Missouri nursing home data · CMS, September 2026
Missouri has the lowest-rated nursing homes in the country
Missouri's 487 Medicare-certified nursing homes average 2.51 stars, ranking 51 of 51 among the states and D.C. The U.S. average is 2.99. Staffing is thin and turnover is high: Missouri ranks 50 of 51 for nurse hours per resident and 51 of 51 for staff turnover.
Source: CMS Provider Information dataset, September 2026. Rank 1 is best.
Where Missouri ranks
State averages across all Medicare-certified nursing homes. Ranks are among the 50 states and D.C.; 1 is best.
| Missouri | U.S. | Rank | |
|---|---|---|---|
| Average Medicare overall rating | 2.51 | 2.99 | 51 of 51 |
| Total nurse hours per resident per day | 3.43 | 3.86 | 50 of 51 |
| Registered nurse hours per resident per day | 0.46 | 0.68 | 47 of 51 |
| Nursing staff turnover | 56% | 46% | 51 of 51 |
| Citations at latest standard inspection | 11.4 | 9.2 | 42 of 51 |
Lowest average ratings
- Missouri2.51
- Illinois2.53
- Louisiana2.55
- Texas2.66
- Georgia2.67
See every state on the national map.
Fines and red flags
City guides
Every licensed nursing home and assisted living facility, with inspections and fines.
Kansas City area
60 nursing homes · 72 assisted living
St. Louis area
97 nursing homes · 113 assisted living
Chesterfield · St. Charles · St. Peters · Florissant · O'Fallon
Columbia area
9 nursing homes · 13 assisted living
Boonville area
8 nursing homes · assisted living coming soon
Cape Girardeau area
10 nursing homes · assisted living coming soon
Chillicothe area
20 nursing homes · assisted living coming soon
De Soto area
11 nursing homes · assisted living coming soon
Dexter area
15 nursing homes · assisted living coming soon
Farmington area
15 nursing homes · assisted living coming soon
Festus area
10 nursing homes · assisted living coming soon
Fulton area
13 nursing homes · assisted living coming soon
Hannibal area
15 nursing homes · assisted living coming soon
Jefferson City area
10 nursing homes · assisted living coming soon
Joplin area
20 nursing homes · assisted living coming soon
Maryville area
8 nursing homes · assisted living coming soon
Moberly area
12 nursing homes · assisted living coming soon
Nevada area
16 nursing homes · assisted living coming soon
Osage Beach area
19 nursing homes · assisted living coming soon
Poplar Bluff area
9 nursing homes · assisted living coming soon
Rolla area
12 nursing homes · assisted living coming soon
Salem area
7 nursing homes · assisted living coming soon
Sedalia area
9 nursing homes · assisted living coming soon
Sikeston area
10 nursing homes · assisted living coming soon
St. Joseph area
16 nursing homes · assisted living coming soon
Warrensburg area
14 nursing homes · assisted living coming soon
West Plains area
18 nursing homes · assisted living coming soon
Largest Missouri cities by nursing homes
| City | Homes | Avg rating |
|---|---|---|
| St. Louis | 36 | 1.91 |
| Kansas City | 23 | 2.26 |
| Springfield | 17 | 3.06 |
| Florissant | 9 | 1.22 |
| Independence | 9 | 2.22 |
| Jefferson City | 8 | 2.50 |
| Columbia | 8 | 2.25 |
| Chesterfield | 8 | 3.50 |
| Cape Girardeau | 6 | 3.50 |
| St. Joseph | 6 | 2.17 |
Missouri questions
Answers computed from CMS data.
Why are Missouri nursing homes rated so low?
Medicare's overall rating leans most on health inspections, then staffing and quality measures. Missouri homes average 3.43 nurse hours per resident per day (U.S. 3.86), 56% staff turnover (U.S. 46%) and 11.4 citations at their latest inspection (U.S. 9.2). Health inspection ratings are curved within each state, but staffing and quality ratings are national, which pulls the overall average down.
How many nursing homes are in Missouri?
CMS lists 487 Medicare-certified nursing homes in Missouri, 480 of them rated.
How many Missouri nursing homes were fined?
208 Missouri nursing homes were fined in the past three years, for $18,225,767 in total. 18 are Special Focus Facilities or candidates, and 63 carry Medicare's abuse icon.
Which Missouri cities do you cover?
City guides are live for Springfield, Kansas City, St. Louis, Columbia, Boonville, Cape Girardeau, Chillicothe, De Soto, Dexter, Farmington, Festus, Fulton, Hannibal, Jefferson City, Joplin, Maryville, Moberly, Nevada, Osage Beach, Poplar Bluff, Rolla, Salem, Sedalia, Sikeston, St. Joseph, Warrensburg, West Plains with town pages for Nixa, Ozark, Republic, Independence, Lee's Summit, Blue Springs, Liberty, Chesterfield, St. Charles, St. Peters, Florissant, O'Fallon. Every Medicare nursing home in the state will get a page as we expand.