CMS Data · 2026
Missouri Nursing Home Staffing Ratios
State average: 3.48 total HPRD · 0.56 RN · 0.95 LPN · 1.97 CNA
Missouri vs. National Average
Bar = Missouri average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in Missouri
Missouri Nursing Home Staffing — Top 50 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
KABUL NURSING HOMES INC
CABOOL, MO · Non profit
5★
4★
3.14
0.54
MASON POINTE CARE CENTER
CHESTERFIELD, MO · Non profit
5★
4★
4.32
0.88
FRIENDSHIP VILLAGE CHESTERFIELD
CHESTERFIELD, MO · Non profit
5★
5★
4.40
0.69
NHC HEALTHCARE, WEST PLAINS
WEST PLAINS, MO · For profit
5★
4★
3.54
0.62
WILSON'S CREEK NURSING & REHAB
SPRINGFIELD, MO · For profit
5★
4★
2.84
0.38
MACON HEALTH CARE CENTER
MACON, MO · For profit
5★
5★
3.50
0.87
NHC HEALTHCARE, KENNETT
KENNETT, MO · For profit
5★
3★
3.58
0.48
CHRISTIAN EXTENDED CARE & REHABILITATION
SAINT LOUIS, MO · Non profit
5★
2★
3.69
0.53
NEW MADRID LIVING CENTER
NEW MADRID, MO · For profit
5★
3★
3.60
0.33
⚠ 1 CMS fine on record
JOHN KNOX VILLAGE CARE CENTER
LEES SUMMIT, MO · Non profit
4★
4★
4.08
0.76
NHC HEALTHCARE, DESLOGE
DESLOGE, MO · For profit
4★
4★
3.49
0.78
NHC HEALTHCARE, ST CHARLES
SAINT CHARLES, MO · For profit
4★
4★
3.34
0.69
SCENIC WELLNESS AND REHABILITATION CENTER
HERCULANEUM, MO · For profit
4★
1★
2.86
0.32
MOORE FEW CARE CENTER
NEVADA, MO · Government
3★
4★
3.83
0.48
⚠ 1 CMS fine on record
FRIENDSHIP VILLAGE SUNSET HILLS
SAINT LOUIS, MO · Non profit
3★
4★
4.60
0.54
⚠ 1 CMS fine on record
CHATEAU GIRARDEAU
CAPE GIRARDEAU, MO · Non profit
3★
3★
4.26
0.63
SPRINGFIELD REHABILITATION & HEALTH CARE CENTER
SPRINGFIELD, MO · For profit
3★
4★
3.03
0.73
WEST VUE NURSING AND REHABILITATION CENTER
WEST PLAINS, MO · Non profit
3★
4★
5.00
0.71
HIGHLAND REHABILITATION & HEALTH CARE CENTER
KANSAS CITY, MO · For profit
3★
2★
3.01
0.25
⚠ 2 CMS fines on record
PIONEER SKILLED NURSING CENTER
MARCELINE, MO · For profit
3★
2★
3.57
0.48
DELMAR GARDENS OF CHESTERFIELD
CHESTERFIELD, MO · For profit
3★
2★
3.77
0.24
OSAGE BEACH REHABILITATION AND HEALTH CARE CENTER
OSAGE BEACH, MO · For profit
3★
4★
3.83
0.63
⚠ 1 CMS fine on record
WESTWOOD HILLS HEALTH & REHABILITATION CENTER
POPLAR BLUFF, MO · For profit
3★
1★
2.76
0.56
RIVER OAKS CARE CENTER
STEELE, MO · For profit
3★
2★
3.40
0.34
⚠ 1 CMS fine on record
DELMAR GARDENS WEST
TOWN AND COUNTRY, MO · For profit
2★
4★
3.62
0.45
⚠ 2 CMS fines on record
DELMAR GARDENS ON THE GREEN
CHESTERFIELD, MO · For profit
2★
2★
4.38
0.34
⚠ 1 CMS fine on record
MARY, QUEEN AND MOTHER CENTER
SHREWSBURY, MO · Non profit
2★
3★
3.31
0.39
⚠ 1 CMS fine on record
NHC HEALTHCARE, JOPLIN
JOPLIN, MO · For profit
2★
1★
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SPRING VALLEY HEALTH & REHABILITATION CENTER
SPRINGFIELD, MO · For profit
2★
1★
2.77
0.35
ST ANDREW'S AT FRANCIS PLACE
EUREKA, MO · Non profit
2★
3★
3.64
0.26
⚠ 1 CMS fine on record
TWIN PINES ADULT CARE CENTER
KIRKSVILLE, MO · Non profit
2★
4★
3.42
0.38
LOCH HAVEN
MACON, MO · Government
2★
4★
3.57
0.39
⚠ 2 CMS fines on record
CEDARGATE HEALTH CARE CENTER
POPLAR BLUFF, MO · For profit
2★
1★
3.75
0.39
ST JAMES LIVING CENTER
SAINT JAMES, MO · For profit
2★
3★
3.12
0.43
⚠ 1 CMS fine on record
ATHENE NURSING AND REHABILITATION
TOWN AND COUNTRY, MO · For profit
1★
1★
2.90
0.32
⚠ 8 CMS fines on record
CAMDENTON WINDSOR ESTATES
CAMDENTON, MO · For profit
1★
2★
2.78
0.59
BETH HAVEN NURSING HOME
HANNIBAL, MO · For profit
1★
1★
4.61
0.16
⚠ 6 CMS fines on record
FLORISSANT VALLEY HEALTH & REHABILITATION CENTER
FLORISSANT, MO · For profit
1★
1★
3.94
0.41
ASPEN POINT HEALTH AND REHABILITATION
SAINT CHARLES, MO · For profit
1★
2★
3.41
0.83
⚠ 9 CMS fines on record
ST SOPHIA HEALTH & REHABILITATION CENTER
FLORISSANT, MO · For profit
1★
1★
2.86
0.28
⚠ 3 CMS fines on record
LEBANON NORTH NURSING & REHAB
LEBANON, MO · For profit
1★
2★
3.12
0.35
⚠ 1 CMS fine on record
BIG BEND WOODS HEALTHCARE CENTER
VALLEY PARK, MO · For profit
1★
1★
2.84
0.23
⚠ 1 CMS fine on record
MARYMOUNT MANOR
EUREKA, MO · For profit
1★
4★
3.69
0.47
⚠ 1 CMS fine on record
FOUR SEASONS LIVING CENTER
SEDALIA, MO · For profit
1★
1★
1.57
0.07
⚠ 2 CMS fines on record
LEWIS & CLARK GARDENS
SAINT CHARLES, MO · For profit
1★
4★
3.48
0.32
⚠ 3 CMS fines on record
OZARK REHABILITATION & HEALTH CARE CENTER
OSAGE BEACH, MO · For profit
1★
1★
2.93
0.45
⚠ 2 CMS fines on record
WARRENTON MANOR
WRIGHT CITY, MO · For profit
1★
3★
3.07
0.32
ASCEND AT AURORA
AURORA, MO · For profit
1★
3★
4.24
0.57
⚠ 1 CMS fine on record
LIFE CARE CENTER OF CAPE GIRARDEAU
CAPE GIRARDEAU, MO · For profit
1★
1★
3.53
0.55
⚠ 4 CMS fines on record
STONEBRIDGE VILLA MARIE
JEFFERSON CITY, MO · For profit
1★
1★
3.15
0.39
Frequently Asked Questions
- What are the nursing home staffing requirements in Missouri?
- CMS requires all Missouri nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. Missouri's state average of 3.48 total HPRD is below the national average of 3.89.
- What is the average RN staffing level in Missouri nursing homes?
- Missouri nursing homes average 0.56 RN hours per resident per day — below the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in Missouri?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.