LLC ownership, and its nurse staffing sits at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage. Staff turnover is the number that should stop you: 80% a year, nearly double the national 45.8%, which means the person caring for your family member is likely new, and likely gone within the year. Inspections turned up 38 deficiencies, including one at the harm level and two tied to abuse, with a $52,878 fine on record. The most recent inspection was November 2025, so the picture is current.
Nick's Health Care Center runs on 2.55 nurse hours per resident day, roughly a third below the national average of 3.86, and weekend coverage drops further below its own weekday level. That thin margin shows up in the numbers: 64.4% annual staff turnover against a national 45.8%, and a one-out-of-five CMS staffing rating. The inspection record carries 30 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with $21,922 in fines across two penalties. The most recent inspection was in October 2025, so the picture is current, not stale. A 70-bed for-profit limited liability company in Plattsburg, it's worth asking direct questions about direct-care staffing on weekends before you decide.
Ratliff Care Center runs about 3.24 nurse hours per resident each day, roughly 16% under the national average, and weekend coverage drops another 6% below its own weekday level. Staff turnover sits at 72.1% against a national 45.8%, which means most of the people caring for your relative are new to the building. The inspection record shows 20 deficiencies, none at the harm level but three tied to abuse, and the last state visit was May 30, 2025. Quality measures score 2 out of 5 and staffing 1 out of 5, though inspections hold at 4. The individual for-profit owner keeps a thin crew on weekends.
Stonebridge Desoto runs 56 beds under a for-profit limited liability company, and its inspection history is the strongest thing going for it, four out of five stars, with the most recent visit in March 2025 and no abuse citations on record. The trouble sits elsewhere. Staffing earns one star, and the home loses about 68 percent of its staff each year against a national average near 46 percent, which is a lot of churn for a building this size. There are 25 deficiencies on the current record, one serious enough to involve harm, plus a single fine of $6,368. Quality measures land at two stars. Families should ask how the home keeps consistent caregivers on the floor.
Joplin Gardens runs on 92 certified beds and a for-profit LLC structure, and the staffing numbers are the first thing worth knowing: 3.08 nurse hours per resident per day against a national average of 3.86, with weekend coverage dipping about 7% below its own weekdays. That thin schedule sits alongside 61.9% annual staff turnover, well above the 45.8% national figure, so the people providing care change often. Inspectors last visited in August 2024 and found 25 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none abuse-related. Federal ratings put quality measures and staffing at the bottom of the scale, with health inspections somewhat higher at two stars.
Copper Rock Healthcare in Rogersville runs about 90 beds as a nonprofit, and the staffing numbers are the first thing that stands out. At 3.54 nurse hours per resident day, it sits roughly 8 percent under the national average, and weekends drop another 11 percent below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 77.6 percent, against a national rate near 46 percent, means the people caring for residents are cycling through fast. The current record carries 24 deficiencies, including one at the harm level and three tied to abuse.
Lee's Summit Place runs on thin nursing coverage: 2.91 nurse hours per resident per day against a national average of 3.86, and weekends dip roughly 15% below what the home itself staffs on weekdays. That shortfall shows up in the federal staffing rating, which sits at the lowest mark, and in turnover of 73.9%, well above the 45.8% national figure, meaning the aides and nurses around your family member are likely to keep changing. The inspection record is more reassuring: a 4-out-of-5 health inspection rating, with the most recent survey in April 2025 and 30 deficiencies logged, just one of them serious enough to involve harm or jeopardy. No abuse deficiencies appear on the current record.
Tiffany Heights runs on 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 18% below what the home staffs during the week. That thin coverage sits behind a 69% annual turnover rate, well above the 45.8% national figure. Inspectors have cited 29 deficiencies on the current record, two of them abuse-related, though none reached harm or jeopardy level. The last inspection was December 5, 2025. A for-profit limited liability company owns the 60-bed home in Mound City. Quality measures rate mid-range, but staffing and inspection results are where the concerns concentrate.
Delmar Gardens On The Green runs 120 certified beds in Chesterfield under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 4.38 hours per resident day, roughly 13% above the national average, though weekends run about 4% thinner than weekdays and annual turnover hits 57.7% against a national 45.8%, meaning the people providing that above-average care are cycling through fast. The clinical record is harder to defend: 30 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, plus one fine of $46,589. A recent October 2024 inspection gives you current information, but a 1/5 quality measure rating alongside that deficiency count suggests the extra staffing hours aren't translating into measured outcomes.
Kirksville Manor Care Center runs 119 certified beds under corporate for-profit ownership, and the numbers here are hard to read. Nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average, but that average hides a real drop on weekends, when coverage falls about 15% below the home's own weekday level. Meanwhile, annual turnover is 57.4%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 54 deficiencies, seven at harm or jeopardy level, one tied to abuse, and $250,823 in fines across two penalties.
Gainesville Nursing runs 99 certified beds under corporate for-profit ownership, and its staffing is the number that stands out: 2.63 nurse hours per resident per day, roughly a third below the national average of 3.86. Weekend coverage drops about 12% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 48.6%, a bit above the national 45.8%. The inspection side looks strong on the surface, 4 of 5 stars, last survey in September 2024, but the record carries 25 deficiencies, six of them abuse-related, none flagged at harm or jeopardy level. Quality measures come in at 1 of 5 stars, which is where the gap between paperwork and daily care tends to show up.
Westchester House runs 159 beds in Chesterfield under corporate ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, with weekends about 9 percent thinner than weekdays. On top of that, 69 percent of its nursing staff turns over in a year against a national rate near 46 percent, so the people providing hands-on care are constantly changing. The inspection record shows 43 deficiencies, including two at the harm level and three tied to abuse, with one fine of $83,824 and a health inspection rating of 2 out of 5. Its quality measure score is a bright spot at 4 out of 5, but quality numbers rest on the staffing that produces them.