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ElderCareCosts

Nursing Homes in Missouri

Missouri has 504 licensed nursing homes listed on ElderCareCosts across 1,082 cities. The median estimated cost statewide is $6,741/mo. Pick a city below for local pricing and provider listings.

481 of them have a CMS star rating.

Cost of nursing homes in Missouri

Median monthly price, Missouri

$6,741/mo

Estimated range $6,435 – $7,604

● Missouri $6,741 ○ National median $10,205

Source: CareScout Cost of Care Survey 2025

Nursing Homes cost comparison (2025)
Nursing HomesMissouriNational
25th percentile$6,435/mo$8,951/mo
Median$6,741/mo$10,205/mo
75th percentile$7,604/mo$12,642/mo

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

CMS rating distribution in Missouri

CMS overall star ratings for 481 nursing homes in Missouri. We do not re-rank these scores.

CMS star ratings in Missouri
CMS starsProviders
5 stars66
4 stars70
3 stars103
2 stars94
1 star148

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What federal inspectors recorded in Missouri

Missouri has 487 facilities certified by Medicare or Medicaid, as of the CMS penalty file published October 1, 2026. CMS publishes what it fined them, when it stopped paying for new admissions, how many nursing hours they staffed, and what its inspectors wrote up. These are those records counted. A penalty is an enforcement action on a date, not a verdict on the care a resident receives today.

Facilities with a federal penalty

49%239 of 487 (49%)

A civil money penalty, a payment denial, or both, among the penalties CMS recorded between July 17, 2023 and September 23, 2026.

Facilities where CMS stopped paying for new admissions

23%113 of 487 (23%)

A payment denial is CMS refusing to pay for newly admitted Medicare and Medicaid residents until the facility corrects the problem it cited.

Median penalty total, among facilities that were fined

$48,685in fines · 199 facilities

The middle facility's total across every civil money penalty CMS recorded for it in this window, not the amount of a single fine.

Median nurse staffing hours per resident day

3.37hours · 482 facilities

0.35 hours below the national median of 3.72 hours.

Total nurse hours per resident per day from payroll records CMS collects, quarter Q2 2026. Staffing is an input, not an outcome.

Facilities with an inspection citation in the last 12 months

61%296 of 487 (61%)

Counts facilities with at least one deficiency CMS inspectors wrote up in the last 365 days. The most recent one here is dated August 7, 2026. A facility inspected and found compliant records no citation, so this is not a survey date.

These figures cover nursing homes only. CMS keeps these penalty, staffing and inspection records for Medicare and Medicaid certified nursing homes. Assisted living, memory care and home care agencies are licensed by each state under different rules, so their records are not comparable.

Each share above shows how many facilities it is based on. Where there are too few for a percentage to mean much, we show the count instead. More in our methodology.

Missouri licensing & regulation

State-by-state licensing agency details and how to check a facility's complaint history for Missouri are coming soon.

Medicaid & local resources in Missouri

Long-Term Care Ombudsman

Missouri Long-Term Care Ombudsman Program helps residents of nursing homes, assisted living, and similar settings in Missouri resolve concerns about care and rights.

Find your local ombudsman

Medicaid programs for care at home

  • Aged and Disabled Waiver. Missouri 1915(c) Aged and Disabled Waiver for adults 65+ and adults 63–64 with physical disabilities (CMS factsheet).

National helplines

Cities in Missouri

Don't see your city? Search for it, or start from the nearest larger one.

Counties in Missouri

All 59 Missouri counties

Nursing Homes providers in Missouri

Some of the licensed nursing homes in Missouri. Open a city page for the full local list.

Compare facilities side by side
Tick Compare on the ones you like, then continue.
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Frequently asked questions

Which cities in Missouri have nursing homes listings?

Missouri has nursing homes listings in 1,082 cities and towns. Find yours in the city list on this page, or search for it by name.

Past 60 days in Missouri: 1,549 updated. Most recent change Nov 3. Counts come from our ingestion diffs, not confirmed licensing actions.

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Nursing Homes in Missouri. Cost & Providers · ElderCareCosts