Missouri · CMS Data August 2026
Highest-Rated Nursing Homes in Missouri
Where Are the Highest-Rated Nursing Homes in Missouri?
CMS Care Compare lists 131 nursing homes rated 4 or 5 stars overall by CMS in Missouri, out of 487 certified nursing homes (data from August 2026). The most are in Springfield (7), Saint Louis (5) and Chesterfield (4). 53 hold the top rating of 5 stars.
- Matching homes
- 131
- All homes in Missouri
- 487
- Rated 4 or 5 stars
- 131
- Average overall stars
- 4.4
How this list is made: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures. Homes are ordered by CMS's overall rating, then its inspection rating.
- 535 stars overall
- 1224+ stars for inspections
- 604+ stars for staffing
- 107No fines or payment denials
- 38Antipsychotic use below the national median
- 36Nonprofit
The Top 40 by CMS Rating
Stars are out of 5; blank cells are ratings CMS doesn't report for that home. Every matching home is on its city page, linked below.
Matching Homes by City
More About This List
Read how CMS star ratings work. For assisted living and memory care rules, Medicaid limits and the ombudsman, see senior care in Missouri. For local services, call the Eldercare Locator at 1-800-677-1116.
Other lists for Missouri: nursing homes that accept medicaid in Missouri, nonprofit nursing homes in Missouri, nursing homes with low antipsychotic use in Missouri.
Frequently Asked Questions
How Many Highest-Rated Nursing Homes Are in Missouri?
131 of the 487 CMS-certified nursing homes in Missouri meet this rule: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures.
Which Highest-Rated Nursing Home in Missouri Rates Highest?
By CMS's overall rating, then its inspection rating, Aberdeen Heights in Kirkwood (5 stars), Arrowhead Senior Living Community in Osage Beach (5 stars) and Bethesda Southgate in Saint Louis (5 stars) rank highest. Visit and check the latest inspection report before you decide.
How Do You Check a Nursing Home in Missouri?
Read its Care Compare page for the full inspection reports, visit at different times, and ask about staffing and openings. Missouri's Missouri Long-Term Care Ombudsman Program can answer questions about residents' rights.