Canton, MO · Lewis County
★☆☆☆☆CMS 1/5118 bedsGovernmentMedicaid
- Nurse hours
- 3.71 /day
- Staff turnover
- 41%
- Serious cites
- 0
Lewis County Nursing Home District runs on county money, and its staffing numbers are close to average but not quite there: 3.71 nurse hours per resident day against a national 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 40.9%, better than the 45.8% national figure, so people tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 42 deficiencies on record, including three tied to abuse, though none rose to actual harm or jeopardy, point to paperwork and process problems rather than resident injuries. One fine of $7,342. The last inspection was November 2025, so the record is current.
Saint Louis, MO · St. Louis City County
★★★☆☆CMS 3/5156 bedsFor-profitMedicaid
- Nurse hours
- 7.18 /day
- Staff turnover
- n/a
- Serious cites
- 0
Delhaven Manor runs 7.18 nurse hours per resident day, roughly 86% above the national average, and that staffing earns a 4-star CMS rating. The catch is the weekend drop: hours fall about 18% below the home's own weekday level, so coverage is thinner exactly when inspections are less frequent. The health inspection record is the weak point, 48 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, plus a $73,048 fine. Quality measures score 5 out of 5, and the last inspection was November 2024. Corporate for-profit ownership, 156 beds. Strong daily staffing and good clinical measures, but a recent, documented history of serious compliance problems.
Mountain View, MO · Howell County
★★★★★CMS 5/5105 bedsNon-profitMedicaid
- Nurse hours
- 3.71 /day
- Staff turnover
- 55%
- Serious cites
- 0
Mountain View Healthcare runs on leaner nurse staffing than the national average, 3.71 hours per resident day against 3.86, and weekends dip about 14% below its own weekday levels, which is when families tend to visit and notice. Staff turnover sits at 54.9%, well above the 45.8% national figure, so continuity of caregivers is a real question. The tradeoff: a five-star health inspection record with no deficiencies at the harm level, though one abuse-related citation appears among the 14 total, and the last full inspection was in April 2025. As a nonprofit, it isn't answering to shareholders, but that doesn't automatically mean more hands on deck.
Bolivar, MO · Polk County
★★★★☆CMS 4/578 bedsNon-profitMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- 47%
- Serious cites
- 0
Parkview Health Care Facility runs on thinner nurse coverage than most homes, 3.79 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday numbers, which is where gaps tend to show up. Staff turnover sits at 47.1%, slightly above the national figure of 45.8%, so this is a place where you'll want to ask how long the current crew has actually been there. The positives are real: a clean inspection record with nine deficiencies, none at the harm level and none tied to abuse, a recent November 2024 survey, and solid marks for both inspections and quality measures. Nonprofit ownership under a corporation, 78 beds.
Sikeston, MO · Scott County
★★★★☆CMS 4/590 bedsFor-profitMedicaid
- Nurse hours
- 4.00 /day
- Staff turnover
- 41%
- Serious cites
- 0
Clearview Nursing Center runs 90 certified beds in Sikeston under corporate ownership, and the staffing picture is genuinely better than most: 4.00 nurse hours per resident day, roughly 4% above the national average, with turnover at 41% against a national 45.8%. Weekend coverage does dip about 13% below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey completed March 5, 2026, recent enough to trust. Where this home separates from itself is quality measures, which sit at 2 out of 5 stars even as staffing and inspections hold at 4. Ask what specifically is driving that gap.
Marshall, MO · Saline County
★★★☆☆CMS 3/599 bedsNon-profitMedicaid
- Nurse hours
- 3.87 /day
- Staff turnover
- 36%
- Serious cites
- 0
Living Center in Marshall runs a nonprofit home of just under 100 beds, and its nurse staffing sits right at the national average, technically a hair above, though the difference is negligible. What stands out more is that weekends run noticeably thinner than weekdays, and turnover of 35.8% is better than the 45.8% national figure but still means roughly a third of the staff leaves each year.
The inspection record is where families should focus. Twenty-nine deficiencies, including two at the harm level and four tied to abuse, with the last inspection in July 2024. Quality measures score 2 out of 5. Staffing is the strongest piece of the picture; the rest is average to below.
Saint Louis, MO · St. Louis County
★★★★☆CMS 4/570 bedsFor-profit
- Nurse hours
- 5.22 /day
- Staff turnover
- 57%
- Serious cites
- 0
Mcknight Place Extended Care sits in Saint Louis with 70 certified beds and a corporate for-profit owner. The staffing numbers are the real story here: 5.22 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekend coverage holds fairly steady, only about 6% below weekdays. Turnover is the weak spot, 56.9% of staff leave annually against a national 45.8%, which means new faces are constantly rotating through.
The inspection record is current, dated April 2025, and shows 25 deficiencies with none at harm or jeopardy level and nothing abuse-related, which points to documentation and process issues rather than resident safety failures.
Sikeston, MO · New Madrid County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.17 /day
- Staff turnover
- 49%
- Serious cites
- 0
Delta South runs lean on nursing hours, 3.17 per resident day against a national average of 3.86, and weekends drop roughly another 10% below what the home staffs on weekdays. Turnover sits at 49%, a few points above the national figure, so the faces around a resident's bed change fairly often. What keeps this home from looking worse on paper is its inspection record: 24 deficiencies on the current books, none tied to harm, jeopardy, or abuse, and a survey as recent as January 2026. The health and quality ratings reflect that cleanliness of record. The staffing side is the weak spot, and that's where a family's daily experience usually lives.
Independence, MO · Jackson County
★★★★★CMS 5/538 bedsFor-profit
- Nurse hours
- 4.11 /day
- Staff turnover
- 65%
- Serious cites
- 0
Sunterra Springs Independence runs a small 38-bed operation under for-profit LLC ownership, and the raw staffing number looks decent, 4.11 nurse hours per resident day, roughly 7% above the national average. But that average hides two things: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 65.4% against a national 45.8%. When nearly two-thirds of your nursing staff leaves each year, consistent care gets hard to sustain. The 22 deficiencies on record include 4 tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was February 2025. Strong quality measure scores and a 4-star inspection rating are real, but the staffing picture is shakier than the headline number suggests.
Liberty, MO · Clay County
★★★☆☆CMS 3/560 bedsFor-profitMedicaid
- Nurse hours
- 4.95 /day
- Staff turnover
- 56%
- Serious cites
- 0
Norterre runs a corporate-owned, 60-bed home in Liberty, and the numbers behind its B are mostly about staffing. It reports 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, though weekends dip about 13% below its own weekday level, so coverage isn't perfectly even across the week. Annual turnover sits at 55.8% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in January 2025. The quality measure rating is the strongest of its three CMS scores; staffing and health inspection both land in the middle.
Saint Peters, MO · St. Charles County
★★★☆☆CMS 3/560 bedsFor-profitMedicaid
- Nurse hours
- 3.82 /day
- Staff turnover
- 44%
- Serious cites
- 0
McClay Senior Care runs 60 certified beds in Saint Peters under individual for-profit ownership. Its 3.82 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends run about 9% leaner than weekdays there. Staff turnover is 43.5%, slightly better than the national 45.8%. The inspection record is where it gets heavier: 42 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with the most recent inspection in April 2024. Quality measure scores land at 2 out of 5 stars, inspection and staffing at 3 each. What that combination suggests is a home with adequate coverage on paper but a documented history worth asking about directly, particularly those harm-level and abuse-related findings.
Brookfield, MO · Linn County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 43%
- Serious cites
- 0
Life Care Center of Brookfield runs about 3.63 nursing hours per resident day, roughly 6% under the national average, and weekends dip another 16% below its own weekday coverage. That gap matters more than the headline number, since care doesn't pause on Saturdays. The inspection record is the real concern: 40 deficiencies on file, eight of them serious enough to put residents at harm or jeopardy, and four tied to abuse. One fine totaling $45,159. Staff turnover sits at 43%, slightly better than the 45.8% national figure, and the quality measures look strong on paper. But a one-star inspection rating with recent findings from December 2024 is what a family should weigh hardest here.
Chaffee, MO · Scott County
★★★★★CMS 5/571 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 32%
- Serious cites
- 0
Chaffee Nursing Center runs 3.54 nurse hours per resident per day, about 8% under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage. That pattern matters more than the raw total, since gaps tend to show up when fewer people are watching. Turnover sits at 31.7%, well below the 45.8% national figure, which suggests the staff who are there tend to stay. The last inspection was in February 2025 and produced nine deficiencies, none at the harm level and none abuse-related. Quality measure scores are the weak spot here at 2 out of 5, so ask what those measures cover and whether they've been improving.
Versailles, MO · Morgan County
★★★★★CMS 5/5117 bedsGovernmentMedicaid
- Nurse hours
- 3.77 /day
- Staff turnover
- n/a
- Serious cites
- 0
Good Shepherd Care Center is county-owned, which matters less than what the numbers show. Inspectors gave it a top health inspection rating and found ten deficiencies on the current record, none causing harm or jeopardy and none tied to abuse, a clean pattern for a 117-bed home. Staffing is where it slips: 3.77 nurse hours per resident day, a bit under the national average, and weekends run about 14 percent thinner than weekdays. If your family member needs consistent weekday therapy or monitoring, the inspection record is reassuring; if you're worried about Saturday and Sunday coverage, ask the administrator directly how they staff those shifts.
Grant City, MO · Worth County
★★★☆☆CMS 3/550 bedsGovernmentMedicaid
- Nurse hours
- 3.07 /day
- Staff turnover
- 15%
- Serious cites
- 0
Worth County Convalescent Center runs on a county budget with 50 beds, and the staffing math cuts both ways. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, and weekends dip another 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. What offsets that is remarkable stability: 15% annual turnover against a national rate near 46% means the people showing up know the residents and stay. The record isn't spotless, 17 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and the last inspection was February 2026. Quality measures score low; inspections middling. Ask about weekend coverage specifically.
Jefferson City, MO · Cole County
★★★★★CMS 5/569 bedsFor-profitMedicaid
- Nurse hours
- 4.14 /day
- Staff turnover
- 47%
- Serious cites
- 0
Heisinger Bluffs Healthcare Western Campus runs on 4.14 nurse hours per resident day, roughly 7% above the national average of 3.86, which is the main reason its staffing rating lands at 4 out of 5. The catch is weekends: coverage drops about 9% below what the home staffs on weekdays, so the hours aren't spread evenly across the week. Turnover sits at 46.8%, essentially level with the national 45.8%, and the home carries 24 deficiencies on its current record, none at the harm or jeopardy level, one abuse-related. Its last inspection was October 18, 2024, and the 4/5 health inspection rating suggests that survey went reasonably well.
Osage Beach, MO · Camden County
★★★★★CMS 5/580 bedsFor-profitMedicaid
- Nurse hours
- 3.72 /day
- Staff turnover
- 55%
- Serious cites
- 0
Arrowhead Senior Living in Osage Beach runs on thinner staffing than most homes nationally, about 3.72 nurse hours per resident day against a 3.86 average, and weekends drop roughly 13% below its own weekday levels, so families should ask who's actually on the floor Saturday and Sunday. Turnover sits at 54.7%, well above the 45.8% national figure, which matters because caregivers who leave take familiarity with your parent with them. The inspection record is genuinely strong: a 5-star health inspection rating, 14 deficiencies with none at the harm level, and a recent October 2024 survey. One abuse-related deficiency is on the record, though, so ask directly how it was resolved.
Kirksville, MO · Adair County
★★☆☆☆CMS 2/5120 bedsNon-profitMedicaid
- Nurse hours
- 3.42 /day
- Staff turnover
- 44%
- Serious cites
- 0
Twin Pines runs 120 beds in Kirksville under nonprofit ownership, and its staffing numbers tell a mixed story. Nurses provide 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip about 16 percent below the home's own weekday coverage, a gap families should ask about directly. Turnover sits at 44.3 percent, slightly better than the national 45.8 percent, so the workforce is comparatively stable even if thin. Inspections are the weak point: 35 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent survey was in October 2024. State surveyors rated health inspections and quality measures 2 out of 5.
Owensville, MO · Gasconade County
★★★★☆CMS 4/579 bedsNon-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Gasconade Manor sits in Owensville as a nonprofit home with 79 certified beds, and its inspection record is genuinely clean where it counts: 21 deficiencies on file, but none at the harm or jeopardy level, and the most recent survey was just this past July. The catch is staffing. CMS gives it one star there, which means nurse and aide hours per resident are running well below what most homes report, and that gap matters more than any quality measure score when your family member needs help getting to the bathroom or turning in bed. The two abuse-related deficiencies and a $6,293 fine are worth asking about directly. Strong outcomes, thin coverage, that's the tradeoff here.
Pilot Grove, MO · Cooper County
★★★★★CMS 5/560 bedsGovernmentMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 43%
- Serious cites
- 0
Katy Manor is county-owned, and that shows up in how it's run: a clean inspection record, with zero deficiencies at the harm or jeopardy level and nothing abuse-related among its 16 total findings. Its last inspection was in March 2025, so you're looking at recent information. The trade-off is staffing. At 3.47 nurse hours per resident day, it runs about 10% under the national average, and weekends drop roughly 17% below its own weekday coverage. Turnover sits at 43.4%, slightly better than the 45.8% national figure. The inspection history is the strongest part of this home; the day-to-day staffing pattern, especially on weekends, is what I'd ask about directly.