Senior Care in Missouri — Independent Report Cards
739 nursing homes, home-health agencies, hospices and assisted-living communities in Missouri — 716 graded from public regulatory data. We take $0 from any facility we grade.
How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.
Metro areas: St. Louis (MO)
What senior care costs in Missouri (2025 medians)
| Care setting | Missouri median | National median |
|---|---|---|
| Assisted living, private one-bedroom | $5,400/mo | $6,200/mo |
| Nursing home, semi-private room | $222/day | $315/day |
| Nursing home, private room | $250/day | $355/day |
| In-home care, non-medical (private pay) | $33/hr | $35/hr |
Hospice isn't priced here: the Medicare hospice benefit covers it for eligible patients, typically at no cost for the care itself. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Nursing Homes (485 graded of 487)
| Facility | City | Grade | Price | Rubric coverage | Beds |
|---|---|---|---|---|---|
| Phelps Health | Rolla | A+ | — | 75% | 20 |
| Lake Regional Health Systems | Osage Beach | A+ | — | 75% | 16 |
| Jeanne Jugan Center | Kansas City | A | — | 75% | 52 |
| Cox Medical Centers Meyer Orthopedic And Rehab | Springfield | A | — | 75% | 28 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | A | $$$$$ | 75% | 32 |
Home Health Agencies (108 graded of 122)
| Facility | City | Grade | Rubric coverage | Beds |
|---|---|---|---|---|
| Atlas Home Health And Therapy, Llc | Branson | A+ | 70% | — |
| Evertrue Home Health | St. Louis | A | 70% | — |
| Mosaic Life Care Home Health | Saint Joseph | A | 70% | — |
| Centerwell Home Health | Rolla | A | 70% | — |
| Centerwell Home Health | Independence | A | 70% | — |
Hospice Agencies (123 graded of 130)
| Facility | City | Grade | Rubric coverage | Beds |
|---|---|---|---|---|
| Three Rivers Hospice West | Mount Vernon | A+ | 90% | — |
| Pathways Hospice And Palliative Care | Chesterfield | A+ | 90% | — |
| Freudenthal Hospice | Saint Joseph | A+ | 90% | — |
| Three Rivers Hospice Central | Jefferson City | A | 65% | — |
| Ozarks Healthcare At Home, Hospice | West Plains | A | 65% | — |