Best Nursing Homes in Missouri

91 of 487 nursing homes (19%) meet our strict criteria. The national average is 31%.

#45 of 50 states

91 recommended · 273 avoid · 243 cities · data

Recommended Statewide

91

Facilities graded B or better with zero fines

91 recommended 7 caution 273 avoid

National Rank

#45

Below Average

Total Facilities

487

across 243 cities

Facilities to Avoid

273

225 Grade F

$18,445,736 in combined fines

Best City

West Plains

67% recommended

State Average

2.5

CMS star rating

Missouri vs National Average

Comparison of nursing home metrics between Missouri and national averages
Metric Missouri National Verdict
% Recommended 19% 31% ✗ Worse
Average CMS Stars 2.5 3.0 ✗ Worse
Staff Turnover 50% 44% ✗ Worse
RN Hours/Day 0.65 0.75 ✗ Worse
Avg Deficiencies 8.5 7.5 ✗ Worse

Data from CMS Care Compare as of . National averages based on all 15,000 U.S. nursing homes.

The Missouri Reality

Nursing home care in Missouri presents a mixed picture for families seeking quality options for their loved ones. Currently, the state ranks 45th out of 50 states, with only 19% of its 487 nursing homes recommended for care, significantly lower than the national average of 31%. This ranking reflects ongoing challenges within the state’s nursing home system, indicating that families may need to exercise caution and diligence when exploring available facilities for their loved ones.

Despite the overall low ranking, there are pockets of excellence within Missouri's nursing home landscape. The city of West Plains stands out with an impressive 67% of its facilities receiving recommendations, highlighting the potential for quality care in certain areas. On the other hand, families must remain vigilant about problem areas, as there are 225 facilities receiving an F grade and a staggering 273 facilities listed as those to avoid. Additionally, the total fines levied against these facilities amount to over $18 million, pointing to serious compliance and care issues that could impact resident safety and well-being.

For families searching for nursing home care in Missouri, prioritizing specific criteria can help ensure a better experience for their loved ones. It is advisable to closely examine trust scores, which reflect the overall satisfaction of residents and their families, as well as the average CMS star ratings—currently at 2.48 for the state. Families should also investigate any history of fines imposed on facilities, as this can reveal potential shortcomings in care quality. By focusing on these factors, families can make informed decisions and identify facilities that are not only compliant but also committed to providing quality care.

Quality Trend

Is Missouri improving or declining?

2024
22%
2025
20%
2026
19%

Missouri quality has remained stable.

Cities Ranked by Quality

Click any city to see detailed facility recommendations

Statewide Warning Patterns

Common issues found across Missouri nursing homes

High Number of Facilities with F Grades

In Missouri, 225 out of 487 nursing homes have received F grades, indicating significant quality and safety issues.

Facilities to Avoid

There are 273 facilities in Missouri recommended to avoid, indicating a significant portion of homes may not meet quality care standards.

Substantial Total Fines

With total fines amounting to $18,445,736, Missouri nursing homes face notable financial penalties, reflecting ongoing regulatory challenges.

Below Average CMS Ratings

Missouri's average CMS star rating of 2.48 is below the national average, indicating widespread quality concerns.

Top 10 Nursing Homes in Missouri

Highest-scoring facilities statewide

  1. 1
    95 A+
  2. 2
    95 A+
  3. 3
    95 A+
  4. 4
    93 A
  5. 5
    93 A
  6. 6
    90 A
  7. 7
    90 A
  8. 8
    90 A
  9. 9
    90 A
  10. 10
    90 A

Care Type Availability

Where to find specific care in Missouri

Memory Care

30 facilities

Best options in West Plains

Short-Term Rehab

80 facilities

Highest success in West Plains

Medicaid Beds

150 facilities

Avg waitlist: 2-4 months

Ventilator / Complex Care

5 facilities

Limited availability

Cost Overview

Private Room

$7,500/mo

Near national average

Semi-Private

$6,500/mo

Medicaid Rate

$165/day

75% of recommended facilities accept Medicaid

Frequently Asked Questions

How does Missouri compare to neighboring states?

Missouri ranks 45th nationally for nursing home quality, which places it lower than many neighboring states. For instance, states like Illinois and Kansas typically offer higher quality ratings and a greater percentage of recommended facilities compared to Missouri.

What percentage of nursing homes in Missouri meet quality criteria?

Only 19% of nursing homes in Missouri meet quality criteria, which is significantly below the national average of 31%. This indicates that many facilities may not provide the level of care that residents and families expect.

Which city in Missouri offers the best nursing home care?

West Plains is recognized as the city in Missouri that offers the best nursing home care. This city has facilities that consistently receive higher ratings for quality and resident satisfaction compared to others in the state.

What is the cost of a private room in a Missouri nursing home?

The cost of a private room in a Missouri nursing home averages around $7,000 per month. This cost is in line with national trends, but the quality and services provided can vary widely by facility.