Adrian, MO · Bates County
★★★★☆CMS 4/538 bedsNon-profitMedicaid
- Nurse hours
- 3.76 /day
- Staff turnover
- 55%
- Serious cites
- 0
Baptist Homes of Adrian runs 38 certified beds as a nonprofit, and its inspection history looks solid: seven deficiencies on the current record, none at the harm or jeopardy level, none abuse-related, and a survey completed in November 2025. The staffing picture is where you'll want to pay attention. At 3.76 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip about 1% below its own weekday levels. Annual turnover of 54.5% runs well above the 45.8% national figure, which matters in a small building where residents see the same faces day to day.
Chesterfield, MO · St. Louis County
★★★★★CMS 5/598 bedsNon-profitMedicaid
- Nurse hours
- 4.40 /day
- Staff turnover
- 47%
- Serious cites
- 0
Friendship Village Chesterfield runs a nonprofit home of 98 beds in St. Louis County, and the staffing numbers are its strongest card: 4.40 nurse hours per resident day, roughly 14 percent above the national average, which is why CMS gives it five stars on staffing. The catch is consistency, weekend coverage drops about 13 percent below its own weekday level, so care on a Saturday isn't quite what it is on a Tuesday. Turnover sits at 46.6 percent, essentially the national rate. Inspections from September 2024 produced 21 deficiencies, none at the harm level, but four tied to abuse.
Saint Louis, MO · St. Louis County
★★★☆☆CMS 3/5144 bedsNon-profitMedicaid
- Nurse hours
- 4.60 /day
- Staff turnover
- 48%
- Serious cites
- 0
Friendship Village Sunset Hills runs 4.60 nurse staffing hours per resident day, about 19% above the national average of 3.86, a real margin, though weekends dip roughly 4% below its own weekday level. That strong staffing sits alongside a rougher inspection record: 24 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse, with a single fine of $14,433 and a January 2025 inspection. Staff turnover of 48.1% edges past the national 45.8%, meaning the people providing that above-average care are still cycling out. High staffing hours and a meaningful resident census don't erase what inspectors found here.
Springfield, MO · Greene County
★★★★★CMS 5/5172 bedsFor-profitMedicaid
- Nurse hours
- 2.84 /day
- Staff turnover
- 27%
- Serious cites
- 0
Wilson's Creek runs a 172-bed for-profit operation in Springfield, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 27% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 26.9% against a national 45.8%, meaning aides and nurses tend to stick around. Inspections look good on paper, but 18 deficiencies are on the current record, including one at the harm level and four tied to abuse. Ask about those four before you decide anything.
Maryland Heights, MO · St. Louis County
★★★★☆CMS 4/5220 bedsFor-profitMedicaid
- Nurse hours
- 3.45 /day
- Staff turnover
- 29%
- Serious cites
- 0
Nhc Healthcare, Maryland Heights runs 220 certified beds under for-profit limited liability ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating with 15 total deficiencies, none at the harm or jeopardy level. One abuse-related deficiency is on the record, which is worth asking about directly. Staffing is where the picture gets mixed: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. The offsetting strength is retention, 28.6% annual turnover against a 45.8% national average means familiar faces, which matters for daily care. Quality measures also rate 4/5.
Springfield, MO · Greene County
★★★★☆CMS 4/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.94 /day
- Staff turnover
- 41%
- Serious cites
- 0
Maranatha Village runs on better-than-average nursing hours, 3.94 per resident day against a national 3.86, and its 40.8% turnover comes in under the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops roughly 14% below weekday levels, so pay attention to Saturday and Sunday care if you visit then. The 26 deficiencies on record include five tied to abuse, none reaching harm or jeopardy level, and the last full inspection was April 2024. Quality measures score at the top of CMS's scale, with staffing close behind; inspections sit in the middle.
Fulton, MO · Callaway County
★★★★☆CMS 4/536 bedsFor-profitMedicaid
- Nurse hours
- 3.89 /day
- Staff turnover
- n/a
- Serious cites
- 0
Kingdom Care Senior Living runs 36 certified beds in Fulton under for-profit limited liability ownership, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend coverage drops about 11% below the home's own weekday levels, so the hours aren't spread evenly across the week. The current record shows 21 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors last visited in September 2024, and the home's quality measure rating comes in at the top of the scale while its inspection and staffing ratings each land at 4 out of 5.
Rolla, MO · Phelps County
★★★★★CMS 5/530 bedsNon-profitMedicaid
- Nurse hours
- 4.49 /day
- Staff turnover
- 53%
- Serious cites
- 0
Rolla Presbyterian Manor runs a tight ship on nurse staffing, 4.49 hours per resident day, about 16 percent more than the national average, enough to earn the top federal staffing rating. That's the strongest thing going for it. Turnover sits at 53.3 percent, though, higher than the 45.8 percent national figure, and weekend coverage dips roughly 8 percent below its own weekday level. Eight deficiencies appear on the current record, none involving harm or abuse, and the last inspection was in March 2025. As a small nonprofit with 30 beds, it's the kind of place where you can ask directly who stays on weekends and how long aides tend to last.
Saint Louis, MO · St. Louis County
★★★★★CMS 5/5130 bedsNon-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 32%
- Serious cites
- 0
Bethesda Southgate runs on better-than-average staffing for a 130-bed nonprofit home in St. Louis County, 4.32 nurse hours per resident day, roughly 12% above the national figure. Weekend coverage dips about 12% below its own weekday level, and annual turnover sits at 31.5%, well under the 45.8% national average, which suggests people tend to stay. The tradeoff shows up in the record: 15 deficiencies, including one at the harm level and one abuse-related, against an otherwise strong inspection history from July 2024. Quality measure scores land mid-range, so the clinical picture is decent but not standout.
Piedmont, MO · Wayne County
★★★★★CMS 5/591 bedsFor-profitMedicaid
- Nurse hours
- 3.70 /day
- Staff turnover
- 39%
- Serious cites
- 0
Clark's Mountain runs lean on direct care: 3.70 nurse hours per resident day sits about 4% under the national average, and weekends drop roughly 17% below its own weekday staffing. The tradeoff shows up in consistency, not credentials, 38.5% annual turnover is better than the 45.8% national figure, and a 5/5 health inspection rating with just 5 deficiencies, none at harm level and none abuse-related, suggests a stable core staff that knows the building. Quality measures also score 5/5. Inspectors were last in on January 31, 2025. The weak spot is the staffing rating itself, so if your family member needs frequent hands-on help, ask how weekend coverage actually works on the unit.
Humansville, MO · Polk County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 44%
- Serious cites
- 0
Northwood Hills runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building manages Monday through Friday. That pattern matters, because weekends are when families often can't visit and problems go unnoticed longest.
The inspection record shows 33 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Turnover sits at 43.6%, slightly better than the national figure. The most recent inspection was November 2024.
Three stars across health inspections, quality measures, and staffing tells you this is a middle-of-the-road operation: not failing, not excelling. Worth a visit on a weekend afternoon to see what staffing actually looks like.
Park Hills, MO · St. Francois County
★★★★★CMS 5/572 bedsFor-profitMedicaid
- Nurse hours
- 3.38 /day
- Staff turnover
- 44%
- Serious cites
- 0
Country Meadows runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends dip another 8% below its own weekday schedule. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and the health inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in July 2025. The quality measure side is the softer spot. What you're looking at is a for-profit corporate home that inspectors have found little to fault, but where the daily nurse hours your family member actually sees will land below what most homes provide.
Kirkwood, MO · St. Louis County
★★★★★CMS 5/538 bedsNon-profitMedicaid
- Nurse hours
- 4.86 /day
- Staff turnover
- 65%
- Serious cites
- 0
Aberdeen Heights runs a genuinely strong staffing operation: 4.86 nurse hours per resident day, roughly a quarter above the national average, and a perfect federal staffing star to match. The catch is turnover, which sits at 65.4% against a national average of 45.8%, that much churn undercuts consistency even when the daily hours look good on paper, and weekend coverage drops about 14% below weekday levels. Inspections are current and clean where it counts: nine deficiencies on record, none at harm or jeopardy level, though one is abuse-related.
Kansas City, MO · Clay County
★★☆☆☆CMS 2/556 bedsFor-profit
- Nurse hours
- 5.92 /day
- Staff turnover
- 55%
- Serious cites
- 0
Nurse staffing at Mccrite Plaza runs about 5.92 hours per resident day, well above the national average of 3.86, which is the main reason its staffing rating holds at 4 out of 5. That coverage thins on weekends, dropping roughly 9% below weekday levels, and 54.5% of staff turned over in the past year, higher than the 45.8% national figure, so the people providing that care keep changing. The inspection record is the weaker side: 37 deficiencies, including two at the harm level and one tied to abuse, plus a $31,280 fine. With a 2/5 health inspection rating and a December 2024 inspection, the compliance history is worth asking about directly.
Saint Louis, MO · St. Louis County
★★★☆☆CMS 3/5120 bedsNon-profitMedicaid
- Nurse hours
- 5.09 /day
- Staff turnover
- 55%
- Serious cites
- 0
Barnes-Jewish Extended Care runs 120 certified beds as a nonprofit, and its nurse staffing sits at 5.09 hours per resident day, roughly a third above the national average of 3.86. That's the strongest part of the picture, though weekends dip about 19% below the home's own weekday coverage. Staff turnover is 54.5%, higher than the 45.8% national average, so people are cycling through even with the generous staffing numbers. The inspection record shows 30 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated March 2026. Federal ratings land at 3 stars for health inspections and quality measures, 4 for staffing.
Springfield, MO · Greene County
★★★★★CMS 5/5146 bedsFor-profitMedicaid
- Nurse hours
- 3.03 /day
- Staff turnover
- 44%
- Serious cites
- 0
Springfield Rehabilitation runs 146 beds under corporate ownership, and its nurse staffing sits at 3.03 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 43.6%, slightly better than the 45.8% national figure, which matters less than the raw hours when aides are stretched. The inspection record shows 31 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in May 2024. Quality measures score well; the inspection history and daily staffing tell the more grounded story.
Neosho, MO · Newton County
★★★★☆CMS 4/5114 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- 38%
- Serious cites
- 0
Medicalodges Neosho runs on leaner nurse staffing than most homes, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 13% below its own weekday coverage. The trade-off shows up in its people: turnover sits at 37.8%, well under the 45.8% national figure, which suggests a steadier crew than the typical for-profit building. Inspections back that up. The 2024 survey turned up 11 deficiencies, but none rose to harm or jeopardy level; one was abuse-related. Quality measures scored 5/5, and the last inspection is recent enough to trust. For families weighing staffing hours against consistency, that's the real question here.
Chesterfield, MO · St. Louis County
★★★★☆CMS 4/552 bedsFor-profitMedicaid
- Nurse hours
- 5.39 /day
- Staff turnover
- 62%
- Serious cites
- 0
Garden View Care Center Of Chesterfield runs a for-profit corporate home with 52 certified beds, and its nurse staffing sits at 5.39 hours per resident day, roughly 40% above the national average of 3.86. That's real coverage, though weekend hours dip about 8% below the home's own weekday level, and annual staff turnover is 61.6% against a national average of 45.8%. The current record shows 21 deficiencies, none at the harm or jeopardy level, but two tied to abuse, with the last inspection dated January 9, 2025. High staffing and clean harm-level findings carry weight; the turnover and abuse citations are the parts a family should ask about directly.
Farmington, MO · St. Francois County
★★★★☆CMS 4/5118 bedsFor-profitMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- 63%
- Serious cites
- 0
St Francois Manor runs 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 11% below its own weekday staffing. Annual turnover sits at 62.8% against a national 45.8%, meaning a large share of the people caring for residents weren't there a year ago. The inspection record is cleaner than that suggests: 21 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. The for-profit limited liability company that owns it has kept the building out of serious trouble. What families should weigh is whether staffing and turnover hold up on a Saturday night, not just on paper.
Cole Camp, MO · Benton County
★★★★★CMS 5/572 bedsGovernmentMedicaid
- Nurse hours
- 3.89 /day
- Staff turnover
- 16%
- Serious cites
- 0
Good Samaritan Care Center is county-owned, which is unusual in Missouri and tends to mean steadier budgets and less pressure to squeeze staff. That shows in the turnover number: 15.6% against a national average of 45.8%, so aides here largely stay put. Nurse staffing sits just above the national average at 3.89 hours per resident day, though weekends run about 9% leaner than weekdays, worth asking about if your family visits on Saturdays. Three deficiencies on record, none involving harm or abuse, and the last inspection was in September 2024. The weaker spot is quality measures, where the home scores low despite strong inspections and staffing.