La Plata, MO · Macon County
★★★☆☆CMS 3/552 bedsGovernmentMedicaid
- Nurse hours
- 3.52 /day
- Staff turnover
- 30%
- Serious cites
- 0
La Plata Nursing Home runs on county money, and the numbers show a place that's steady but not especially well-staffed. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover is a genuine bright spot: 30% against a national 45.8% means aides and nurses here tend to stay. The tradeoff is a 30-deficiency record, including two at harm or jeopardy level and two tied to abuse, with the last inspection in November 2024. Quality measures score low; staffing and inspections land mid-range.
Gladstone, MO · Clay County
★★★★☆CMS 4/540 bedsFor-profitMedicaid
- Nurse hours
- 4.00 /day
- Staff turnover
- 61%
- Serious cites
- 0
Linden Woods Village sits in Gladstone with 40 certified beds under for-profit LLC ownership. The clinical picture is genuinely strong on paper: a 4/5 inspection rating, a 5/5 on quality measures, and 12 deficiencies on record with none at the harm level and none abuse-related. Staffing runs 4.00 nurse hours per resident day, roughly 4% above the national average, but weekends drop about 12% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger flag is turnover at 61.1% against a national 45.8%, nearly a third higher. Consistent caregivers matter for people who can't advocate for themselves, and that churn is worth asking about directly.
Sedalia, MO · Pettis County
★★★☆☆CMS 3/566 bedsNon-profitMedicaid
- Nurse hours
- 5.85 /day
- Staff turnover
- 38%
- Serious cites
- 0
E W Thompson Health & Rehabilitation Center runs on more nursing hours than most homes, 5.85 per resident day against a national average of 3.86, and that staffing strength carries its ratings. Weekend coverage dips about 9% below weekday levels, which is common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover sits at 37.6%, better than the 45.8% national figure, so the people caring for residents tend to stay. The tradeoffs show up elsewhere: 15 deficiencies on the current record, one abuse-related, though none rose to harm or jeopardy level, and quality measures scored lower than staffing did. A January 2025 inspection means the record is recent. Nonprofit ownership, steady staffing, and no harm-level findings are real strengths; the quality and deficiency numbers are what hold it back.
Lake Saint Louis, MO · St. Charles County
★★★★☆CMS 4/560 bedsFor-profit
- Nurse hours
- 6.03 /day
- Staff turnover
- 58%
- Serious cites
- 0
Cottages Of Lake St Louis runs a lean 60 beds under limited-liability ownership, and the staffing numbers are genuinely strong: 6.03 nurse hours per resident day, roughly 56% above the national average. That cushion matters, though weekend coverage dips about 9% below its own weekday level, so care can thin out on Saturdays and Sundays. Turnover sits at 57.5% against a national 45.8%, a quarter of the staff cycling out each year adds up in familiarity and consistency. The current record shows 8 deficiencies, one serious enough to reach harm or jeopardy, plus a single $17,696 fine. Inspections were recent, in July 2025, and the survey history holds up reasonably well overall.
Bridgeton, MO · St. Louis County
★★★☆☆CMS 3/5105 bedsNon-profitMedicaid
- Nurse hours
- 4.62 /day
- Staff turnover
- n/a
- Serious cites
- 0
Nurse staffing at Anna House runs about 20% above the national average, at 4.62 hours per resident day, though weekends come in roughly 9% thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows 29 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. That combination, solid overall staffing but a recent serious finding, is why it lands in the middle of the pack rather than at the top. It's a nonprofit home with 105 beds, last inspected in September 2024, and CMS gives it three stars each for health inspections, quality measures, and staffing. Nothing here is alarming, but ask directly about that harm-level deficiency and how weekend coverage actually works.
Columbia, MO · Boone County
★★★★★CMS 5/570 bedsFor-profitMedicaid
- Nurse hours
- 4.05 /day
- Staff turnover
- 53%
- Serious cites
- 0
Columbia Post Acute runs about 4.05 nurse hours per resident day, roughly 5% above the national average, and its staffing, inspection, and quality measure ratings all land at 4 out of 5. The catch is consistency: weekend staffing drops about 20% below weekday levels, and annual turnover sits at 52.9% against a national 45.8%. Its current record shows 13 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse, with the last inspection in November 2024. For-profit ownership under an LLC is worth keeping in mind when you ask about retention and who's actually on the floor on Saturdays and Sundays.
Cabool, MO · Texas County
★★★★★CMS 5/599 bedsNon-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- 35%
- Serious cites
- 0
Kabul Nursing Homes is a nonprofit with 99 beds in Cabool, and its last inspection was recent, August 2025, with 12 deficiencies on record, none at the harm level and none related to abuse. The staffing picture is mixed: 3.14 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends run roughly 4% leaner than weekdays. What offsets that is stability, 35% turnover beats the national 45.8%, meaning the aides and nurses who are there tend to stay, which matters more for daily care than raw headcount alone.
Lees Summit, MO · Jackson County
★★★★☆CMS 4/5324 bedsNon-profitMedicaid
- Nurse hours
- 4.08 /day
- Staff turnover
- 43%
- Serious cites
- 0
John Knox Village Care Center runs 324 certified beds as a nonprofit, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average. That cushion matters, though weekends drop about 13% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure, which suggests the workforce is somewhat more stable than most. Inspectors visited in January 2025 and logged 20 deficiencies, none at the harm or jeopardy level and none abuse-related. Four stars on health inspections and staffing, three on quality measures, tells you the basics are solid even if quality reporting lags.
West Plains, MO · Howell County
★★★★★CMS 5/5114 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 48%
- Serious cites
- 0
Nhc Healthcare, West Plains runs lean on direct care: 3.54 nurse hours per resident day, roughly 8 percent under the national figure, and weekends dip another 7 percent below its own weekdays. That gap matters more than the total, since care doesn't pause on Saturdays. Staff turnover sits at 47.7 percent, a bit above the 45.8 percent national rate, which usually means familiar faces cycle out and training costs repeat. What offsets this is a clean inspection record: 13 deficiencies, none at the harm or jeopardy level, zero abuse-related, and the most recent state visit was February 2025, recent enough to trust. Corporate ownership and thin weekend coverage are the tradeoffs; the survey history is the strength.
New Madrid, MO · New Madrid County
★★★★★CMS 5/5112 bedsFor-profitMedicaid
- Nurse hours
- 3.60 /day
- Staff turnover
- 51%
- Serious cites
- 0
New Madrid Living Center just passed a September 2025 inspection with a strong health inspection record, 5 out of 5 stars there, and its quality measures hold up well too. The softer spots are in the day-to-day numbers. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 13% leaner than weekdays, which is when families tend to notice. Staff turnover at 50.9% is higher than the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Eleven deficiencies are on record, two serious enough to involve harm or jeopardy, though none abuse-related, and one fine of $8,824 has been paid.
Liberty, MO · Clay County
★★★★☆CMS 4/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- 33%
- Serious cites
- 0
Pleasant Valley Manor Care Center runs 102 certified beds in Liberty under corporate for-profit ownership, and its inspection record is mostly clean, a 4-out-of-5 health inspection rating, with no deficiencies at the harm or jeopardy level. The 24 total deficiencies on file include three flagged as abuse-related, and one fine totaling $24,235, so it isn't spotless. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends run about 8% below its own weekday level, a dip families should ask about directly. Staff turnover, though, is 32.7% against a national 45.8%, which is meaningfully steadier than most homes. Last inspected September 2025.
Maysville, MO · De Kalb County
★★☆☆☆CMS 2/560 bedsFor-profitMedicaid
- Nurse hours
- 3.14 /day
- Staff turnover
- 46%
- Serious cites
- 0
Sunset Home runs on 3.14 nurse hours per resident per day, about 19% under the national average of 3.86, and weekends slip roughly 3% below its own weekday level. That thin margin is the whole story behind its one-star federal staffing rating, even though turnover (46.2%) sits close to the national figure and inspections and quality measures both land at three stars. What stands out on the record itself is 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse, worth asking about directly, especially given the for-profit LLC ownership. The most recent inspection was July 2025, so the findings are current rather than stale.
Jefferson City, MO · Cole County
★★★★☆CMS 4/542 bedsFor-profitMedicaid
- Nurse hours
- 4.51 /day
- Staff turnover
- 54%
- Serious cites
- 0
Stonebridge Oak Tree runs about 4.51 nurse hours per resident day, roughly 17% above the national average, which is the kind of number families notice when they're comparing homes. But that staffing thins on weekends, dropping around 12% below its own weekday level, and turnover sits at 54%, higher than the 45.8% national figure, so the people providing that care change often. The health inspection rating is 4 out of 5 with a recent survey from February 2025, though the record shows 18 deficiencies, including one at the harm level and one tied to abuse. For-profit individual ownership, 42 beds.
Bertrand, MO · Mississippi County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 3.86 /day
- Staff turnover
- n/a
- Serious cites
- 0
Bertrand Nursing and Rehab Center passes its inspections cleanly, a five-star record with ten deficiencies, none of them serious enough to cause harm, though one is abuse-related. That's a home that generally gets the basics right when surveyors show up, and it was inspected as recently as July 2025. The problem is staffing, where it earns just one star and sits well below what most homes provide. Quality measures land in the middle at three. For-profit corporate ownership rounds out the picture. A strong inspection record matters, but it only reflects what surveyors caught on a given day, thin staffing shows up in the hours between visits, when your family member needs help getting to the bathroom or turning in bed. Ask about the direct-care aide schedule on evenings and weekends before deciding.
Saint Charles, MO · St. Charles County
★★★★☆CMS 4/550 bedsNon-profitMedicaid
- Nurse hours
- 4.71 /day
- Staff turnover
- 38%
- Serious cites
- 0
Lutheran Senior Services At Breeze Park runs a 50-bed nonprofit home in Saint Charles, and its nurse staffing sits around 4.71 hours per resident day, roughly a fifth above the national average, though weekends drop about 11% below its own weekday coverage. Staff turnover is 37.9%, better than the 45.8% national figure, and the last inspection was in March 2024. The record also shows 16 deficiencies, including two at the harm or jeopardy level and one tied to abuse, plus a single fine of $41,347. Strong daily staffing and steadier retention count for a lot here, but those harm-level findings and the abuse citation are the kind of history worth asking about directly before you decide.
Gower, MO · Clinton County
★★★☆☆CMS 3/582 bedsNon-profitMedicaid
- Nurse hours
- 3.70 /day
- Staff turnover
- 17%
- Serious cites
- 0
Gower Convalescent Center runs on a non-profit model with 82 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and weekends dip roughly 11% below what the home staffs on weekdays, so families should ask who's actually on the floor on Saturdays and Sundays. What stands out is retention: 17.4% annual turnover against a national average near 46%, which suggests a stable crew that knows the residents. The tradeoff shows up in care quality, where CMS rates the home 2 out of 5, and the record carries 24 deficiencies, including 2 tied to abuse, though none reached harm or jeopardy.
West Plains, MO · Howell County
★★☆☆☆CMS 2/5130 bedsNon-profitMedicaid
- Nurse hours
- 5.00 /day
- Staff turnover
- 42%
- Serious cites
- 0
West Vue runs on more direct nursing time than most homes in the country, five hours per resident per day against a national average near four, and its weekend coverage dips only modestly from weekday levels, which matters when families visit and notice who's actually on the floor. Staff turnover sits slightly under the national rate, and the home's last inspection was recent, with sixteen deficiencies on record but none flagged as harm or abuse. The weak spot is the quality measures, where the federal rating is poor, suggesting the day-to-day care numbers don't tell the same story as the staffing. It's a nonprofit with 130 beds, so the mixed picture is worth asking about directly.
Cape Girardeau, MO · Cape Girardeau County
★★★★★CMS 5/533 bedsFor-profitMedicaid
- Nurse hours
- 4.99 /day
- Staff turnover
- 49%
- Serious cites
- 0
Fountainbleau Lodge runs 33 beds in Cape Girardeau, and its nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekends drop about 18% below its own weekday level, so coverage thins out when families tend to visit. Turnover is 48.7%, a bit above the national 45.8%. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,827. The most recent inspection was September 2025, so the picture is fairly current.
Monett, MO · Barry County
★★★★★CMS 5/579 bedsNon-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 51%
- Serious cites
- 0
Lacoba Homes runs a church-affiliated nonprofit in Monett with 79 beds, and its recent inspection history is the strongest thing it has going: a 5-out-of-5 health inspection rating and a survey completed in January 2026. The staffing picture is more mixed than the raw average suggests. Overall nurse hours come in around 12% above the national figure, but weekends drop roughly 19% below the home's own weekday coverage, and turnover sits at 51.4% against a national 45.8%. Ten deficiencies are on the current record, including one at the harm level and one tied to abuse. Strong inspections, thinner weekend coverage, and steady staff churn, that's the tradeoff to weigh.
Stover, MO · Morgan County
★★★☆☆CMS 3/561 bedsNon-profitMedicaid
- Nurse hours
- 4.52 /day
- Staff turnover
- 51%
- Serious cites
- 0
Golden Age Living Center runs on a nonprofit model with 61 certified beds in Stover, and the inspection record looks clean. Six deficiencies on file, none of them at the harm or jeopardy level, and the state's last visit was January 30, 2025. Staffing sits at 4.52 nurse hours per resident day, roughly 17 percent above the national average of 3.86, a real cushion, though weekends dip about 17 percent below the home's own weekday level, so coverage thins out when families tend to visit. Annual turnover runs 50.7 percent, a bit worse than the 45.8 percent national figure. One abuse-related deficiency is worth asking about directly.