Nursing Homes in Missouri- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

Summary Analysis of Nursing Homes in Missouri- The 10,000 foot view

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, Missouri has a total of 504 active skilled nursing facilities and 51,489 beds. Based on the US Census estimates for the population of 6,177,957, the current total bed count represents one bed for every 119.99 persons in Missouri. There were 35,053 residents as February 11, 2024 for a state wide occupancy level of 68.08 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, Missouri has added 0 new beds and lost 1,099 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for Missouri and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 0.44 0.65
Certified Nursing Assistants (CNA) 2.19 2.26
Licensed Practical Nurse (LPN) 0.68 0.88
All Staff 3.31 3.79

Detailed analysis pages for the largest cities in Missouri:

COVID-19 Infections in Missouri Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in Missouri there were a total of 109 new cases and 109 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Missouri

No new homes were reported by CMS over the past twelve months.

Missouri lost 10 skilled nursing facilities and 1,099 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Parklane Care and Rehabilitation Center 240
Linn Oak Rehabilitation Center 132
Royal Oak Nursing and Rehab 168
Aspire Senior Living Gerald 60
Aspire Senior Living Fayette 60
Westfield Nursing Center, Inc 82
Spring River Christian Village Inc 120
Moniteau Care Center 60
The Riverview 130
Sisters Mission 47

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for Missouri Nursing Homes

The chart below shows the overall occupancy for nursing home beds in Missouri. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in Missouri

The list below shows the best skilled nursing facilities in Missouri based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
Parkview Health Care Facility
119 WEST FOREST
BOLIVAR, MO
0.00
Cox Medical Centers Meyer Orthopedic and Rehab
3535 S NATIONAL AVE
SPRINGFIELD, MO
6.00
Bertrand Nursing and Rehab Center
603 HIGHWAY 62 WEST
BERTRAND, MO
8.67
California Care Center
1106 SOUTH OAK
CALIFORNIA, MO
9.33
Salem Memorial District Hospital
35629 HIGHWAY 72
SALEM, MO
9.33
Madison Medical Center
611 WEST MAIN STREET
FREDERICKTOWN, MO
10.00
Heritage Hall Nursing Center
750 E HIGHWAY 22
CENTRALIA, MO
10.00
Southbrook Nursing Center
1101 HAZEL LANE
FARMINGTON, MO
10.00
Surrey Place St Lukes Hosp Skilled Nursing
14701 OLIVE BLVD
CHESTERFIELD, MO
10.67
Cypress Point-Skilled Nursing By Americare
801 BALIFF DRIVE
DEXTER, MO
10.67

The list below shows the worst skilled nursing facilities in Missouri based on their most recent weighted average inspection score.

Facility Rating
Aspen Point Health and Rehabilitation
2840 WEST CLAY ST
SAINT CHARLES, MO
1,027.67
/
North Village Park
2041 SILVA LANE
MOBERLY, MO
758.00
/
Parkview Healthcare
128 NORTH HARDESTY
KANSAS CITY, MO
654.83
/
Avalon View Health and Wellness
1200 WEST COLLEGE STREET
LIBERTY, MO
609.67
Senath South Health Care Center
300 EAST HORNBECK STREET
SENATH, MO
532.33
/
Levering Regional Health Care Center
1734 MARKET STREET
HANNIBAL, MO
497.83
Rating Not Available
Beth Haven Nursing Home
2500 PLEASANT STREET
HANNIBAL, MO
470.83
/
Country View Nursing Facility, Inc
2106 WEST MAIN
BOWLING GREEN, MO
464.83
Baptist Homes, Tri-County
601 NORTH GALLOWAY ROAD
VANDALIA, MO
457.67
/
Bentleys Extended Care
3060 ASHBY ROAD
OVERLAND, MO
454.17

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in Missouri Compared to Nationwide

We have compared Missouri nursing homes to the nationwide average on several metrics. Missouri performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 12.40 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 8.50 Higher
Cycle 2 Total Number Of Health Deficiencies 10.40 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 5.10 Higher
Cycle 3 Total Number Of Health Deficiencies 9.60 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 5.00 Higher
Average Number Of Residents Per Day 69.50 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.19 Lower
Reported Lpn Staffing Hours Per Resident Per Day 0.68 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.44 Lower
Reported Licensed Staffing Hours Per Resident Per Day 1.12 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.31 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 2.90 Lower
Registered Nurse Hours Per Resident Per Day On The Weekend 0.32 Lower
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.04 Lower
Total Nursing Staff Turnover 61.60 Higher
Registered Nurse Turnover 57.90 Higher
Number Of Administrators Who Have Left The Nursing Home 0.90 Higher
Case-mix Rn Staffing Hours Per Resident Per Day 0.32 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 2.85 Lower
Number Of Fines 3.40 Higher
Fine Amount In Dollars 40,523.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 17.25 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 5.40 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 31.71 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.67 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 3.28 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 7.43 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.10 Lower
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 4.00 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 85.55 Lower
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 21.29 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 68.54 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 2.28 Higher
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 15.75 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 23.75 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 8.49 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 91.44 Lower
Percentage Of Short Stay Residents Who Made Improvements In Function 73.70 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 63.56 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 24.34 Higher
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 13.86 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 2.15 Higher
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.48 Higher