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Nursing home safety in Missouri

Missouri has 287 Medicare-certified nursing homes. They average 2.43 out of 5 CMS stars (0.55 worse than the national average), carry 40 health-inspection citations each, and 35 are listed with an abuse icon by CMS in this source snapshot. Federal penalties total $11,859,091. CMS abuse-icon records and a separate star-record sample are named below.

Source: CMS Care Compare — Provider Information released 2026-08-06; source data last modified 2026-07-29. Free to cite with attribution to Haven.

CMS source snapshot: 20 days old. These are historical CMS fields from a dated source release, not live proof of availability, certification status, an inspection outcome, or an individual's care fit.

Nursing homes
287
282 with a CMS rating
Average rating
2.43 / 5
0.55 worse than the national average
Flagged for abuse
35
12.2% of homes · national 9.9%
Federal penalties
$11,859,091
13 on Special Focus

Staffing in Missouri averages 3.47 nurse hours per resident per day (0.42 worse than the national average). Citations average 40 per home (9.7 worse than the national average)— though citation counts reflect how aggressively a state's survey agency inspects, so they compare poorly across state lines.

Missouri homes listed with a CMS abuse icon

CMS applies this icon when a facility was cited for abuse-related deficiencies on a recent inspection. It is a serious signal, not a verdict — read the specific citations in the linked record and ask the administrator directly.

Special Focus Facilities in Missouri

CMS's own list of homes with a persistent record of poor care. They are inspected about twice as often as other facilities and can be terminated from Medicare and Medicaid if they do not improve.

CMS four- and five-star records in Missouri

Four and five-star homes with no abuse flag and no Special Focus status in this CMS snapshot. The first 10 are shown in neutral name order; these source fields are not a Haven recommendation.

CommunityCityCMS starsNurse hrs/day
Aberdeen Heights (opens the official CMS Care Compare record)Kirkwood54.86245
Aberdeen Village (opens the official CMS Care Compare record)Olathe55.16505
Accolade Healthcare of Waterloo (opens the official CMS Care Compare record)Waterloo43.77048
Advanced Health Care of Overland Park (opens the official CMS Care Compare record)Overland Park54.92172
Alhambra Rehab & Healthcare (opens the official CMS Care Compare record)Alhambra42.871
Alton Memorial Rehab & Therapy (opens the official CMS Care Compare record)Alton44.57115
Ashley Manor Health & Rehabilitation (opens the official CMS Care Compare record)Boonville43.40566
Baptist Homes of Adrian (opens the official CMS Care Compare record)Adrian43.75607
Bethesda Southgate (opens the official CMS Care Compare record)Saint Louis54.32131
Brookdale Overland Park (opens the official CMS Care Compare record)Overland Park44.19834

Largest federal penalties in Missouri

Civil monetary penalties follow serious deficiencies. A large fine history is a question to raise, not an automatic disqualification — some homes correct course, and the citations tell you which.

Missouri nursing homes: common questions

How many nursing homes in Missouri have been flagged for abuse?

35 of 287 CMS-certified nursing homes in Missouri (12.2%) are listed with the federal abuse icon in the CMS snapshot used for this report. CMS applies the icon when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate in this same snapshot is 9.9%. Every listed home is named on this page.

What is the average nursing home rating in Missouri?

Missouri nursing homes average 2.43 out of 5 on the CMS overall star rating, across 282 rated facilities. The national average is 2.98. Staffing averages 3.47 total nurse hours per resident per day versus 3.89 nationally.

Which nursing homes in Missouri are on the Special Focus list?

13 Missouri facilities are designated a Special Focus Facility or candidate — CMS's list of homes with a persistent record of poor care, which face roughly double the normal inspection frequency and possible termination from Medicare and Medicaid. They are listed by name on this page.

How much have Missouri nursing homes been fined?

Federal civil monetary penalties against Missouri nursing homes total $11,859,091 in the CMS release used for this report. Fines follow serious deficiencies, so a large penalty history is worth asking a facility about directly — they are required to discuss their inspection record with you.

Worried about a specific home in Missouri?

Open a named home's linked CMS record to review the source fields behind this report, then use the assessment and comparison tools to prepare questions, then confirm current price, availability, and care acceptance directly with each home.

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