Senior CareScorecard

Nursing homes in De Soto, MO

All 11 Medicare-certified nursing homes in De Soto and 5 nearby towns (Crawford, Franklin, Jefferson, Washington counties), ranked by our Scorecard score, a 0 to 100 rating built from government inspection, staffing and fine data.

56Average score 5611 scored homes · Missouri average 54
74St Clair Nursing CenterHighest score in the area
11Nursing homes11 accept Medicaid
7Fined by Medicarein the past 3 years

All 11 nursing homes

Pins show each home’s Scorecard score. Map data © OpenStreetMap contributors.

Scores use CMS Provider Data processed Sep 1, 2026. Fines and serious citations (actual harm or immediate jeopardy) are from Medicare inspections.

The data at a glance

How the 11 nursing homes in the De Soto area compare, from the same government data as the list.

Homes by Scorecard score

11 scored homes. New homes and short-stay hospital units are not scored.

Top tier 75–1000
Above average 60–744
Middle of the pack 45–596
Below average 30–441
Bottom tier 0–290

Federal fines, past three years

7 homes fined, $101,869 in total.

  1. Meramec Nursing$46,449
  2. Potosi Manor$13,627
  3. Hillcrest Care Center$10,845
  4. Sunset Health Care Center$8,281
  5. St Clair Nursing Center$8,278
  6. The Gardens Health and Rehab$8,021
  7. Stonebridge Desoto$6,368

Most common citation areas

Health inspection citations in the past three years.

  1. Resident Rights46
  2. Quality of Life and Care34
  3. Resident Assessment and Care Planning33
  4. Infection Control26
  5. Nutrition and Dietary19
  6. Pharmacy Service13

Medicare star ratings

Medicare's own 1 to 5 star rating, for reference.

  1. ★★★★★1
  2. ★★★★★5
  3. ★★★★★1
  4. ★★★★★2
  5. ★★★★★2

How to choose a nursing home in De Soto

Start with the record

Use the score to build a short list, then open each home's page. Read the latest inspection and ask about any serious citation or fine directly.

Check staffing

Ask how many residents each aide cares for on nights and weekends, and how long the director of nursing has been there. High turnover is worth a question.

Plan for Medicaid

Medicare covers only short rehab stays. 11 of 11 homes here accept Medicaid, which pays for most long stays, so ask whether a Medicaid bed will be available if savings run out.

Visit, then visit again

Go at a mealtime and once unannounced. Notice how staff speak to residents, how fast call lights are answered and how the building smells.

More for De Soto families: Missouri care costs · Paying with Medicaid

De Soto nursing home questions

Answers computed from the same data as this page.

How many nursing homes are in De Soto, MO?

There are 11 Medicare-certified nursing homes in De Soto and 5 nearby towns (Crawford, Franklin, Jefferson, Washington counties). 11 of them accept Medicaid.

What are the best nursing homes in De Soto?

By Scorecard score, the highest scoring homes are St Clair Nursing Center (74), Stonebridge Desoto (67), Union Nursing (67). Scores run from 0 to 100 and use government inspection, staffing and fine data.

How do De Soto nursing homes compare with the rest of Missouri?

The average Scorecard score here is 56, compared with 54 across Missouri. 4 homes score 60 or higher, and 1 score below 45.

How many De Soto nursing homes have been fined?

7 of the 11 homes were fined by Medicare in the past three years, totaling $101,869. The largest total was $46,449 at Meramec Nursing.

Which nursing homes in De Soto accept Medicaid?

11 of 11 homes are certified for Medicaid. Check “Accepts Medicaid” above the list to see only those homes.

What is the Scorecard score?

It's our 0 to 100 rating built from CMS data on staffing, health inspections, resident outcomes, fines and staff stability. Homes with recent serious harm citations are capped, and each facility page shows the breakdown.