State Analysis Report for Missouri

Key metrics for nursing homes in Missouri including change in number of homes and number of beds, nursing home staffing levels, occupancy, newest nursing homes, and more. This report is updated weekly.

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

Updated on May 26, 2024

According to the latest data compiled by NursingHomeDatabase.com, Missouri has a total of 499 active skilled nursing facilities with 50,034 total beds. Based on the US Census estimates for the population of 6,177,957, the current total bed count represents one bed for every 123.48 persons in Missouri. There were 34,284 residents as May 26, 2024 for a state wide occupancy level of 68.52 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 36 new beds and lost 1,830 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 0.87
All Staff 3.31 3.78

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 14 new cases and 14 new deaths among residents for the week ending May 26, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Missouri

Missouri added 1 new skilled nursing facilities and 36 beds over the past year. Below is list of the new facilities:

Facility Number of Beds
The Baptist Home 36

Missouri lost 14 skilled nursing facilities and 1,830 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Cedarcrest Manor 177
Parklane Care and Rehabilitation Center 240
Linn Oak Rehabilitation Center 132
Royal Oak Nursing and Rehab 168
Jordan Creek Nursing and Rehab 120
Aspire Senior Living Gerald 60
Northview Village 320
Spring River Christian Village Inc 120
Moniteau Care Center 60
Polaris Health and Wellness of Abbey Woods 100
Ashland Healthcare 60
Bellefontaine Gardens Nursing and Rehab 96
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
Phelps Health
1000 W TENTH ST
ROLLA, MO
6.00
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
Heritage Hall Nursing Center
750 E HIGHWAY 22
CENTRALIA, MO
9.33
The Manor at Elfindale
1707 WEST ELFINDALE STREET
SPRINGFIELD, MO
9.33
California Care Center
1106 SOUTH OAK
CALIFORNIA, MO
9.33
Salem Memorial District Hospital
35629 HIGHWAY 72
SALEM, MO
9.33
Golden Age Living Center
404 E THIRD STREET
STOVER, MO
9.33
Surrey Place St Lukes Hosp Skilled Nursing
14701 OLIVE BLVD
CHESTERFIELD, MO
9.33

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
1,127.67
/
North Village Park
2041 SILVA LANE
MOBERLY, MO
687.00
/
Parkview Healthcare
128 NORTH HARDESTY
KANSAS CITY, MO
594.00
/
Avalon View Health and Wellness
1200 WEST COLLEGE STREET
LIBERTY, MO
509.00
Hillside Rehab and Healthcare Center
1265 MCLARAN AVENUE
SAINT LOUIS, MO
495.83
/
Senath South Health Care Center
300 EAST HORNBECK STREET
SENATH, MO
456.83
/
Bentleys Extended Care
3060 ASHBY ROAD
OVERLAND, MO
454.17
Beth Haven Nursing Home
2500 PLEASANT STREET
HANNIBAL, MO
443.00
/
Life Care Center of Brookfield
315 HUNT STREET
BROOKFIELD, MO
421.83
/
Troy Manor
200 THOMPSON DRIVE
TROY, MO
406.67
/

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 12.10 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 8.10 Higher
Cycle 2 Total Number Of Health Deficiencies 11.30 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 5.80 Higher
Cycle 3 Total Number Of Health Deficiencies 9.50 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 5.00 Higher
Average Number Of Residents Per Day 69.30 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 61.10 Higher
Registered Nurse Turnover 56.90 Higher
Number Of Administrators Who Have Left The Nursing Home 0.80 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 3.10 Higher
Fine Amount In Dollars 38,115.00 Lower
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 17.26 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 5.37 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 31.76 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.46 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 3.15 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 7.74 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 3.99 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 85.95 Lower
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 21.51 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 68.89 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 2.31 Higher
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 15.77 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 23.89 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 8.50 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 91.37 Lower
Percentage Of Short Stay Residents Who Made Improvements In Function 73.69 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 64.32 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 24.74 Higher
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 13.87 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 2.16 Higher
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.51 Higher

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