ANALYSIS

The 10 Worst Nursing Homes in Missouri

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.

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.

To see a more detailed analysis of the performance on skilled nursing facilities in Missouri, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home 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.

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.

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

  • Parkview Healthcare (594)
    • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (2023-10-10)
    • 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. (2023-10-10)
  • Medicalodges Post Acute Care Center (289.5)
    • 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)
  • Clara Manor Nursing Home (276.667)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-07-12)
    • Post nurse staffing information every day. (2023-07-12)
  • Riverbend Post Acute Rehabilitation (267.667)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-04-08)
    • Establish an Emergency Preparedness Program (EP). (2023-05-05)
  • Bridgewood Health Care Center (256.833)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-10-18)
    • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (2023-10-18)
  • Timberlake Care Center (232)
    • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2023-11-01)
    • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. (2023-10-03)
  • Ignite Medical Resort Carondelet LLC (226)
    • Create arrangements with other facilities to receive patients. (2024-03-18)
    • Address patient/client population and determine types of services needed. (2024-03-18)
  • Parkway Health Care Center (217.5)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-10-12)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-07-10)
  • Myers Nursing and Convalescent Center (206.333)
    • 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. (2024-01-22)
    • Reasonably accommodate the needs and preferences of each resident. (2024-01-22)
  • Tiffany Springs Rehabilitation and Health Care Cente (190.667)
    • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2024-03-19)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2024-03-19)

Worst Nursing Homes in Springfield

  • Spring Valley Health and Rehabilitation Center (320)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-01-31)
    • Respond appropriately to all alleged violations. (2024-01-31)
  • Avenues at Springfield (181.333)
    • Respond appropriately to all alleged violations. (2024-02-19)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-02-19)
  • Springfield Skilled Care Center (158)
    • Provide safe, appropriate dialysis care/services for a resident who requires such services. (2024-02-21)
    • Make sure that a working call system is available in each resident's bathroom and bathing area. (2024-01-09)
  • Lewis Memorial Christian Vlg (148.667)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-04-09)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-04-09)
  • Sixteen Acres Healthcare Center (141.333)
    • 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)
    • 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)
  • Springfield Health and Rehab (112)
    • 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. (2024-02-22)
    • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (2024-02-22)
  • Aperion Care Capitol (102.667)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-02-09)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-02-09)
  • Springfield Nursing and Independent Living (99.667)
    • Have restrictions on the use of portable space heaters. (2024-03-06)
    • Have properly installed electrical wiring and gas equipment. (2024-03-06)
  • Regency Care (97.333)
    • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (2024-04-11)
    • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (2024-04-11)
  • Allen View Healthcare Center (90)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-01-13)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-04-25)

Worst Nursing Homes in Columbia

  • Pruitthealth- Columbia (155)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2024-03-19)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-08-16)
  • C M Tucker Jr Nursing Care Center Fewell and Stone (152.167)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-02-09)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-02-09)
  • Parkside Manor (117.167)
    • Inspect, test, and maintain automatic sprinkler systems. (2024-10-04)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-10-04)
  • Bria of Columbia (114.333)
    • Inspect, test, and maintain automatic sprinkler systems. (2024-03-04)
    • Inspect, test, and maintain automatic sprinkler systems. (2024-03-04)
  • Brian Center Nursing Care - St Andrews (108.667)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-02-16)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-02-16)
  • Heartland of Columbia Rehab and Nursing Center (105.5)
    • 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. (2024-04-09)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-03-08)
  • Susquehanna Health and Wellness Center (105)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-10-02)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-06-26)
  • Columbia Rehabilitation and Healthcare Center (72.333)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-12-21)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-08-07)
  • Columbia Manor Health and Rehabilitation (70.667)
    • 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. (2023-10-30)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2023-10-18)
  • Neighborhoods Rehab and Skilled Nursing By Tigerplac (64)
    • Keep residents' personal and medical records private and confidential. (2023-12-08)
    • Reasonably accommodate the needs and preferences of each resident. (2023-12-08)

Worst Nursing Homes in Independence

  • The Rehabilitation Center of Independence (232.333)
    • Provide primary/alternate means for communication. (2023-07-22)
    • Address subsistence needs for staff and patients. (2023-07-22)
  • Carmel Hills Wellness and Rehabilitation (199)
    • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2023-09-08)
    • Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (2023-09-08)
  • Rosewood Rehab and Healthcare Center (158.333)
    • 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. (2023-10-04)
    • Honor the resident's right to manage his or her financial affairs. (2023-10-04)
  • Baptist Homes of Independence (122)
    • 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. (2023-07-31)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-07-31)
  • Maywood Terrace Living Center (93.333)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-20)
    • Honor the resident's right to manage his or her financial affairs. (2023-03-20)
  • Independence Manor Care Center (83.833)
    • Provide a written emergency evacuation plan. (2024-02-08)
    • Provide and implement an infection prevention and control program. (2024-02-08)
  • Monterey Park Rehabilitation and Health Care Center (70)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2024-02-29)
    • 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. (2024-02-29)
  • Medicalodges Independence (56.667)
    • Install corridor and hallway doors that block smoke. (2024-01-30)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2024-01-30)
  • Jackson Creek Post Acute (54)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-06-14)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-03-01)
  • Sunterra Springs Independence (53.333)
    • 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. (2023-12-02)
    • 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. (2023-07-21)

Worst Skilled Nursing Homes in Other States

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