Nursing homes in Missouri
How CMS rates the state's 487 certified nursing homes, where they are concentrated, and how that compares with the national dataset.
At a glance
- Nursing homes
- 487
- CMS-certified
- Rated by CMS
- 481
- of 487
- Counties
- 113
- CMS data
- 2026-08-21
How Missouri compares
The state's CMS overall rating profile against the full national dataset, on the same scale.
CMS overall rating distribution
How Missouri's certified nursing homes spread across the CMS five-star overall rating, compared with the national dataset.
View as a table
| Rating | Providers | Share | National |
|---|---|---|---|
| CMS overall rating 5 | 56 | 11.5% | 20.7% |
| CMS overall rating 4 | 71 | 14.6% | 19.0% |
| CMS overall rating 3 | 92 | 18.9% | 19.3% |
| CMS overall rating 2 | 93 | 19.1% | 20.5% |
| CMS overall rating 1 | 169 | 34.7% | 19.6% |
| Not rated | 6 | 1.2% | 0.9% |
| Total | 487 | 100.0% | 100.0% |
State shares are calculated from the 487 CMS-certified nursing homes in Missouri; national shares from all 14,700 in this dataset. CMS overall star ratings are shown exactly as CMS publishes them and summarize past data, not current conditions. Facilities CMS does not rate are counted separately and never treated as zero.
CMS-reported data
Missouri’s largest divergence from the national dataset is at 1★: 34.7% of the state’s facilities against 19.6% nationally (+15.1 points). This reflects what CMS publishes for these facilities and is not a judgement about care quality in either population.
Where facilities are concentrated
The counties holding the largest share, with the full directory available below.
The 8 largest counties hold 38% of the state’s 487 nursing homes, across 113 counties in total.
- St. Louis County69 · 14%Search →
- Jackson County39 · 8%Search →
- Greene County21 · 4%Search →
- St. Charles County15 · 3%Search →
- St. Louis City County13 · 3%Search →
- Jefferson County11 · 2%Search →
- Boone County9 · 2%Search →
- Clay County9 · 2%Search →
Browse all 113 counties and 242 cities
Research federal records
CMS publishes enforcement and staffing records alongside the star ratings. These open the search workspace pre-filtered.
Related research
Frequently asked questions
How many nursing homes are in Missouri?
This dataset includes 487 CMS-certified nursing homes across 113 counties in Missouri, from the official CMS Provider Information file. The counties with the most are St. Louis County, Jackson County, Greene County, St. Charles County, St. Louis City County.
How are Missouri nursing homes rated?
Each home carries the CMS five-star overall rating plus health-inspection, staffing, and quality-measure ratings. In this dataset, 56 are rated 5 stars, 169 are rated 1 star, and 6 are not rated by CMS.
How does Missouri compare with the national dataset?
481 of 487 Missouri facilities carry a CMS overall rating (99%), against 99% nationally across 14,700 facilities. The rating distribution above shows the state and national shares side by side. Differences reflect what CMS publishes and are not a judgement about care quality.
How can I verify a nursing home in Missouri with official sources?
SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm current details on the official CMS Care Compare site and with the facility before making decisions.