The 10 Worst Nursing Homes in Missouri

Updated as of August 01, 2023

A list of the ten worst skilled nursing homes in Missouri. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Missouri.

Compare the Worst Nursing Homes in Missouri

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Missouri skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Missouri. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

Nursing Home Rating
Aspen Point Health and Rehabilitation
2840 WEST CLAY ST
SAINT CHARLES, MO 		924.33
/
Levering Regional Health Care Center
1734 MARKET STREET
HANNIBAL, MO 		675.50
Rating Not Available /
Avalon View Health and Wellness
1200 WEST COLLEGE STREET
LIBERTY, MO 		622.50
North Village Park
2041 SILVA LANE
MOBERLY, MO 		579.33
/
Senath South Health Care Center
300 EAST HORNBECK STREET
SENATH, MO 		552.00
/
Troy Manor
200 THOMPSON DRIVE
TROY, MO 		466.83
/
Liberty Health and Wellness
2201 GLENN HENDREN DR
LIBERTY, MO 		465.83
Rating Not Available
Country View Nursing Facility, Inc
2106 WEST MAIN
BOWLING GREEN, MO 		464.83
Tri-County Care Center
601 NORTH GALLOWAY ROAD
VANDALIA, MO 		442.33
Hillside Rehab and Healthcare Center
1265 MCLARAN AVENUE
SAINT LOUIS, MO 		379.33

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

How We Compile Nursing Home Ratings in Missouri

Every month, we rank all of the skilled nursing facilities in Missouri. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Missouri is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Missouri nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Missouri nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Missouri

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Missouri have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

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 11.90 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 8.30 Higher
Cycle 2 Total Number Of Health Deficiencies 9.80 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 4.60 Higher
Cycle 3 Total Number Of Health Deficiencies 9.00 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 5.10 Higher
Average Number Of Residents Per Day 68.70 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.12 Lower
Reported Lpn Staffing Hours Per Resident Per Day 0.70 Lower
Reported Rn Staffing Hours Per Resident Per Day 0.46 Lower
Reported Licensed Staffing Hours Per Resident Per Day 1.16 Lower
Reported Total Nurse Staffing Hours Per Resident Per Day 3.28 Lower
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 2.87 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 60.70 Higher
Registered Nurse Turnover 58.10 Higher
Number Of Administrators Who Have Left The Nursing Home 0.80 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.33 Lower
Case-mix Total Nurse Staffing Hours Per Resident Per Day 2.83 Lower
Number Of Fines 3.40 Higher
Fine Amount In Dollars 41,344.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 16.68 Higher
Percentage Of Long Stay Residents Who Lose Too Much Weight 5.41 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 30.74 Lower
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 2.05 Higher
Percentage Of Long Stay Residents With A Urinary Tract Infection 3.23 Higher
Percentage Of Long Stay Residents Who Have Depressive Symptoms 5.70 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.12 Lower
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 3.98 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 85.42 Lower
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 20.85 Higher
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 68.67 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 2.34 Higher
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 14.60 Lower
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 23.84 Higher
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 8.88 Higher
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 91.79 Lower
Percentage Of Short Stay Residents Who Made Improvements In Function 72.57 Lower
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 63.43 Lower
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 24.04 Higher
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 13.23 Higher
Number Of Hospitalizations Per 1000 Long-stay Resident Days 2.01 Higher
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 1.37 Higher

FAQs About Nursing Homes in Missouri

How Many Nursing Homes in Missouri

There are 509 skilled nursing facilities registered with CMS in Missouri with a total of 52,976 beds. Average occupancy was 64.57% in August 2023.

Missouri has 164 homes that are rated as having one star on the CMS 5-Star Rating System. Approximately 37.24 percent of the total number of available skilled nursing beds in Missouri are in one-star facilities. In Missouri, occupancy is higher in skilled nursing facilities where the CMS 5-Star Rating is higher than one-star.

How to Report a Nursing Homes in Missouri

If you run into an issue at a Missouri nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Missouri nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Missouri Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Missouri go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in St. Louis

Worst Nursing Homes in Kansas City

  • Medicalodges Post Acute Care Center (309.167)
    • Have properly located and lighted "Exit" signs. (2023-06-21)
    • Install emergency lighting that can last at least 1 1/2 hours. (2023-06-21)
  • Riverbend Post Acute Rehabilitation (275.667)
    • Develop Emergency Preparedness policies and procedures. (2023-05-05)
    • Establish an Emergency Preparedness Program (EP). (2023-05-05)
  • Parkway Health Care Center (222.667)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2023-01-23)
    • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (2023-01-23)
  • Tiffany Springs Rehabilitation and Health Care Cente (220.167)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-10)
    • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2023-01-09)
  • Clara Manor Nursing Home (213.333)
    • Ensure that sources of ignition are removed from patients receiving respiratory therapy. (2023-06-15)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-06-11)
  • Parkview Healthcare (211.833)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-06-01)
    • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2023-06-01)
  • Bridgewood Health Care Center (207.5)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2023-06-21)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2023-06-21)
  • Myers Nursing and Convalescent Center (189.333)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2022-07-22)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2022-07-22)
  • Rock Hill Nursing Center (170.333)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-04-14)
    • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2023-04-14)
  • Timberlake Care Center (165.5)
    • Have generator or other power source capable of supplying service within 10 seconds. (2022-12-23)
    • Have simulated fire drills held at unexpected times. (2022-12-23)

Worst Nursing Homes in Springfield

  • Spring Valley Health and Rehabilitation Center (331.833)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-02-09)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2022-09-28)
  • Springfield Skilled Care Center (183)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-03-17)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2023-03-15)
  • Sixteen Acres Healthcare Center (160)
    • Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2023-07-07)
    • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2023-07-07)
  • Avenues at Springfield (145.333)
    • Have exits that are accessible at all times. (2023-07-25)
    • Conduct testing and exercise requirements. (2023-07-21)
  • Springfield Health and Rehab (138)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-04-18)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2023-02-22)
  • Allen View Healthcare Center (122.5)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2023-04-25)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-04-25)
  • Springfield Nursing and Independent Living (119.5)
    • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2023-04-18)
    • Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2023-04-18)
  • Aperion Care Capitol (112.833)
    • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (2023-07-18)
    • Ensure each resident?s drug regimen must be free from unnecessary drugs. (2023-07-18)
  • Regency Care (112.333)
    • Inspect, test, and maintain automatic sprinkler systems. (2023-06-02)
    • Develop Emergency Preparedness policies and procedures. (2023-05-18)
  • Southbrook Healthcare Center (88.167)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-05-19)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-01-25)

Worst Nursing Homes in Columbia

  • Magnolia Healthcare and Rehabilitation Center (175.833)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2022-07-15)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2022-07-15)
  • Brian Center Nursing Care - St Andrews (142.667)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2022-06-17)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2022-06-17)
  • Bria of Columbia (137.5)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-05-01)
    • Inspect, test, and maintain automatic sprinkler systems. (2023-04-21)
  • Susquehanna Health and Wellness Center (114.667)
    • Inspect, test, and maintain automatic sprinkler systems. (2023-06-26)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-06-26)
  • Parkside Manor (96.333)
    • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2022-11-22)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2022-09-08)
  • C M Tucker Jr Nursing Care (86.833)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-02-15)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2022-04-15)
  • Columbia Manor Care Center (84.667)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2023-06-27)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-06-19)
  • Columbia Post Acute (76.667)
    • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2022-06-10)
    • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (2022-06-10)
  • Columbia Rehabilitation and Healthcare Center (72.333)
    • Provide and implement an infection prevention and control program. (2022-07-30)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2022-02-28)
  • Wildewood Downs (60.667)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2023-07-07)
    • Meet other general requirements that are deficient. (2023-06-30)

Worst Nursing Homes in Independence

  • The Rehabilitation Center of Independence (246.167)
    • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2022-09-13)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2022-08-12)
  • Carmel Hills Wellness and Rehabilitation (200.167)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-05-13)
    • Reasonably accommodate the needs and preferences of each resident. (2023-05-13)
  • Rosewood Rehab and Healthcare Center (163.5)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2022-12-02)
    • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2022-12-02)
  • Maywood Terrace Living Center (96.667)
    • Honor the resident's right to manage his or her financial affairs. (2023-03-20)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-20)
  • Monterey Park Rehabilitation and Health Care Center (73)
    • Install a fire alarm system that can be heard throughout the facility. (2022-12-06)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2022-11-11)
  • Independence Manor Care Center (64.5)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2022-06-30)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2022-06-30)
  • Independence Health and Rehabilitation Center (59.333)
    • Reasonably accommodate the needs and preferences of each resident. (2022-12-23)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2022-11-04)
  • Medicalodges Independence (58)
    • Ensure medication error rates are not 5 percent or greater. (2022-11-18)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2022-11-18)
  • Baptist Homes of Independence (57.333)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2021-09-23)
    • Post nurse staffing information every day. (2021-09-23)
  • The Villages of Jackson Creek (44.667)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-01)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2022-12-31)

Worst Skilled Nursing Homes in Other States

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