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.
River City Living Community has 50 deficiencies on its current record, including three at the harm or jeopardy level and nine tied to abuse. That's the part that matters most. Staffing sits at 3.87 hours per resident day, essentially identical to the national average of 3.86, but weekends run about 6% below the home's own weekday level, and annual turnover is 73.1%, well above the 45.8% national figure. The last inspection was October 2024, and there's one fine on record totaling $237,995. For-profit corporate ownership rounds out the picture. The staffing number looks fine on paper, but a 73% turnover rate suggests the people providing care keep changing.
Portageville Health Care Center has kept its health inspection record clean enough to earn four stars there, and its most recent survey was in May 2025. But the staffing picture is where things get shaky, CMS gives it one star, and annual turnover runs at 61.5%, well above the 45.8% national average. That churn matters more than any single inspection when you're thinking about who's actually at the bedside day to day. The facility also carries 25 deficiencies, one of them abuse-related, and a single fine of $240,603 on record. Nothing in the file points to immediate jeopardy, but the combination of thin staffing and high turnover is the real story here.
Wilshire at Lakewood runs 170 beds in Lee's Summit under limited-liability ownership, and its inspection history is the strongest part of the picture, a recent survey, a four-star health inspection rating, and no repeat of serious problems since. Staffing is where the trouble sits: 3.43 nurse hours per resident day, roughly 11% under the national average, with weekends about 12% thinner than weekdays. Turnover hits 66.5% against a national 45.8%, meaning most of the people caring for your family member are new to the building. The 34 deficiencies on record include one at harm level and two tied to abuse, which is worth asking about directly before you decide.
Creve Coeur Manor runs on 2.47 nurse hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 74.1% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record carries 66 deficiencies, including one at the harm level and one abuse-related, with a single fine of $9,440. It's a for-profit limited liability company, 149 beds, last inspected November 2024.
Florissant Valley runs 3.94 nurse hours per resident day, a hair above the national average of 3.86, but look closer and the picture changes. Weekend staffing drops roughly 17% below the home's own weekday level, and annual turnover sits at 68.8% against a national figure of 45.8%, meaning most of the people caring for residents are relatively new and the weekend crew is thinner. The inspection record shows 72 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with the most recent inspection in November 2024. For a 98-bed for-profit corporate home, those numbers, not the staffing headline, are what a family should weigh.
Lansdowne Village runs 145 certified beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits about 12% under the national average, and weekends drop roughly 17% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 61.4% against a 45.8% national figure means aides and nurses are cycling through constantly. The inspection record backs that up: 71 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, with a $15,015 fine on file. Last inspected in November 2025.
Autumn Oaks Caring Center is a for-profit, individually owned home with 120 beds in Mountain Grove. Staffing sits slightly under the national average at 3.79 nurse hours per resident day, but the bigger issue is consistency: weekend coverage drops about 19% below weekday levels, and annual turnover runs 55.7% against a national 45.8%. That churn shows up in the inspection record too, 30 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $48,539 from a January 2025 visit. Quality measure scores sit at the bottom of CMS's scale, and the health inspection rating is well below average, though staffing earned a middle mark.
Riverview Nursing Center in Mokane runs 60 beds under individual for-profit ownership, and the numbers pull in different directions. Inspectors have found the place in good shape, a clean five-star health inspection record as recently as May 2025, with 13 deficiencies on file and none rising to actual harm. The daily experience is a different question. Nurse staffing sits at 3.25 hours per resident, about 16 percent under the national average, and drops roughly another quarter on weekends. Staff turnover runs 64.3 percent against a national 45.8, meaning most of the people caring for your family member will be gone within a year. Quality measures come in at one star.
Heartland Care and Rehabilitation Center runs 102 certified beds in Cape Girardeau under individual for-profit ownership. The staffing numbers are the place to start: 3.05 nurse hours per resident per day, about 21% under the national average, with weekends roughly 17% thinner than weekdays. Annual turnover sits at 66.2%, well above the national 45.8%.
What keeps this home from being a harder call is its inspection record, five stars, cleaned up recently, and 11 deficiencies with none at the harm level and none related to abuse. The tradeoff is real, though: residents get solid care oversight but thin coverage, especially on weekends. If you're considering it, ask how the weekend shift is actually staffed.
Aspire Senior Living Oak Grove runs a 90-bed for-profit home in Jackson County, and the staffing numbers are the first thing that stand out. At 2.73 nurse hours per resident day, it's roughly 29% under the national average of 3.86, and weekends dip about 16% below its own weekday level. Turnover sits at 38.9%, actually better than the 45.8% national figure, so retention isn't the problem here, raw coverage is.
The inspection side looks stronger: a 4/5 health inspection rating and 27 deficiencies on record with none at the harm level, though 2 are abuse-related. But the 1/5 quality measure rating, paired with a 2024-08-02 inspection date, suggests the clinical picture doesn't match the survey results.
Springfield Villa runs on 2.96 nursing hours per resident day, roughly a quarter below the national average, and weekends dip about 20% below what the home itself staffs on weekdays. That thin coverage is hard to separate from the rest of the record: 64% annual turnover, a one-star CMS staffing rating, and 36 deficiencies logged, including three at the harm or jeopardy level and one tied to abuse. The last inspection was November 2023, and there's a $69,595 fine on file. Quality measures score mid-range at three stars, but with staffing this far under the norm and a for-profit LLC structure, the numbers point to a home where care depends heavily on who happens to be on shift.
Rock Point Nursing Center runs on 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 55.6% against a national 45.8%, so aides and nurses are cycling out faster than average. The inspection record looks steadier: a 4-out-of-5 health inspection rating, 21 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the last survey was March 2026. Quality measures score 2 out of 5, staffing 1 out of 5. The corporation that owns it keeps the building compliant on paper while running thin on the floor.
Apple Ridge runs on thin staffing. At 2.74 nurse hours per resident per day, it's about 29% below the national average of 3.86, and weekends dip even lower than its own weekdays. That shortfall shows up in its one-out-of-five staffing rating, and it's compounded by turnover: 62.9% of staff leave each year, against a national average of 45.8%. The inspection record carries 39 deficiencies, including 7 tied to abuse, though none rose to the level of actual harm or jeopardy. The last inspection was September 11, 2024. Quality measures also land at two out of five. This is a for-profit corporate home where the numbers point to a persistent staffing problem rather than a one-time slip.
Country Aire Retirement Center runs 60 certified beds in Lewistown under for-profit LLC ownership, and its staffing numbers are the first thing to look at: 2.97 nurse hours per resident per day against a national average of 3.86. Weekends drop about 10% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Annual turnover sits at 61.3%, well above the 45.8% national figure, which means the aides and nurses caring for residents are often new to the building. The inspection record shows 66 deficiencies, six of them abuse-related, and CMS gave the health inspection and staffing domains one star each. The last inspection was July 2024.
Current River Nursing Center runs on about 3.27 nursing hours per resident per day, roughly 15 percent below the national average, and weekend coverage drops further still, about a tenth thinner than its own weekdays. Staff turnover sits at 73.5 percent against a national figure near 46 percent, so the people caring for residents are, more often than not, new to the building. The inspection record shows 42 deficiencies, including two at the harm or jeopardy level and one tied to abuse, and the last state visit was in August 2025. All three CMS star categories land at two out of five. For-profit corporate ownership, thin staffing, and heavy turnover are the pattern here, not a single bad month.
Brunswick Health Care Center runs 60 beds under for-profit LLC ownership, and the numbers that stand out most are on the staffing side. Nurse coverage sits at 3.77 hours per resident day, a bit under the national average, and it dips roughly 7% further on weekends, but the bigger signal is a 75% annual turnover rate, well above the 45.8% national figure. That kind of churn means residents see a rotating cast of caregivers. The inspection record is heavy: 53 deficiencies, four at harm or jeopardy level and four abuse-related, with a $15,143 fine and a 1-out-of-5 health inspection rating. Quality measures score well, but consistent staffing and a clean inspection history are what keep people safe day to day.
Potosi Manor runs on thinner staffing than most homes, 3.28 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That matters most on Saturdays and Sundays, when residents still need the same care with fewer hands on deck.
The bigger issue is turnover: 74.6% of nursing staff leaving annually, against a national rate near 46%. Combine that with 21 deficiencies on record, including one at the harm level and one tied to abuse, and a $13,627 fine, and you get a home with real compliance problems behind its October 2024 inspection. The corporate owner operates it for profit, so ask who's actually on the floor on a Sunday afternoon before you decide.
Fulton Manor runs on thin staffing: 2.60 nurse hours per resident per day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 85.9%, nearly double the national rate, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 49 deficiencies, six tied to abuse, with the most recent survey in January 2025. The corporate owner operates for profit. Taken together, the numbers describe a home where care depends heavily on a workforce that keeps changing.
Aspire Senior Living Excelsior Springs runs 108 beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.01 nurse hours per resident day, it sits about 22% under the national average, weekend coverage drops roughly 14% below its own weekday level, and annual turnover of 59.6% means well over half the nursing staff leaves each year, national turnover runs 45.8%. The current record lists 34 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level. The last inspection was recent, January 2026. A 3/5 on health inspections and 2/5 on quality measures suggest the care itself isn't the main concern here, the thin, unstable staffing is.
Camdenton Windsor Estates runs on thin staffing: 2.78 nurse hours per resident day against a national average of 3.86, and weekends dip about 16 percent below its own weekday levels, so coverage is scarcest exactly when families tend to visit. Three out of four employees left over the past year, the national figure is closer to 46 percent, and CMS rates the home 1 out of 5 on quality measures and 2 out of 5 on both staffing and health inspections. Its record shows 45 deficiencies, including one at the harm level and two tied to abuse. The last inspection was April 10, 2025.