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Nursing home safety in Missouri

Missouri has 287 Medicare-certified nursing homes. They average 2.41 out of 5 CMS stars (0.57 worse than the national average), carry 40.3 health-inspection citations each, and 38 are flagged in the records analyzed by CMS for abuse. Federal penalties total $12,151,296. Every flagged and top-rated home is named below.

Source: CMS Care Compare records in Haven’s directory, which may lag CMS updates. Free to cite with attribution to Haven.

Nursing homes
287
282 with a CMS rating
Average rating
2.41 / 5
0.57 worse than the national average
Flagged for abuse
38
13.2% of homes · national 9.9%
Federal penalties
$12,151,296
12 on Special Focus

Staffing in Missouri averages 3.48 nurse hours per resident per day (0.41 worse than the national average). Citations average 40.3 per home (9.9 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 CMS currently flags for abuse

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, which are on each facility's page, 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.

Highest-rated nursing homes in Missouri

Four and five-star homes with no abuse flag and no Special Focus status, ordered by Haven's Scout Score (federal ratings, staffing, and inspection history). Rankings cannot be purchased.

CommunityCityCMS starsNurse hrs/day
Lenoir Health Care CenterColumbia54.88475
Lutheran Home, theCape Girardeau54.53528
Meridian Village Care CenterGlen Carbon54.655
Lutheran Senior Services at Meramec BluffsBallwin55.24718
Aberdeen HeightsKirkwood54.86245
Claridge CourtPrairie Village54.6269
Tallgrass Creek, INCOverland Park54.87239
Lutheran Convalescent HomeWebster Groves54.81874
Hoeger HouseOlathe55.55239
Mason Pointe Care CenterChesterfield54.32155

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.

Browse Missouri by area

Missouri nursing homes: common questions

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

38 of 287 CMS-certified nursing homes in Missouri (13.2%) carry the federal abuse icon in the records analyzed, which CMS applies when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate is 9.9%. Every flagged home is named on this page.

What is the average nursing home rating in Missouri?

Missouri nursing homes average 2.41 out of 5 on the CMS overall star rating, across 282 rated facilities. The national average is 2.98. Staffing averages 3.48 total nurse hours per resident per day versus 3.89 nationally.

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

12 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 $12,151,296 in the current CMS release. 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?

Every facility page shows that home's own inspection record — what inspectors found, how severe, and when — alongside staffing and pricing. If you need help sorting real options fast, a Haven advisor is free to your family.