Senior CareScorecard

Nursing homes in St. Louis, MO

All 97 Medicare-certified nursing homes in St. Louis City, St. Louis County and St. Charles County, ranked by our Scorecard score, a 0 to 100 rating built from government inspection, staffing and fine data.

48Average score 4892 scored homes · Missouri average 54
90Lutheran Convalescent HomeHighest score in the area
97Nursing homes94 accept Medicaid
59Fined by Medicarein the past 3 years

All 97 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 97 nursing homes in the St. Louis area compare, from the same government data as the list.

Homes by Scorecard score

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

Top tier 75–10012
Above average 60–7413
Middle of the pack 45–5922
Below average 30–4427
Bottom tier 0–2918

Federal fines, past three years

59 homes fined, $6,825,318 in total. Largest 12 shown.

  1. Magnolia Wellness Center$404,600
  2. Heritage Care Center$396,248
  3. Windsor Estates of St Charles$352,330
  4. Aspen Point Health and Rehabilitation$326,921
  5. The Quarters at Des Peres$315,596
  6. Arbor Hills Care & Rehab Center$282,840
  7. Aegis Health and Rehabilitation$275,739
  8. Marymount Manor$269,586
  9. Ellisville Rehabilitation and Nursing$255,601
  10. Carrie Elligson Gietner Health Care Center$236,408
  11. Avenir at Mark Twain$235,300
  12. Bluebird Wellness and Rehabilitation$234,836

Most common citation areas

Health inspection citations in the past three years.

  1. Quality of Life and Care860
  2. Resident Rights534
  3. Resident Assessment and Care Planning310
  4. Pharmacy Service270
  5. Freedom from Abuse, Neglect, and Exploitation239
  6. Nutrition and Dietary203

Medicare star ratings

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

  1. ★★★★★8
  2. ★★★★★10
  3. ★★★★★12
  4. ★★★★★19
  5. ★★★★★45

How to choose a nursing home in St. Louis

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. 94 of 97 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 St. Louis families: What care costs · Paying with Medicaid

St. Louis nursing home questions

Answers computed from the same data as this page.

How many nursing homes are in St. Louis, MO?

There are 97 Medicare-certified nursing homes in St. Louis City, St. Louis County and St. Charles County. 94 of them accept Medicaid.

What are the best nursing homes in St. Louis?

By Scorecard score, the highest scoring homes are Lutheran Convalescent Home (90), Lutheran Senior Services at Meramec Bluffs (90), Mason Pointe Care Center (88). Scores run from 0 to 100 and use government inspection, staffing and fine data.

How do St. Louis nursing homes compare with the rest of Missouri?

The average Scorecard score here is 48, compared with 54 across Missouri. 25 homes score 60 or higher, and 45 score below 45.

How many St. Louis nursing homes have been fined?

59 of the 97 homes were fined by Medicare in the past three years, totaling $6,825,318. The largest total was $404,600 at Magnolia Wellness Center.

Which nursing homes in St. Louis accept Medicaid?

94 of 97 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.