Senior CareScorecard

Nursing homes and senior care in De Soto, MO

11 Medicare-certified nursing homes in De Soto and 5 nearby towns (Crawford, Franklin, Jefferson, Washington counties). Nursing homes here average 3.1 stars on Medicare's 5-star scale, compared with 2.5 across Missouri and 3.0 nationwide. 7 of the 11 were fined by Medicare in the past three years. Assisted living listings for this area are coming soon.

Average rating3.1 / 5across 11 rated nursing homesMissouri 2.5 · U.S. 3.0
5 stars1
4 stars5
3 stars1
2 stars2
1 star2

Sources: CMS Provider Data (processed Sep 1, 2026).

Assisted living is coming soon

This guide covers Medicare-certified nursing homes for now. State-licensed assisted living and residential care, with Missouri inspection results, will be added next.

Highlights

Highest rated nursing homes

Medicare overall rating, then fewest serious citations.

  1. 5/5St Clair Nursing CenterSt. Clair · 79 beds · 1 serious citation
  2. 4/5Union NursingUnion · 60 beds · no serious citations
  3. 4/5Life Care Center of SullivanSullivan · 120 beds · 1 serious citation

Recent fines

Most recent Medicare fines in the past three years.

  1. 5/5St Clair Nursing Center$8,278 fine · Feb 19, 2026
  2. 4/5Stonebridge Desoto$6,368 fine · Jul 24, 2025
  3. 2/5Sunset Health Care Center$8,281 fine · May 30, 2025

All facilities

Numbers are Medicare ratings; AL and RC mark assisted living and residential care. Map data © OpenStreetMap contributors.

Fines and serious citations (actual harm or immediate jeopardy) are from CMS and apply to nursing homes only.

How to choose

1. Pick the type of care

Nursing homes are for 24-hour medical needs or rehab. Assisted living suits people who mostly need help with daily tasks.

2. Check the record

Look at the star rating, then read the latest inspection. A serious citation or a recent fine deserves a direct question.

3. Visit more than once

Go at different times, including a meal. Watch how staff talk with residents and how quickly call lights get answered.

4. Ask about money

Ask what is included, how prices rise as care needs grow, and whether the facility accepts Medicaid.

What care costs

National medians from the CareScout 2025 Cost of Care Survey. We have not yet verified De Soto-area figures.

$9,581Nursing home, semi-private room, per month
$10,798Nursing home, private room, per month
$6,200Assisted living, per month

Not sure where to start?

Ratings and inspections are a starting point. Visit in person, ask about staffing and costs, and read the latest inspection report.

De Soto questions

Answers computed from the same data as this page.

How many nursing homes are in the De Soto area?

There are 11 Medicare-certified nursing homes in De Soto and 5 nearby towns (Crawford, Franklin, Jefferson, Washington counties). Besides De Soto, this guide covers nursing homes in Potosi, St. Clair, Sullivan, Union, Washington, grouped here because each of those towns has fewer than three.

How do De Soto nursing homes compare?

The average Medicare overall rating here is 3.1 out of 5, versus 2.5 for Missouri and 3.0 nationally. 1 local homes have 5 stars and 2 have 1 star.

What counts as a serious citation?

We flag citations that Medicare rates at the level of actual harm or immediate jeopardy (scope and severity codes G through L) in the inspection data CMS publishes.

Why do some nursing homes have no star rating?

Medicare doesn't rate nursing homes that are new or don't have enough inspection and quality data yet. Assisted living listings for this area are coming soon.

Where can I check the latest inspection?

Each facility page links to Medicare Care Compare or Missouri's Show Me Long Term Care site, where new inspection reports post first.