486 nursing homes in Missouri
Medicare and Medicaid certified, with CMS star ratings.
- nursing homes
- 486
- average CMS stars
- 2.6
- certified beds
- 49,938
- for profit
- 80%
How Missouri nursing homes rate
CMS rates 479 of Missouri's 486 certified nursing homes. The average overall rating is 2.6 stars.
| Overall rating | Nursing homes |
|---|---|
| 5 of 5 | 66 |
| 4 of 5 | 70 |
| 3 of 5 | 103 |
| 2 of 5 | 94 |
| 1 of 5 | 146 |
| Not rated | 7 |
The top-rated nursing homes in Missouri
Sorted by overall stars, then health inspection stars, staffing and size.
| Nursing home | City | Overall | Beds |
|---|---|---|---|
| The Lutheran Home | Cape Girardeau | 5 of 5 | 274 |
| Mason Pointe Care Center | Chesterfield | 5 of 5 | 63 |
| Lake Regional Health Systems | Osage Beach | 5 of 5 | 16 |
| Country Meadows | Park Hills | 5 of 5 | 72 |
| Jeanne Jugan Center | Kansas City | 5 of 5 | 52 |
| Lutheran Senior Services at Meramec Bluffs | Ballwin | 5 of 5 | 32 |
| Phelps Health | Rolla | 5 of 5 | 20 |
| Good Samaritan Care Center | Cole Camp | 5 of 5 | 72 |
| NHC Healthcare, West Plains | West Plains | 5 of 5 | 114 |
| Clark's Mountain Nursing Center | Piedmont | 5 of 5 | 91 |
Nursing homes by city
The cities with the most certified nursing homes in Missouri.
- St. Louis 36 homes
- Kansas City 23 homes
- Springfield 17 homes
- Florissant 9 homes
- Independence 9 homes
- Chesterfield 8 homes
- Columbia 8 homes
- Jefferson City 8 homes
- Cape Girardeau 6 homes
- Sikeston 6 homes
- St. Charles 6 homes
- St. Joseph 6 homes
- Farmington 5 homes
- Joplin 5 homes
- Lees Summit 5 homes
Who owns them
| Ownership | Nursing homes | Share |
|---|---|---|
| For profit | 387 | 80% |
| Non-profit | 77 | 16% |
| Government | 22 | 5% |
Inspections and fines
At the most recent standard inspection, Missouri's homes were cited for 5,513 deficiencies, an average of 11.4 each. 8 had none. 199 homes were fined $17,871,997 over 3 years.
Special focus facilities and abuse flags
67 homes carry the CMS abuse icon. 3 are special focus facilities and 15 are candidates: homes with a long record of serious problems that CMS inspects more often.
How to read a CMS star rating
One star is much below average and five stars much above, compared with other homes in the same state. Look at the health inspection stars first, then read the citations.
Questions families ask about Missouri
How many nursing homes are in Missouri?
486 certified by CMS.
What is the best rated nursing home in Missouri?
We don't pick one. The Lutheran Home in Cape Girardeau tops the CMS sort with 5 stars.
Will Medicare pay for a nursing home in Missouri?
For up to 100 days of skilled care after a 3-day hospital stay, not for long-term custodial care. A shared room has a median of $6,741 a month here.
What does a CMS star rating mean?
How a home compares with others in the same state, from inspections, staffing and quality.
From the federal record: CMS Provider Information, October 2026 release.