NPPES file of Aug 9, 2026

Nursing Home Deficiencies in Missouri

Missouri's nursing homes average 11.6 health-inspection deficiencies on their latest standard survey, above the national 9.2, across 482 surveyed homes. The 100 with the most citations are listed below.

CMS Care Compare nursing home file processed Jul 1, 2026, rating cycle 1 surveys ยท method ยท Care Compare on CMS.gov โ†’

Missouri against the nation

  • Nursing homes487
  • Surveyed482
  • Average deficiencies, Missouri11.6 per home
  • Average deficiencies, U.S.9.2 per home
  • Fines on record, Missouri$17,255,871

Source: CMS nursing home file processed Jul 1, 2026; deficiencies from the most recent standard survey (rating cycle 1).

Most deficiencies in Missouri

#Nursing homeCityDeficienciesComplaintsFinesInspection
1Lincoln County Nursing & RehabTroy573$235,414Not rated
2Beloved Health And Rehabilitation CenterHannibal498$279,3801 of 5
3Bridgewood Health Care CenterKansas City4933$973,9671 of 5
4Hillside Health Care CenterSaint Louis4829$106,588Not rated
5Abode Health And Wellness CenterIndependence4716$269,4761 of 5
6Gregory Ridge Health Care CenterKansas City4522$708,0021 of 5
7Cassville Health Care CenterCassville4433$123,9251 of 5
8St Sophia Health & Rehabilitation CenterFlorissant4131$69,2031 of 5
9North Village ParkMoberly4132$521,3341 of 5
10Strafford Care CenterStrafford3921$52,4561 of 5
11Parkway Health Care CenterKansas City374$30,8211 of 5
12Ellisville Rehabilitation And NursingEllisville3732$260,0921 of 5
13Grove AT Kirkwood, TheKirkwood3630$172,4001 of 5
14Chariton Park Health Care CenterSalisbury3510$126,3021 of 5
15Parkview HealthcareKansas City346$140,0211 of 5
16St Peters Rehab And Healthcare CenterSaint Peters3412$168,0261 of 5
17Athene Nursing And RehabilitationTown And Country3218$145,7821 of 5
18Edgewood Manor Health Care CenterRaytown318$84,5571 of 5
19Parkwood Skilled Nursing And Rehabilitation CenterMaryland Heights31142 of 5
20Brunswick Health Care CenterBrunswick314$15,1431 of 5
21Bentleys Extended CareOverland318$28,9691 of 5
22Lebanon North Nursing & RehabLebanon3023$24,8011 of 5
23Willowcreek Wellness & RehabilitationFlorissant3015$90,3331 of 5
24Avenir AT Mark TwainBridgeton2910$195,3101 of 5
25Buffalo Prairie Center For Rehab And HealthcareBuffalo2914$92,0801 of 5
26Four Seasons Living CenterSedalia2815$25,6051 of 5
27Aspire Senior Living Roaring RiverCassville285$46,3031 of 5
28Brookfield Health Care CenterBrookfield2861 of 5
29Pin Oaks Living CenterMexico279$26,6501 of 5
30Beth Haven Nursing HomeHannibal260$70,7431 of 5
31Aspire Senior Living JoplinJoplin2661 of 5
32Springfield Skilled Care CenterSpringfield2612$189,0661 of 5
33Hidden Lake Health Care CenterSaint Louis268$123,6101 of 5
34Golden Years Center For Rehab And HealthcareHarrisonville2514$166,8001 of 5
35Nazareth Living CenterSaint Louis258$11,9282 of 5
36Amberwood Estates Nursing And RehabilitationSaint Louis259$19,7602 of 5
37Lakeview Post AcuteFlorissant2511$176,5011 of 5
38Spring Valley Health & Rehabilitation CenterSpringfield24191 of 5
39Truman Healthcare & Rehabilitation CenterLamar2491 of 5
40Heritage Care CenterSaint Louis2411$424,7481 of 5
41South Hampton PlaceColumbia249$12,7351 of 5
42Carmel Hills Wellness & RehabilitationIndependence243$20,7871 of 5
43Country View NursingBowling Green235$192,5331 of 5
44Bernard Care CenterSaint Louis237$37,3882 of 5
45Magnolia Wellness CenterSaint Louis2314$209,7901 of 5
46Blue Circle Rehab And NursingSaint Louis238$13,0421 of 5
47Florissant Valley Health & Rehabilitation CenterFlorissant22121 of 5
48Ascend AT AuroraAurora227$46,9401 of 5
49Villa AT Blue Ridge, TheColumbia22112 of 5
50Jefferson Health CareLees Summit222$34,4591 of 5
51Meyer Care CenterHigginsville2211 of 5
52Rehabilitation Center OF Independence, TheIndependence221$71,2082 of 5
53Estates OF St Louis, LLC, TheSaint Louis227$66,6401 of 5
54Woodland Care & Rehab CenterSpringfield2252 of 5
55Crestview HomeBethany222$14,4981 of 5
56Valley Manor And Rehabilitation CenterExcelsior Springs2151 of 5
57Apple Ridge Care CenterWaverly2162 of 5
58Windsor Estates OF St CharlesSaint Charles2116$229,9061 of 5
59Cameron Nursing CenterCameron2122 of 5
60Holden Manor Health & RehabilitationHolden2112 of 5
61St Peters Post AcuteSaint Peters217$69,9991 of 5
62Quarters AT Des Peres, TheDes Peres2113$334,9331 of 5
63Carriage Square Rehab And Healthcare CenterSaint Joseph207$48,6851 of 5
64Maywood Terrace Living CenterIndependence2032 of 5
65Odessa Health Care CenterOdessa2031 of 5
66Legendary Health Care CenterMarshall202$93,2081 of 5
67Aspire Senior Living Pleasant HillPleasant Hill202$14,4332 of 5
68Big Spring Care Center For Rehab And HealthcareHumansville2071 of 5
69Carrie Elligson Gietner Health Care CenterSaint Louis2010$92,5611 of 5
70Beauvais Rehab And Healthcare CenterSaint Louis204$64,6952 of 5
71Fulton Manor Care CenterFulton2031 of 5
72Stonebridge Adams StreetJefferson City206$38,6562 of 5
73Pine Grove ManorSaint Louis209$31,6651 of 5
74Warrenton ManorWright City1972 of 5
75Quail Run Health Care CenterCameron1922 of 5
76Maple Grove Wellness & RehabilitationFenton1902 of 5
77Arbor View Nursing And RehabilitationCedar Hill191$29,4912 of 5
78River City Living CommunityJefferson City198$237,9951 of 5
79South County Health Care CenterArnold1903 of 5
80Gardens Health And Rehab, ThePotosi191$8,0213 of 5
81Creve Coeur ManorSaint Louis193$9,4401 of 5
82Advanced Care OF St JosephSaint Joseph197$29,8032 of 5
83Ignite Medical Resort St Marys LLCBlue Springs1912 of 5
84Springfield Rehabilitation & Health Care CenterSpringfield1802 of 5
85Lewis & Clark GardensSaint Charles187$139,9161 of 5
86Life Care Center OF Cape GirardeauCape Girardeau181$149,5782 of 5
87Grand River Health CareChillicothe186$68,2261 of 5
88Stonebridge Maryland HeightsMaryland Heights18172 of 5
89Seneca NursingSeneca18112 of 5
90Hill Crest ManorHamilton181$13,0332 of 5
91Eastview Manor Care CenterTrenton1811$163,4721 of 5
92Summit, TheKansas City1811 of 5
93Delmar Gardens OF O'FallonO Fallon1812 of 5
94Loch HavenMacon171$77,8412 of 5
95Pillars OF North County Health & Rehab Center, TheFlorissant1752 of 5
96Rancho Rehab And Healthcare CenterFlorissant178$28,0601 of 5
97Medicalodges NevadaNevada1792 of 5
98Nathan Richard Health Care CenterNevada174$69,1072 of 5
99James River Nursing And RehabilitationSpringfield1723 of 5
100Troy ManorTroy172$104,6851 of 5

Source: CMS nursing home file processed Jul 1, 2026. A count is not a severity: read each home's survey report.

How to read deficiencies

Across the 482 surveyed nursing homes in Missouri, the average facility carries 11.6 total health-inspection deficiencies on its most recent CMS standard survey, compared with a national average of 9.2. A "deficiency" is a specific F-tag citation written by state surveyors during the annual federal inspection under 42 CFR ยง483, each citation maps to a scope-and-severity grid (A through L) that determines whether it is an isolated low-harm issue or a widespread immediate-jeopardy finding. The Missouri state-level average reflects the sum of all F-tag citations divided by the number of facilities; it does not distinguish between low-severity paperwork findings and high-severity resident-harm citations, which is why drilling into any facility's full survey report matters more than the headline count. This page uses 14,693 Medicare-certified nursing-home records from CMS Care Compare, with NPPES context where available. Every figure is traceable in the methodology.

The table below ranks up to the top 100 Missouri facilities by total deficiency count (highest first) - the goal is transparency, not a blacklist. Facilities appear with their deficiency total, complaint-based deficiencies (citations triggered by a formal complaint rather than the routine survey), fine dollar amounts, and CMS Health Inspection component rating. A high count can reflect a facility with genuine quality problems, a more aggressive state survey team, a larger bed count with more opportunities for citation, or a complaint spike in a single cycle, context matters. Conversely, a low count does not guarantee good care; facilities rarely surveyed, or recently surveyed with a favorable cycle, can look clean while problems accumulate between inspections. The state's benchmark of 11.6 deficiencies and the national benchmark of 9.2 (average score 82) are starting reference points.

Deficiencies are based on CMS Rating Cycle 1 (the most recent completed standard survey); prior cycles appear on each facility's detail page. Important: PlainDoctor presents CMS deficiency data exactly as published at data.cms.gov - we do not aggregate, re-rank, or editorialize. This table is a research tool, not medical advice, a consumer rating, or a legal conclusion about any facility. Selecting a nursing home for yourself or a loved one should include in-person visits, reading the underlying F-tag narratives in the full CMS-2567 survey reports, interviewing staff and current residents' families, and consulting licensed clinicians, hospital discharge planners, and elder-law advisors familiar with Missouri long-term care regulations.

Deficiencies in other large states

  1. Texas1,177
  2. California1,165
  3. Ohio922
  4. Florida694
  5. Illinois667

Common questions

What is the average deficiency count in Missouri nursing homes?

Across the 482 surveyed facilities in Missouri, the average is 11.6 health inspection deficiencies per facility, compared to a national average of 9.2. The national average deficiency score is 82.

What types of deficiencies do nursing homes receive?

Deficiencies are F-tag citations issued during CMS standard surveys or complaint investigations. They range from minor paperwork issues (scope A-B) to widespread immediate-jeopardy findings (scope J-L). The severity matters more than the raw count.

How does Missouri compare nationally for nursing home deficiencies?

The Missouri average of 11.6 deficiencies per facility is above the national average of 9.2. State survey teams vary in strictness, so cross-state comparisons should be made with caution.

What should I do if a Missouri nursing home has many deficiencies?

Review the severity of individual citations, not just the count. Read the F-tag narratives in the CMS-2567 survey reports, tour the facility in person, interview staff and residents' families, and consult licensed clinicians or elder-law advisors familiar with the state's long-term care regulations.

Source: CMS Five-Star Quality Rating System, Nursing Home Provider Information, processed Jul 1, 2026 (data.cms.gov).