Nursing Homes in Missouri: Staffing, Turnover, and Penalties
Missouri has 487 Medicare- or Medicaid-certified nursing homes in 242 cities. On CMS's August 2026 figures, nurse aides there log 2.29 hours per resident per day, about the same as the US average of 2.32, and 56.0% of nursing staff leave in a year (US 45.8%).
Missouri averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Saint Louis (36), Kansas City (23), Springfield (17). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Adrian (1)
- Advance (1)
- Anderson (1)
- Appleton City (1)
- Arnold (2)
- Ash Grove (1)
- Aurora (1)
- Ava (1)
- Ballwin (2)
- Belleview (1)
- Belton (2)
- Bernie (1)
- Bertrand (1)
- Bethany (1)
- Birch Tree (1)
- Black Jack (1)
- Bloomfield (1)
- Blue Springs (3)
- Bolivar (2)
- Bonne Terre (1)
- Boonville (3)
- Bowling Green (1)
- Branson (1)
- Braymer (1)
- Bridgeton (3)
- Brookfield (2)
- Brunswick (1)
- Buffalo (2)
- Butler (2)
- Cabool (1)
- California (1)
- Camdenton (1)
- Cameron (2)
- Campbell (1)
- Canton (1)
- Cape Girardeau (6)
- Carrollton (2)
- Carthage (2)
- Caruthersville (1)
- Cassville (2)
- Cedar Hill (1)
- Center (1)
- Centralia (1)
- Chaffee (1)
- Chesterfield (8)
- Chillicothe (4)
- Clarence (1)
- Clinton (2)
- Cole Camp (1)
- Columbia (8)
- Concordia (1)
- Creve Coeur (1)
- Cuba (1)
- Dardenne Prairie (1)
- Desloge (1)
- De Soto (3)
- Des Peres (1)
- Dexter (3)
- Doniphan (1)
- East Prairie (1)
- Edina (1)
- Eldon (1)
- El Dorado Springs (1)
- Ellington (1)
- Ellisville (1)
- Elsberry (1)
- Eureka (2)
- Excelsior Springs (2)
- Farmington (5)
- Fenton (3)
- Ferguson (2)
- Festus (3)
- Florissant (9)
- Forsyth (1)
- Fredericktown (2)
- Fulton (3)
- Gainesville (1)
- Gallatin (1)
- Gideon (1)
- Gladstone (1)
- Glasgow (1)
- Gower (1)
- Granby (1)
- Grandview (1)
- Grant City (1)
- Gravois Mills (1)
- Greenville (1)
- Hamilton (1)
- Hannibal (3)
- Harrisonville (3)
- Hartville (1)
- Herculaneum (1)
- Hermann (1)
- Hermitage (1)
- Higginsville (1)
- Holden (1)
- Hollister (1)
- Houston (1)
- Humansville (2)
- Independence (9)
- Ironton (1)
- Jackson (2)
- Jefferson City (8)
- Jonesburg (1)
- Joplin (5)
- Kahoka (1)
- Kansas City (23)
- Kennett (2)
- Kirksville (2)
- Kirkwood (2)
- La Belle (1)
- Lake Saint Louis (1)
- Lamar (1)
- La Plata (1)
- Lawson (1)
- Lebanon (2)
- Lees Summit (5)
- Lewistown (1)
- Lexington (1)
- Liberty (3)
- Licking (1)
- Lincoln (1)
- Lockwood (1)
- Louisiana (1)
- Lowry City (1)
- Macon (2)
- Malden (1)
- Mansfield (1)
- Marble Hill (1)
- Marceline (1)
- Marionville (1)
- Marshall (2)
- Marshfield (2)
- Maryland Heights (3)
- Maryville (4)
- Matthews (1)
- Maysville (1)
- Mexico (1)
- Milan (1)
- Moberly (3)
- Mokane (1)
- Monett (1)
- Monroe City (1)
- Mound City (1)
- Mountain Grove (1)
- Mountain View (1)
- Mount Vernon (2)
- Neosho (1)
- Nevada (3)
- New Florence (1)
- New Haven (1)
- New Madrid (1)
- Nixa (1)
- Oak Grove (1)
- Odessa (1)
- O Fallon (3)
- Oregon (1)
- Osage Beach (5)
- Overland (1)
- Owensville (2)
- Ozark (2)
- Pacific (1)
- Palmyra (1)
- Paris (1)
- Park Hills (1)
- Perryville (2)
- Piedmont (1)
- Pilot Grove (1)
- Platte City (1)
- Plattsburg (2)
- Pleasant Hill (1)
- Poplar Bluff (5)
- Portageville (1)
- Potosi (2)
- Princeton (1)
- Puxico (1)
- Queen City (1)
- Raymore (2)
- Raytown (2)
- Republic (1)
- Richland (1)
- Richmond (1)
- Riverside (1)
- Rock Port (1)
- Rogersville (1)
- Rolla (5)
- Saint Charles (6)
- Saint Clair (1)
- Sainte Genevieve (2)
- Saint Elizabeth (1)
- Saint James (1)
- Saint Joseph (6)
- Saint Louis (36)
- Saint Peters (4)
- Salem (3)
- Salisbury (1)
- Sarcoxie (1)
- Savannah (2)
- Sedalia (5)
- Seneca (1)
- Seymour (1)
- Shelbina (1)
- Shrewsbury (1)
- Sikeston (6)
- Springfield (17)
- Stanberry (1)
- Steele (1)
- Steelville (1)
- Stockton (1)
- Stover (1)
- Strafford (1)
- Sullivan (2)
- Thayer (1)
- Tipton (1)
- Town and Country (2)
- Trenton (2)
- Troy (2)
- Tuscumbia (1)
- Union (2)
- Unionville (1)
- University City (1)
- Valley Park (2)
- Van Buren (1)
- Vandalia (1)
- Versailles (1)
- Viburnum (1)
- Vienna (1)
- Warrensburg (4)
- Warsaw (1)
- Washington (1)
- Waverly (1)
- Waynesville (1)
- Webb City (1)
- Webster Groves (1)
- Wellsville (1)
- Westphalia (1)
- West Plains (3)
- Wildwood (1)
- Willard (1)
- Willow Springs (1)
- Windsor (1)
- Wright City (1)
Largest nursing home chains in Missouri
CMS links 253 of Missouri's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in MO | Homes nationwide |
|---|---|---|
| James & Judy Lincoln | 54 | 56 |
| Reliant Care Management | 33 | 34 |
| Circle B Enterprises | 32 | 36 |
| Aspire Senior Living | 16 | 16 |
| MGM Healthcare | 14 | 27 |
| Ama Holdings | 13 | 13 |
| Opco Skilled Management | 13 | 66 |
| Stonebridge Senior Living | 12 | 12 |
| Vertical Health Services | 11 | 15 |
| Americare Senior Living | 10 | 23 |
| Life Care Centers of America | 10 | 194 |
| Mo Op Holdco, LLC | 9 | 9 |
| National Healthcare Corporation | 9 | 69 |
| Shafiq Malik | 9 | 9 |
| Community Care Centers | 8 | 8 |
Chain as recorded in the CMS Provider Information file, August 2026 release