RankingsUpdated August 2026

The 25 Best-Rated Nursing Homes in Missouri (2026)

The top 25 of 479 CMS-certified nursing homes in Missouri, ranked by health inspection scores, staffing levels, and penalty history — never paid placement. See how our ranking method works

4872.4 per 30K residentsAbove national avg of 1.3 per 30KTotal Nursing Homes
2.5/5
-0.5 vs national avgNational avg: 3.00Statewide Avg Rating
$80K+$9K vs national avgNational avg: $71KAvg Fine (When Penalized)
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1No Penalties

Nursing HomeCole Camp, MO

Good Samaritan Care Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing4.0
  • Quality Measures3.0
72 BedsInspected Oct 2023

Above Missouri avg of 2.5

403 West MainCole Camp, MO 65325

(660) 668-4515

View Facility
2No Penalties

Nursing HomePilot Grove, MO

Katy Manor

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing4.0
  • Quality Measures2.0
60 BedsInspected Mar 2025

Above Missouri avg of 2.5

205 ProspectPilot Grove, MO 65276

(660) 834-3111

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3No Penalties

Nursing HomeVersailles, MO

Good Shepherd Care Center

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing3.0
  • Quality Measures4.0
117 BedsInspected Feb 2024

Above Missouri avg of 2.5

1101 West Clay RoadVersailles, MO 65084

(573) 378-5411

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41 Penalty

Nursing HomeParis, MO

Monroe Manor

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing2.0
  • Quality Measures2.0
119 BedsInspected Jan 2025

Above Missouri avg of 2.5

200 South StParis, MO 65275

(660) 327-4125

View Facility

State report

Why families compare nursing homes in Missouri

#38of 51 states & DC
Health Ranking

Among the lowest-ranked states for overall health outcomes — long-term care demand runs high (rank 38 of 51).

America’s Health Rankings 2024
  • Population 65+19.1%

    A little higher than the national average of 17.7%.

    Census ACS 2023
  • Life expectancy75.4 yrs

    About the same as the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover57.0%

    About 23% higher than the national average of 46.4%.

    CMS PBJ 2024

See full demographics & care economics for Missouri →

FAQ

Questions families ask about this page

How many nursing homes are in Missouri?

Missouri has 487 nursing homes in the full directory. This rankings page evaluated 479 eligible nursing homes with public CMS ratings and public profile slugs, then highlighted the top 25.

What is the average CMS rating for nursing homes in Missouri?

Nursing homes in Missouri average 2.5 out of 5 on the CMS overall rating, compared with a national nursing-home average of 3.0.

What is the average fine when a nursing home in Missouri is penalized?

Among Missouri nursing homes that were fined, the average fine is $80K. The national nursing-home average is $71K.

How does Missouri compare with the national average?

Missouri averages 2.5 out of 5 on CMS overall rating, compared with a national nursing-home average of 3.0. The average fine when penalized is $80K versus $71K nationally.

Should I rely on these rankings alone?

No. Use this report as a shortlist, then review the facility profile, confirm payment options, look at inspection history, and speak with licensed professionals before making a care decision.

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