Nursing homes in Missouri
Missouri has 487 certified nursing homes in 113 counties and independent cities. Select a county or a city to see its homes in one table.
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Counties
| County | Homes | Certified beds | Median overall rating | Citations for each 100 beds | Fines |
|---|---|---|---|---|---|
| Adair | 2 | 239 | 2 | 37.2 | $250,823 |
| Andrew | 2 | 208 | 3 | 56.3 | $116,465 |
| Atchison | 1 | 60 | 3 | 40.0 | $0 |
| Audrain | 2 | 214 | 1 | 59.8 | $26,650 |
| Barry | 3 | 229 | 3 | 60.7 | $170,228 |
| Barton | 1 | 109 | 1 | 43.1 | $0 |
| Bates | 3 | 241 | 4 | 24.1 | $0 |
| Benton | 3 | 228 | 4 | 18.9 | $22,491 |
| Bollinger | 1 | 98 | 4 | 20.4 | $0 |
| Boone | 9 | 807 | 2 | 33.2 | $135,446 |
| Buchanan | 6 | 675 | 2 | 43.6 | $120,232 |
| Butler | 5 | 483 | 3 | 29.8 | $0 |
| Caldwell | 2 | 173 | 4 | 40.5 | $13,033 |
| Callaway | 4 | 248 | 4 | 56.0 | $8,018 |
| Camden | 5 | 332 | 2 | 37.3 | $130,548 |
| Cape Girardeau | 8 | 845 | 4 | 21.4 | $158,405 |
| Carroll | 2 | 183 | 3 | 32.2 | $84,890 |
| Carter | 1 | 60 | 4 | 36.7 | $0 |
| Cass | 8 | 920 | 3 | 36.7 | $220,699 |
| Cedar | 2 | 210 | 4 | 11.9 | $0 |
| Chariton | 3 | 276 | 1 | 57.6 | $213,259 |
| Christian | 3 | 265 | 3 | 25.7 | $48,557 |
| Clark | 1 | 99 | 2 | 27.3 | $0 |
| Clay | 9 | 943 | 3 | 30.2 | $82,061 |
| Clinton | 4 | 332 | 3 | 38.6 | $41,034 |
| Cole | 8 | 720 | 2 | 33.5 | $299,437 |
| Cooper | 4 | 231 | 4 | 35.5 | $49,335 |
| Crawford | 3 | 222 | 1 | 30.2 | $134,198 |
| Dade | 1 | 69 | 3 | 24.6 | $5,293 |
| Dallas | 2 | 194 | 2 | 46.4 | $92,080 |
| Daviess | 1 | 97 | 3 | 20.6 | $0 |
| DeKalb | 2 | 144 | 2 | 51.4 | $0 |
| Dent | 3 | 168 | 2 | 45.8 | $92,988 |
| Douglas | 1 | 120 | 4 | 19.2 | $0 |
| Dunklin | 4 | 390 | 4 | 20.0 | $0 |
| Franklin | 7 | 689 | 4 | 21.6 | $21,016 |
| Gasconade | 3 | 328 | 4 | 17.4 | $20,383 |
| Gentry | 1 | 70 | 1 | 25.7 | $0 |
| Greene | 21 | 2,321 | 3 | 29.8 | $390,363 |
| Grundy | 2 | 184 | 1 | 77.2 | $193,767 |
| Harrison | 1 | 92 | 1 | 63.0 | $14,498 |
| Henry | 3 | 300 | 2 | 29.3 | $155,991 |
| Hickory | 1 | 120 | 3 | 19.2 | $78,550 |
| Holt | 2 | 120 | 3 | 40.0 | $0 |
| Howard | 1 | 59 | 3 | 27.1 | $0 |
| Howell | 5 | 574 | 4 | 16.0 | $10,033 |
| Iron | 3 | 205 | 2 | 35.6 | $260,352 |
| Jackson | 39 | 4,605 | 2 | 42.3 | $2,876,921 |
| Jasper | 7 | 707 | 2 | 22.6 | $95,588 |
| Jefferson | 11 | 1,353 | 2 | 27.3 | $342,583 |
| Johnson | 5 | 420 | 2 | 48.1 | $36,360 |
| Knox | 1 | 60 | 1 | 68.3 | $93,280 |
| Laclede | 2 | 296 | 2 | 33.4 | $263,670 |
| Lafayette | 5 | 443 | 1 | 50.3 | $41,886 |
| Lawrence | 4 | 353 | 1 | 36.5 | $60,702 |
| Lewis | 3 | 272 | 1 | 47.4 | $0 |
| Lincoln | 3 | 276 | 4 | 70.7 | $392,998 |
| Linn | 2 | 180 | 2 | 45.6 | $59,959 |
| Livingston | 4 | 289 | 2 | 49.5 | $236,456 |
| Macon | 3 | 236 | 3 | 35.2 | $77,841 |
| Madison | 2 | 189 | 5 | 20.1 | $81,964 |
| Maries | 1 | 98 | 3 | 18.4 | $0 |
| Marion | 5 | 450 | 1 | 65.6 | $434,930 |
| McDonald | 1 | 96 | 4 | 15.6 | $0 |
| Mercer | 1 | 60 | 4 | 63.3 | $0 |
| Miller | 4 | 305 | 3 | 30.5 | $79,671 |
| Mississippi | 2 | 112 | 4 | 33.0 | $0 |
| Moniteau | 2 | 126 | 5 | 20.6 | $0 |
| Monroe | 1 | 119 | 5 | 10.9 | $35,360 |
| Montgomery | 3 | 280 | 1 | 43.9 | $49,128 |
| Morgan | 3 | 286 | 5 | 9.8 | $0 |
| New Madrid | 6 | 477 | 4 | 22.6 | $263,496 |
| Newton | 5 | 498 | 2 | 31.5 | $0 |
| Nodaway | 4 | 297 | 2 | 56.2 | $99,647 |
| Oregon | 1 | 120 | 5 | 10.8 | $0 |
| Osage | 1 | 64 | 3 | 31.3 | $0 |
| Ozark | 1 | 99 | 3 | 25.3 | $0 |
| Pemiscot | 2 | 184 | 4 | 19.0 | $54,786 |
| Perry | 2 | 289 | 3 | 20.4 | $306,992 |
| Pettis | 5 | 586 | 1 | 30.7 | $64,835 |
| Phelps | 6 | 468 | 3 | 34.0 | $46,851 |
| Pike | 2 | 150 | 1 | 68.0 | $192,533 |
| Platte | 4 | 487 | 3 | 37.6 | $178,290 |
| Polk | 4 | 369 | 2 | 29.0 | $0 |
| Pulaski | 2 | 206 | 5 | 20.4 | $22,081 |
| Putnam | 1 | 60 | 2 | 40.0 | $72,664 |
| Ralls | 1 | 60 | 1 | 81.7 | $42,680 |
| Randolph | 3 | 380 | 1 | 50.0 | $687,022 |
| Ray | 2 | 257 | 3 | 42.4 | $51,882 |
| Reynolds | 1 | 60 | 1 | 55.0 | $0 |
| Ripley | 1 | 120 | 2 | 36.7 | $0 |
| Saline | 2 | 191 | 3 | 37.2 | $93,208 |
| Schuyler | 1 | 60 | 1 | 70.0 | $0 |
| Scott | 5 | 471 | 4 | 21.4 | $23,650 |
| Shannon | 1 | 86 | 3 | 24.4 | $0 |
| Shelby | 2 | 180 | 3 | 33.3 | $20,695 |
| St. Charles | 15 | 1,484 | 2 | 43.9 | $1,203,338 |
| St. Clair | 2 | 180 | 1 | 55.0 | $92,020 |
| St. Francois | 8 | 855 | 5 | 18.6 | $0 |
| St. Louis | 69 | 9,380 | 2 | 34.7 | $4,388,676 |
| St. Louis city | 13 | 1,664 | 1 | 44.4 | $782,953 |
| Ste. Genevieve | 2 | 210 | 5 | 16.2 | $0 |
| Stoddard | 7 | 477 | 4 | 23.1 | $73,743 |
| Sullivan | 1 | 100 | 1 | 45.0 | $49,897 |
| Taney | 3 | 350 | 2 | 25.1 | $0 |
| Texas | 3 | 255 | 4 | 25.5 | $0 |
| Vernon | 3 | 276 | 2 | 30.8 | $69,178 |
| Warren | 1 | 120 | 1 | 39.2 | $0 |
| Washington | 2 | 210 | 4 | 28.1 | $21,648 |
| Wayne | 2 | 151 | 5 | 17.2 | $0 |
| Webster | 4 | 314 | 2 | 40.8 | $0 |
| Worth | 1 | 50 | 3 | 34.0 | $0 |
| Wright | 3 | 243 | 1 | 27.2 | $48,539 |
Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.
Cities
Cities with two or more certified nursing homes. The number is the count of homes.
- Arnold 2
- Ballwin 2
- Belton 2
- Blue Springs 3
- Bolivar 2
- Boonville 3
- Bridgeton 3
- Brookfield 2
- Buffalo 2
- Butler 2
- Cameron 2
- Cape Girardeau 6
- Carrollton 2
- Carthage 2
- Cassville 2
- Chesterfield 8
- Chillicothe 4
- Clinton 2
- Columbia 8
- De Soto 3
- Dexter 3
- Eureka 2
- Excelsior Springs 2
- Farmington 5
- Fenton 3
- Ferguson 2
- Festus 3
- Florissant 9
- Fredericktown 2
- Fulton 3
- Hannibal 3
- Harrisonville 3
- Humansville 2
- Independence 9
- Jackson 2
- Jefferson City 8
- Joplin 5
- Kansas City 23
- Kennett 2
- Kirksville 2
- Kirkwood 2
- Lebanon 2
- Lees Summit 5
- Liberty 3
- Macon 2
- Marshall 2
- Marshfield 2
- Maryland Heights 3
- Maryville 4
- Moberly 3
- Mount Vernon 2
- Nevada 3
- O Fallon 3
- Osage Beach 5
- Owensville 2
- Ozark 2
- Perryville 2
- Plattsburg 2
- Poplar Bluff 5
- Potosi 2
- Raymore 2
- Raytown 2
- Rolla 5
- Saint Charles 6
- Saint Joseph 6
- Saint Louis 36
- Saint Peters 4
- Sainte Genevieve 2
- Salem 3
- Savannah 2
- Sedalia 5
- Sikeston 6
- Springfield 17
- Sullivan 2
- Town and Country 2
- Trenton 2
- Troy 2
- Union 2
- Valley Park 2
- Warrensburg 4
- West Plains 3
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .
Missouri in figures
The nursing homes in Missouri have 50,043 certified beds. They have about 35,486 residents on an average day. 53% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 53 homes have an overall rating of 5 stars.
The homes have 35.0 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 425 fines with a total of $17,871,724 for these homes in its penalties file. CMS also lists 154 payment denials. 64 homes have the CMS abuse icon.
| Overall rating | Homes | Share | US share |
|---|---|---|---|
| 5 of 5 | 53 | 11% | 20% |
| 4 of 5 | 78 | 16% | 19% |
| 3 of 5 | 92 | 19% | 19% |
| 2 of 5 | 92 | 19% | 20% |
| 1 of 5 | 164 | 34% | 21% |
Chains in the state
Fines by year
The CMS penalties file holds about three years. The first year and the last year are not complete.
| Year | Penalties | Fines |
|---|---|---|
| 2023 | 133 | $2,488,587 |
| 2024 | 204 | $7,153,821 |
| 2025 | 181 | $5,086,879 |
| 2026 | 61 | $3,142,437 |
Record by month
One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.
| Month | Surveys with citations | Citations | Penalties | Fines | Recorded changes |
|---|---|---|---|---|---|
| August 2026 | 0 | 0 | 0 | $0 | 0 |
| July 2026 | 5 | 7 | 0 | $0 | 0 |
| June 2026 | 60 | 110 | 2 | $93,654 | 0 |
| May 2026 | 70 | 204 | 5 | $193,862 | 0 |
| April 2026 | 83 | 360 | 7 | $265,274 | 0 |
| March 2026 | 92 | 375 | 17 | $673,157 | 0 |
| February 2026 | 64 | 291 | 14 | $1,168,230 | 0 |
| January 2026 | 75 | 335 | 16 | $748,260 | 0 |
| December 2025 | 79 | 302 | 10 | $288,176 | 0 |
| November 2025 | 109 | 256 | 17 | $448,060 | 0 |
| October 2025 | 26 | 94 | 8 | $114,088 | 0 |
| September 2025 | 54 | 191 | 12 | $357,955 | 0 |
| August 2025 | 70 | 369 | 12 | $443,207 | 0 |
| July 2025 | 66 | 183 | 12 | $292,761 | 0 |
| June 2025 | 79 | 298 | 17 | $426,569 | 0 |
| May 2025 | 75 | 356 | 17 | $490,255 | 0 |
| April 2025 | 95 | 418 | 13 | $219,600 | 0 |
| March 2025 | 108 | 499 | 25 | $763,409 | 0 |
| February 2025 | 84 | 394 | 18 | $635,188 | 0 |
| January 2025 | 93 | 407 | 20 | $607,611 | 0 |
| December 2024 | 77 | 330 | 18 | $624,203 | 0 |
| November 2024 | 67 | 409 | 15 | $541,084 | 0 |
| October 2024 | 92 | 450 | 23 | $748,959 | 0 |
| September 2024 | 78 | 348 | 13 | $633,346 | 0 |
The site has no recorded change for Missouri. It records changes at each CMS update.
Questions
- How many nursing homes in Missouri are Special Focus Facilities?
- CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates. The table of homes on each county page and city page marks these homes.
- Which F-tags have the most citations in Missouri?
- F-tag 880 has 972 citations in the last three survey cycles. F-tag 812 has 814. F-tag 689 has 808.
- What changed in Missouri in the last CMS update?
- The site has no recorded change for Missouri. At each CMS update, the site compares the tracked values of each home.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in Missouri.