Nursing homes that accept Medicaid in St. Louis, MO

94 of 97 nursing homes in St. Louis City, St. Louis County and St. Charles County are certified by CMS to take Medicaid (MO HealthNet). They average 2.1 Medicare stars. Certification doesn't guarantee an open bed, so call ahead.

Medicaid-certified homes94 of 97average rating 2.1 / 5Missouri 2.51 · U.S. 2.99

5 stars8

4 stars8

3 stars12

2 stars18

1 star45

Source: CMS Provider Information, "Provider Type" field, processed Sep 1, 2026.

All 94 Medicaid-certified nursing homes

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

Medicaid questions

Answers from CMS data and Missouri program basics.

Which St. Louis nursing homes accept Medicaid?

94 of the 97 Medicare-certified nursing homes in St. Louis City, St. Louis County and St. Charles County are certified for Medicaid. The 3 that are not: Cottages of Lake St Louis, Mcknight Place Extended Care, Sunterra Springs Dardenne Prairie.

Does certification mean a Medicaid bed is open?

No. Certification means the home can bill Medicaid. Whether a Medicaid bed is available today changes week to week, so call and ask.

Who qualifies for Missouri Medicaid nursing home care?

MO HealthNet pays a nursing home for people who are medically certified as needing nursing facility care, have had a preadmission screening, live in a MO HealthNet-certified bed, and meet the financial rules. Since July 1, 2026, the resource limit for a single person is $6,220.50. Residents put nearly all of their income toward their care and keep $50 a month for personal needs, plus amounts for health insurance premiums and a spouse or dependents. Apply through the Missouri Department of Social Services.

Are Medicaid homes rated lower in St. Louis?

The 91 rated Medicaid-certified homes here average 2.1 stars, compared with 2.1 for all St. Louis-area homes.

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