Nursing Homes in Missouri
487 Medicare- and Medicaid-certified facilities · MO · ranked on CMS Five-Star ratings, staffing, and penalties
Missouri's 487 Medicare- and Medicaid-certified nursing homes average 2.5 of 5 CMS overall stars, below the 3.0-star national average, ranking #51 of 51 states/territories with ≥15 homes by average overall rating; 53 hold the top 5-star rating while 164 sit at the 1-star floor (CMS Nursing Home Compare, August 2026).
Ratings are force-curved within each state, so Missouri's averages are best read against its own facilities and the national mean, not used to rank one state's 3-star home against another's.
- 2.5 / 5
- Well below average · nat'l 3.0
- #51 of 51
- State rank by avg CMS overall (≥15 homes)
- 487
- Certified facilities
- 53
- Five-star homes (10.9%)
The state picture
Missouri's 479 rated nursing homes average 2.5 CMS overall stars, below the 3.0-star national mean, ranking #51 of 51 states on average overall rating. 53 homes sit at 5 stars and 164 at 1 star; the state beats the U.S. average on 0 of 4 staffing-and-rating metrics.
- 2.5 / 5
- Mean CMS overall · national 3.0
- #51 of 51
- State rank by average overall rating
- 53
- Five-star homes in Missouri
- 0 / 4
- Metrics beating the national average
CMS overall stars are force-curved within each state · August 2026. Compare homes against Missouri peers, not only the U.S. mean.
State registry desk · lower-band mean · floor-heavy
Missouri's mean sits in the lower third of ≥15-home states
Missouri's 2.5 mean sits at or below the 3.0 lower-tercile cut across 51 ≥15-home peers. The curve is floor-heavy: 164 one-star facilities (33.7%) outnumber 53 five-star records (10.9%) by more than 1.5×.
Largest absolute gap vs the U.S. mean is Nursing staff turnover (lower is better): Missouri 56.0% vs national 45.8% (national side of the marker on the four-metric board).
Ownership desk: For-profit holds 388 of 487 certified homes (80%). Mean certified beds per home ≈ 103 · published federal fines average $37K per certified home statewide.
CMS Nursing Home Compare registry fields only · August 2026. Not care-placement advice.
CMS care plate
Sheet MO · Missouri 2.51★ mean
STAR-LAG · BOTTOM-DECILE · PHOTO-FINISH · FP-HEAVY · BOOK-MID · STAFF-STRAIN
- STAR-LAG -0.47★ vs U.S.
- BOTTOM-DECILE #51/51
- PHOTO-FINISH +0.01★ peer
- FP-HEAVY 80% for-profit
- BOOK-MID 487 homes
- STAFF-STRAIN 0.46 RN · 56% turn
Nearest average-rating peer: Louisiana (+0.01★)
Instrument codes from this state’s CMS Nursing Home Compare sheet: star lead, peer rank, photo-finish gap, ownership sector, certified book size, and RN/turnover staffing. Not a placement score.
Average-rating neighbourhood around Missouri
Lowest and highest poles plus nearest average-CMS-overall peers, not a full 50-state board reprint.
How Missouri's nursing homes are rated
Missouri's 479 rated facilities lean toward the CMS floor: 164 one-star records (33.7%) vs 53 five-star (10.9%). The bars below are Missouri's force-curved distribution, not a national absolute.
Missouri vs all states by nursing-home facility count
Where this state's CMS-certified nursing-home inventory sits among every tracked state and territory (inventory signal, not a quality ranking)
487 9th of 53 higher than 44 of 53 states
States and territories, banded by CMS-certified nursing-home count
Each bar is a band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source CMS Nursing Home Compare · August 2026
Ownership sector · state inventory
For-profit dominates Missouri's 487-home book
For-profit accounts for 80% of certified homes in Missouri. CMS ownership sectors (For-profit, Nonprofit, Government) are exclusive inventory labels, separate from the star-rating curve. Source: CMS Nursing Home Compare, August 2026.
Missouri vs the national average
Metrics ordered by largest absolute gap from the U.S. mean. Missouri sits on the better side of the marker on 0 of 4. Opening gap: Nursing staff turnover (lower is better) (56.0% vs 45.8%).
National average: 45.8%
National average: 2.98 ★
National average: 3.86
National average: 0.69
Bar = Missouri average · vertical marker = U.S. average. Source: CMS Nursing Home Compare · August 2026.
What the Missouri Nursing Home Record Reveals
Missouri hosts 487 Medicare- and Medicaid-certified nursing facilities operating 50,043 total certified beds (103 beds/home mean), with a statewide average CMS overall rating of 2.5 out of 5 stars - lower-tercile among ≥15-home peers (cut 3.0). The tip is floor-heavy: 164 one-star (34%) vs 53 five-star (11%). CMS ratings are state-normalized, so the same absolute inspection record may place differently in Missouri than in a state with a different facility mix.
Statewide staffing reports an average of 0.46 registered-nurse hours per resident day across Missouri facilities (CMS payroll-based nurse staffing file). Nursing staff turnover statewide averages 56.0% on the same CMS measure. Staffing levels and turnover feed the inspection and quality-measure scores that CMS uses in the overall star rating; the Missouri figures above should be read against the federal CMS 2024 minimum-staffing rule, which phases in HPRD floors over several years and will reshape this distribution for facilities currently operating below the thresholds.
For families evaluating nursing home options in Missouri, the statewide averages above set the backdrop, but placement decisions ultimately turn on facility-level records: the specific deficiencies cited at the most recent inspection, the staffing hours actually logged (as opposed to budgeted), the enforcement history of fines and payment denials, and direct observation through in-person visits. Every facility listed below links to its full CMS record on this site. Data is sourced from CMS Nursing Home Compare and Provider Data; figures reflect the most recent refresh and should be verified with each facility and the Missouri state survey agency before any placement decision is finalized.
Top-rated nursing homes in Missouri
The 100 highest-rated of Missouri's 487 certified facilities, ordered by CMS overall star rating. Search all 487 Missouri facilities →
What the CMS records show in Missouri
Missouri averages 2.5 of 5 CMS stars - below the 3.0-star national mean. That aggregate describes this CMS registry; it is not a placement or suitability score.
- Each facility record lists CMS overall, inspection, staffing, and quality fields separately. Browse facility records
- Missouri's largest published federal fine is $1.1M; that enforcement field is distinct from the CMS star ratings. View the published record
- The rankings page compares the same state-normalized CMS fields across eligible state cohorts. View state rankings
CMS refreshes this registry quarterly. PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Read our methodology - how this data is sourced, computed, and verified.
How the CMS fields are recorded
The CMS Five-Star Quality Rating program publishes separate facility fields for health inspections, total nurse staffing hours per resident day, and quality measures drawn from MDS (Minimum Data Set) clinical assessments. CMS normalizes each star field against same-state peers before combining them into the overall rating shown in this registry.
PlainNursing aggregates the current CMS facility records for Missouri and displays the source fields and state-relative ranks above. Those records describe the reported dataset only; they do not establish suitability, availability, admissions, or any individual’s outcome.
Source files publish quarterly at data.cms.gov. The official CMS record remains authoritative for facility fields and vintage.
Source: Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare 5-Star Quality Rating, Missouri · 2026 Star ratings combine health inspections, staffing, and quality measures. Updated quarterly by CMS.
This registry is informational, not medical or care-placement advice. It describes published CMS fields and links to Medicare.gov Care Compare, the official source for those records.