Nursing Homes in Missouri

What nursing homes in Missouri provide

Nursing Homes in Missouri provide round-the-clock licensed nursing, medication management, rehabilitation therapy and help with every activity of daily living. We track 448 nursing homes statewide, alongside 172 other providers — nursing homes, assisted living, memory care, hospice and home health — that families often compare before deciding.

Every Medicare-certified nursing home in Missouri is surveyed by state inspectors on behalf of CMS roughly once a year, and those survey results feed the star ratings shown on each profile. That makes nursing homes the most transparent care type in Missouri: you can see deficiencies, staffing hours per resident per day and penalty history before you ever tour.

Typical pricing for nursing homes in Missouri runs $7,900 to $11,200 per month. Semi-private rooms sit at the low end of that range and private rooms typically add 15 to 25 percent. Expect the higher end of that range in Saint Louis and other high-cost metros, and the lower end in rural counties.

How to choose a nursing home in Missouri

With 448 nursing homes in Missouri, families need a repeatable way to narrow the list. These six steps work in any county.

• 1. Check the government inspection reports first

  Every Clear Care Connect profile shows the real CMS inspection record — deficiencies cited, their scope and severity, and how fast they were corrected. Read that before any brochure.

• 2. Compare star ratings across a shortlist, not in isolation

  A three-star facility reads differently next to the Missouri average of 2.52. Line up four or five nursing homes side by side instead of judging one alone.

• 3. Visit at least three facilities, including one unannounced

  Tour options in Saint Louis plus one nearby community, then drop in once outside tour hours to see normal staffing and resident engagement.

• 4. Ask about staff-to-resident ratios and turnover

  Ask for nursing hours per resident per day and annual turnover in writing. High turnover is the strongest predictor of inconsistent care in Missouri facilities.

• 5. Understand exactly what the monthly price includes

  Get the base rate, care-level surcharges, medication fees and past annual increases. Two Missouri communities quoting the same headline number can differ by thousands once care tiers apply.

• 6. Read the most recent inspection findings, not just the score

  One old citation matters far less than a repeated pattern. Clear Care Connect publishes the full history so you can compare Missouri providers on that record in one place.

Top cities for nursing homes in Missouri

Senior care in Missouri clusters around its largest population centers. These 8 cities hold the highest concentration of nursing homes statewide, and each links to a local directory with ratings and costs.

• Saint Louis — 51 facilities, 32 of them nursing homes, averaging 2.0 CMS stars.
• Kansas City — 36 facilities, 20 of them nursing homes, averaging 2.2 CMS stars.
• Springfield — 25 facilities, 15 of them nursing homes, averaging 2.9 CMS stars.
• Independence — 21 facilities, 8 of them nursing homes, averaging 2.1 CMS stars.
• Jefferson City — 13 facilities, 6 of them nursing homes, averaging 2.5 CMS stars.
• Columbia — 12 facilities, 6 of them nursing homes, averaging 2.5 CMS stars.
• Cape Girardeau — 10 facilities, 5 of them nursing homes, averaging 3.5 CMS stars.
• Chesterfield — 10 facilities, 5 of them nursing homes, averaging 3.6 CMS stars.

Understanding CMS ratings for nursing homes in Missouri

The Centers for Medicare & Medicaid Services scores certified facilities from one to five stars using three inputs: on-site health inspections, payroll-reported staffing levels, and clinical quality measures. Five stars means much above average within that state's peer group; one star means much below.

In Missouri, 480 of the 620 providers we track carry a published CMS rating, and 134 — roughly 28% — hold four or five stars. The statewide average is 2.52 stars. That average is below the national midpoint, which makes checking each facility's individual inspection record especially important.

Weight the health inspection component most heavily: it is the only piece built from unannounced on-site visits by state surveyors. Staffing is the next best signal, and quality measures are partly self-reported. Clear Care Connect shows all three sub-scores, the inspection date and any penalties on every Missouri profile.

Nursing Homes costs in Missouri

Nursing Homes in Missouri typically runs $7,900 to $11,200 per month. Semi-private rooms sit at the low end of that range and private rooms typically add 15 to 25 percent. Pricing tracks local housing and wage costs closely, so expect Saint Louis to price above the Missouri median while rural counties come in below it.

For comparison, Missouri families budget $7,900–$11,200 a month for a nursing home, $4,500–$7,500 for assisted living, $6,000–$9,000 for memory care, and little to nothing for Medicare-covered home health or hospice. Clear Care Connect publishes an estimated monthly range on each facility page so you can sanity-check any quote.

Frequently asked questions

Ready to find the right nursing home in Missouri?

Clear Care Connect shows real government inspection data, CMS star ratings and cost information for all 448 nursing homes in Missouri. Compare them side by side, see what inspectors found, and choose the right care for your loved one without a sales call.

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