Jefferson City, MO · Cole County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.02 /day
- Staff turnover
- 44%
- Serious cites
- 0
Heisinger Bluffs runs 60 beds under for-profit LLC ownership in Jefferson City, and its recent inspection record is decent, 18 deficiencies on file, none at the harm level, though one is abuse-related, and the last state visit came in March 2025. The real tension sits in the workforce numbers. At 3.02 nurse hours per resident day, this home staffs roughly a fifth below the national average of 3.86, and weekends drop another 16% beneath its own weekday levels. Turnover, at 44%, is basically in line with the national rate. So you're looking at a home that inspects reasonably well but runs lean on the floor, especially Saturdays and Sundays.
Excelsior Springs, MO · Clay County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 64%
- Serious cites
- 0
Valley Manor runs 120 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, with weekends running about 9% thinner than its own weekdays. That gap matters because people don't stop needing help on Saturdays. The bigger signal is the 64% annual turnover against a national average near 46%: nearly two-thirds of the nursing staff leaves every year, which makes consistent care hard to build. The inspection record shows 45 deficiencies, including one abuse-related cite, and a one-star health inspection rating that was last reviewed in December 2025. Quality measures score well; the day-to-day staffing and oversight numbers are what pull this home down.
Lebanon, MO · Laclede County
★★☆☆☆CMS 2/5116 bedsFor-profitMedicaid
- Nurse hours
- 3.15 /day
- Staff turnover
- 56%
- Serious cites
- 0
Lebanon South runs on thinner nursing coverage than most homes nationally, 3.15 nurse hours per resident day against a 3.86 average, and weekends drop roughly 11% below what the building staffs Monday through Friday. Annual turnover of 56.1% sits well above the 45.8% national figure, meaning the aides and nurses at the bedside keep changing. The current inspection record carries 33 deficiencies, including one at the harm level and one tied to abuse, with the most recent survey from May 2025. Ownership is a for-profit limited liability company. Families should ask directly how the weekend shift is covered and what changed after the harm-level finding.
Liberty, MO · Clay County
★★★☆☆CMS 3/5140 bedsFor-profitMedicaid
- Nurse hours
- 2.98 /day
- Staff turnover
- 54%
- Serious cites
- 0
Avalon View runs 2.98 nurse hours per resident per day against a national average of 3.86, and weekends dip about 10% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 54% versus 45.8% nationally, which means the people at the bedside keep changing. The record shows 46 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and one fine of $14,267. Inspectors were last in on September 19, 2025, so that picture is recent. Quality measures score well, but those depend on the staff actually present to document them.
Malden, MO · Dunklin County
★★★☆☆CMS 3/558 bedsFor-profitMedicaid
- Nurse hours
- 3.42 /day
- Staff turnover
- 46%
- Serious cites
- 0
Aspire Senior Living Malden runs about 3.42 nurse hours per resident per day, roughly 11% under the national average of 3.86, and weekend coverage dips a bit further below its own weekday levels. Staff turnover sits at 45.9%, almost exactly the national figure, so retention here isn't unusually bad for the industry, but it isn't a strength either. The health inspection record looks solid on paper: 29 deficiencies, none at the harm level, none abuse-related, and a survey as recent as May 2025. What drags the overall picture down is the quality measure side, where the home scores near the bottom even as its inspection history holds up.
Carthage, MO · Jasper County
★★★☆☆CMS 3/595 bedsNon-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 29%
- Serious cites
- 0
St. Luke's runs a steady ship on inspections, a 4-star health inspection record, last surveyed in May 2025, with 19 deficiencies on file but none serious enough to reach harm or jeopardy. Two of those are abuse-related, which families should ask about directly. Where the home gives ground is daily care hours: 3.50 per resident, roughly 9% under the national average, and weekends run about 9% thinner than weekdays. Staff turnover sits at 29%, notably better than the 45.8% national figure, and quality measure scores land at 1 star. One fine totaling $17,053 rounds out the record.
Richland, MO · Pulaski County
★★★★★CMS 5/586 bedsNon-profitMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- 56%
- Serious cites
- 0
Richland Care Center is a nonprofit home in Pulaski County with 86 certified beds, and its inspection record is genuinely solid, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level. What pulls it down is the workforce. At 2.95 nurse staffing hours per resident day, it runs about 24% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels. Annual turnover sits at 55.9% against a national 45.8%, which matters because aides who know residents are the ones who catch changes early. Three abuse-related deficiencies appear on the current record. The most recent inspection was September 2024.
Saint Louis, MO · St. Louis County
★★☆☆☆CMS 2/560 bedsFor-profitMedicaid
- Nurse hours
- 2.86 /day
- Staff turnover
- 37%
- Serious cites
- 0
Lemay Nursing runs 60 beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident per day, roughly a quarter below the national average of 3.86. That thin coverage is the number to weigh most heavily, since it's the daily reality of how quickly call lights get answered. Weekend staffing dips about 3% below its own weekday level, so the gap doesn't close when families visit.
Turnover is 36.8%, actually better than the 45.8% national figure, which means aides and nurses stick around longer than at many homes. But the inspection record carries 37 deficiencies, including one at harm level and two abuse-related, with the last inspection in May 2025. Ask about those directly.
Columbia, MO · Boone County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 5.17 /day
- Staff turnover
- 58%
- Serious cites
- 0
Neighborhoods Rehabilitation And Skilled Nursing B runs 5.17 nurse hours per resident day, roughly a third more hands-on time than the national average, but the staff giving that care turn over at 57.9% a year, well above the 45.8% norm. That churn sits alongside a troubled inspection file: 30 deficiencies, four serious enough to put residents at risk of harm, two tied to abuse, and $85,344 in fines, all from a survey finished in November 2024. For a 120-bed for-profit, the pattern is clear, enough people on the clock, but not the same ones for long, and the state's findings back that up.
Gideon, MO · New Madrid County
★★★★☆CMS 4/572 bedsFor-profitMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- n/a
- Serious cites
- 0
Gideon Care Center runs lean on nurse staffing, 3.33 hours per resident day against a national average of 3.86, roughly 14% below, and weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is genuinely strong: a perfect health inspection rating, last survey in March 2026, zero deficiencies at the harm or jeopardy level, and no abuse citations among the 19 on file. Quality measures land mid-range. The tension is straightforward: good survey results and thin daily staffing can both be true, and staffing is what residents live with every shift, not once a year. Corporate-owned, 72 beds.
Cassville, MO · Barry County
★★★☆☆CMS 3/590 bedsFor-profitMedicaid
- Nurse hours
- 3.49 /day
- Staff turnover
- n/a
- Serious cites
- 0
Aspire Senior Living Roaring River runs 90 certified beds in Cassville under for-profit LLC ownership, and its record shows why the federal inspection score sits at the bottom. Inspectors have cited 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Two fines totaling $46,303 are on file. Nurse staffing runs 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 11% below the home's own weekday coverage. Quality measures score better than the inspection or staffing ratings. Ownership is for-profit through a limited liability company, and the last inspection was March 1, 2024.
Paris, MO · Monroe County
★★★★★CMS 5/5119 bedsGovernmentMedicaid
- Nurse hours
- 3.46 /day
- Staff turnover
- 61%
- Serious cites
- 0
Monroe Manor is county-owned, and its inspection record is genuinely strong, a five-star health inspection rating, with the most recent survey in March 2024. The problem sits elsewhere. Total nurse staffing runs 3.46 hours per resident day against a national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.4% where the national figure is 45.8%. Thirteen deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a single fine of $35,360. Good surveys can't fully offset thin weekend staffing and a workforce that's turning over faster than most. Ask how they cover weekends and what they're doing to keep nurses.
Gravois Mills, MO · Morgan County
★★★★☆CMS 4/5108 bedsNon-profitMedicaid
- Nurse hours
- 3.31 /day
- Staff turnover
- n/a
- Serious cites
- 0
Laurie Care Center runs 108 certified beds as a nonprofit in Morgan County, and its staffing is the number that stands out, 3.31 nurse hours per resident day against a national average of 3.86, about 14% under. Weekends dip roughly 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The health inspection side is genuinely stronger, with a four-star record and a survey completed in April 2025, but that record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. Quality measures sit at three stars. Ownership is nonprofit, which doesn't erase a two-star staffing picture.
Festus, MO · Jefferson County
★☆☆☆☆CMS 1/555 bedsFor-profitMedicaid
- Nurse hours
- n/a /day
- Staff turnover
- n/a
- Serious cites
- 0
Superior Manor Of Festus runs 55 beds as a for-profit LLC, and the staffing score is where the trouble sits, 1 out of 5 stars against the national average. That's the number families feel first, because it reflects how few aides are actually on the floor per resident. The inspection record shows 61 deficiencies, four tied to abuse, plus nine fines totaling $59,633. No harm-level citations appear on the current record, and the most recent inspection was May 2025, so the picture isn't outdated. Quality measures land at 3 out of 5, meaning some clinical outcomes track better than the staffing would suggest. If you're considering this home, ask directly how many CNAs work each shift and what the abuse-related findings involved.
Saint Louis, MO · St. Louis County
★★★★★CMS 5/560 bedsNon-profitMedicaid
- Nurse hours
- 3.69 /day
- Staff turnover
- 39%
- Serious cites
- 0
Christian Extended Care & Rehabilitation runs 60 beds as a nonprofit, and its last inspection in March 2025 came back clean at the serious end, 12 deficiencies on record, none causing harm or jeopardy, none tied to abuse. Nurse staffing sits at 3.69 hours per resident day, a bit under the national 3.86, and weekends dip about 12% below the home's own weekday coverage. Turnover is the bright spot: 38.7%, better than the 45.8% national figure, which suggests aides and nurses tend to stay. The tradeoff shows in the federal stars, five for inspections, but two for staffing. Consistent care from a stable team, thinner coverage on weekends.
Poplar Bluff, MO · Butler County
★★★☆☆CMS 3/5132 bedsFor-profitMedicaid
- Nurse hours
- 2.76 /day
- Staff turnover
- 47%
- Serious cites
- 0
Westwood Hills runs lean on nursing hours, 2.76 per resident day against a national average of 3.86, and that gap, about 28%, is the single biggest thing pulling its grade down. Weekends are thinner still, roughly 10% below what the home staffs on weekdays, so a Saturday or Sunday shift is where you'd notice it most. Turnover sits at 47.4%, a touch above the national 45.8%, meaning the people at the bedside keep changing. The good news: inspections are recent and clean at the harm level, with no abuse citations among the 19 deficiencies, and quality measures score well. It's a for-profit LLC with 132 beds, solid on care outcomes, short on hands.
Herculaneum, MO · Jefferson County
★★★★☆CMS 4/5189 bedsFor-profitMedicaid
- Nurse hours
- 2.86 /day
- Staff turnover
- 44%
- Serious cites
- 0
Scenic Wellness and Rehabilitation Center runs 189 beds in Herculaneum under for-profit LLC ownership, and its staffing is the number that stands out. At 2.86 nurse hours per resident per day, it sits roughly a quarter below the national average of 3.86, and weekends dip about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit.
Turnover, at 43.5%, is actually a hair better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. Inspections look strong on paper: a five-star health inspection rating with the most recent visit in April 2025. But the record still carries 15 deficiencies, including one at the harm level and one abuse-related.
Puxico, MO · Stoddard County
★★★★☆CMS 4/560 bedsFor-profitMedicaid
- Nurse hours
- 3.92 /day
- Staff turnover
- 50%
- Serious cites
- 0
Puxico Nursing and Rehabilitation Center sits in Stoddard County with 60 certified beds under individual for-profit ownership. Its last health inspection, in November 2025, found 16 deficiencies, none of them causing harm or involving abuse, a record that supports the four-star inspection rating. The trouble is elsewhere. Quality measures earn only two stars, and staffing earns two as well despite total nurse hours of 3.92 per resident day, just barely above the national average of 3.86. Weekend coverage drops about 10% below weekday levels, and annual turnover runs 50% against a national 45.8%. Roughly half the staff leaving each year is worth asking about directly before you visit.
Columbia, MO · Boone County
★☆☆☆☆CMS 1/5132 bedsNon-profitMedicaid
- Nurse hours
- 4.20 /day
- Staff turnover
- 62%
- Serious cites
- 0
The Bluffs in Columbia runs a non-profit shop with 132 beds, and its nurse staffing of 4.20 hours per resident day sits about 9% above the national average, a real plus. But that cushion thins on weekends, when coverage drops roughly 9% below its own weekday level, and turnover runs 61.8% against a national 45.8%. The bigger concern is the inspection record: 41 deficiencies, three at harm or jeopardy level, five tied to abuse, and three fines totaling $37,621. Its most recent inspection was January 30, 2026. Strong weekday staffing is doing a lot of work here, but the compliance history is what families should weigh hardest.
Marionville, MO · Lawrence County
★☆☆☆☆CMS 1/578 bedsNon-profitMedicaid
- Nurse hours
- 3.17 /day
- Staff turnover
- 46%
- Serious cites
- 0
Ozarks Methodist Manor runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. Turnover sits at 45.8 percent, right at the national figure, so the shortfall isn't explained by churn alone. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the most recent inspection in January 2025. Federal ratings land at 2 out of 5 for health inspections and 1 out of 5 for quality measures, against 3 for staffing. The nonprofit corporation that owns it has a lot to answer for.