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.
If you're looking at Estates of Perryville, the numbers behind its federal record are worth your time. The home has 156 certified beds and a for-profit LLC owner, and its nurse staffing comes in at 2.10 hours per resident day, roughly 46% below the national average, with weekend coverage dropping about 18% below its own weekday levels. Annual turnover sits at 61.4%, well above the 45.8% national figure. On the current record: 45 deficiencies, six at harm or jeopardy level, six abuse-related, and three fines totaling $303,763. All three CMS star ratings land at 1 out of 5, and the last inspection was March 11, 2026.
Bentwood runs 116 certified beds in Florissant under for-profit LLC ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, which matters because that's when families often visit and when problems can go unnoticed. The bigger signal is turnover: 77.3 percent of staff leaving in a year, well above the 45.8 percent national figure. On the record are 60 deficiencies, four of them serious enough to involve harm or jeopardy, plus three tied to abuse, and two fines totaling $107,465. The most recent inspection was February 24, 2026.
Arbor Hills runs 150 beds in Ferguson under for-profit LLC ownership that changed hands less than a year ago. Nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, and weekends dip about 18% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 79.8% is far above the 45.8% national figure, meaning the aides and nurses your relative sees are likely to keep changing. The current record carries 65 deficiencies, including 7 at harm or jeopardy level and 10 abuse-related, plus $282,840 in fines across two penalties. A February 2026 inspection is recent, but the pattern behind it isn't.
Raintree Village runs a small house, 40 beds, and staffs it well above the national average at 4.92 nurse hours per resident day. That cushion matters most on weekends, and here it thins by about 14% against the home's own weekday coverage, which is worth asking about directly since that's when families tend to visit and notice. The inspection record is thin: one deficiency on file, nothing at the harm or jeopardy level, no abuse citations, and the most recent state visit came in May 2025. Corporate ownership doesn't tell you much on its own, but combined with that staffing and citation picture, the numbers suggest a home that has been running clean.
Ignite Medical Resort St Peters runs 91 certified beds as a for-profit limited liability company, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That's a real edge on paper, but weekends dip about 19% below the home's own weekday level, so the care you'd see on a Saturday isn't the care reflected in the headline number. The inspection record is the heavier issue: 23 deficiencies, two of them serious enough to reach harm or jeopardy. None were abuse-related. The last inspection was October 2025, so the findings are recent rather than stale.
Annie's Garden runs 4.11 nurse hours per resident day, roughly 7% above the national average of 3.86, and its record is clean: no deficiencies at any level, none related to abuse, with an inspection completed in October 2025. The one pattern worth watching is weekends, when staffing drops about 16% below what the home runs during the week. That's not unusual in this industry, but it matters for a resident who needs more hands-on help on a Saturday than a Tuesday. The home is for-profit, owned by a limited liability company, licensed for 75 beds. A clean inspection record plus above-average staffing is a decent starting point, ask how they cover weekend shifts before you decide.
St. Louis Altenheim is a 73-bed for-profit home in the city, run by a limited liability company. Its current record shows ten deficiencies, none of which rose to actual harm or jeopardy, that's the key distinction, since most citations at this level are paperwork and process problems rather than incidents where a resident got hurt. One abuse-related deficiency is on the books, though, and that's worth asking about directly. The last inspection was October 2025, so the findings are recent, not stale. What the numbers don't show is how the place is staffed day to day, and with a for-profit LLC operator, that's the question I'd press on before deciding.