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Nursing homes in Missouri

476 certified facilities across 113 counties · quarter 2026Q1

CountyFacilitiesMedian total nurse HPRD
Adair County22.694
Andrew County22.776
Atchison County12.050
Audrain County22.471
Barry County32.896
Barton County12.218
Bates County33.365
Benton County33.412
Bollinger County12.604
Boone County92.536
Buchanan County62.607
Butler County52.735
Caldwell County22.009
Callaway County42.322
Camden County52.425
Cape Girardeau County83.143
Carroll County22.091
Carter County12.059
Cass County82.742
Cedar County22.600
Chariton County32.949
Christian County32.422
Clark County12.601
Clay County93.145
Clinton County42.162
Cole County83.150
Cooper County42.578
Crawford County32.167
Dade County12.305
Dallas County23.101
Daviess County12.268
De Kalb County22.075
Dent County22.566
Douglas County12.325
Dunklin County43.049
Franklin County72.353
Gasconade County21.981
Gentry County11.903
Greene County212.775
Grundy County22.042
Harrison County12.284
Henry County32.734
Hickory County12.067
Holt County22.041
Howard County11.942
Howell County53.287
Iron County21.927
Jackson County372.770
Jasper County72.181
Jefferson County102.258
Johnson County52.461
Knox County13.137
Laclede County21.656
Lafayette County52.245
Lawrence County42.853
Lewis County32.997
Lincoln County31.567
Linn County22.364
Livingston County42.679
Macon County32.557
Madison County23.021
Maries County12.010
Marion County43.650
Mc Donald County12.439
Mercer County13.130
Miller County42.440
Mississippi County23.468
Moniteau County22.452
Monroe County12.604
Montgomery County31.414
Morgan County32.340
New Madrid County63.002
Newton County52.523
Nodaway County42.263
Oregon County12.043
Osage County12.549
Ozark County11.838
Pemiscot County22.639
Perry County21.981
Pettis County52.085
Phelps County62.879
Pike County22.805
Platte County43.304
Polk County42.756
Pulaski County22.662
Putnam County12.224
Ralls County11.577
Randolph County32.468
Ray County22.981
Reynolds County12.154
Ripley County12.971
Saline County22.689
Schuyler County12.642
Scott County52.273
Shannon County12.414
Shelby County23.086
St. Charles County153.307
St. Clair County21.514
St. Francois County82.635
St. Louis County672.996
St. Louis City County122.460
Ste. Genevieve County22.087
Stoddard County72.794
Sullivan County11.408
Taney County32.386
Texas County32.645
Vernon County32.805
Warren County11.699
Washington County22.413
Wayne County21.998
Webster County32.088
Worth County12.978
Wright County32.421
Source and definitions

Staffing is from the CMS Payroll-Based Journal, aggregated from daily submissions for the quarter shown. "Total nurse HPRD" is registered nurse (including the Director of Nursing and RN administrative hours), licensed practical nurse (including LPN administrative hours), and certified nursing assistant hours, divided by resident days. It does not include nurse aides in training or medication aides/technicians, so it reads lower than published figures that do. Ownership, chain and sale history come from the CMS Skilled Nursing Facility All Owners, Enrollments and Change-of-Ownership files. We report what these files contain and do not rate, rank or characterise any facility.