Medicare payroll records
Nursing home staffing in Missouri: residents per CNA, home by home
Missouri's middle nursing home has one nurse aide on duty for every 10.6 residents at an average hour (the middle US home 10.7), and 56.8% of its nursing staff left in a year, by what 475 nursing homes report to Medicare from their payroll (Oct 2026). Below, the 81 hiring on this site, fewest residents per aide first, each opening its jobs.
Missouri nursing homes hiring now, by staffing
Each nursing home hiring on this site, as it reports to Medicare, fewest residents per aide on duty first. Missouri's middle home: 10.6 per aide.
| Nursing home | Residents per aide on duty | Per licensed nurse | Staff turnover | Agency aide hours | Staffing rating | Overall rating |
|---|---|---|---|---|---|---|
| Stonebridge Oak TreeJefferson City | 7.5 | 17.6 | 54.9% | 0.0% | 3 of 5 | 5 of 5 |
| Sherbrooke VillageSaint Louis | 7.7 | 17.5 | 60.9% | 0.0% | 2 of 5 | 2 of 5 |
| Stonebridge DesotoDe Soto | 7.7 | 19.5 | 65.6% | 4.6% | 2 of 5 | 4 of 5 |
| St Francois ManorFarmington | 8.0 | 36.8 | 63% | 15.2% | 3 of 5 | 4 of 5 |
| Lake Regional Health SystemsOsage Beach | 8.1 | 2.9 | 56.5% | 0.0% | 5 of 5 | 5 of 5 |
| Willowcreek Wellness & RehabilitationFlorissant | 8.3 | 20.6 | 57.6% | 0.2% | 1 of 5 | 1 of 5 |
| Manor at Elfindale, theSpringfield | 8.5 | 15.1 | 29.6% | 0.0% | 5 of 5 | 5 of 5 |
| Aspire Senior Living Poplar BluffPoplar Bluff | 8.6 | 21.1 | 67.3% | 0.0% | 2 of 5 | 2 of 5 |
| Country Villa Wellness & RehabilitationCreve Coeur | 8.7 | 29.9 | 86.1% | 1.6% | 1 of 5 | 1 of 5 |
| Ellisville Rehabilitation and NursingEllisville | 8.7 | 21.0 | 75.9% | 17.8% | 1 of 5 | 1 of 5 |
| Lutheran Home, theCape Girardeau | 8.7 | 14.7 | 36.2% | 0.0% | 5 of 5 | 5 of 5 |
| Carriage Square Rehab and Healthcare CenterSaint Joseph | 8.8 | 24.3 | 72.4% | 7.1% | 1 of 5 | 1 of 5 |
| Aspire Senior Living MaldenMalden | 8.9 | 22.1 | 47.4% | 0.0% | 3 of 5 | 3 of 5 |
| Heisinger Bluffs Healthcare Western CampusJefferson City | 8.9 | 16.9 | 50.7% | 2.2% | 3 of 5 | 5 of 5 |
| Quarters at Des Peres, theDes Peres | 9.0 | 20.2 | 66.2% | 4.7% | 2 of 5 | 1 of 5 |
| Stonebridge Maryland HeightsMaryland Heights | 9.3 | 21.3 | 59.7% | 0.0% | 2 of 5 | 2 of 5 |
| New Madrid Living CenterNew Madrid | 9.4 | 24.4 | 50% | 0.0% | 3 of 5 | 5 of 5 |
| St Peters Rehab and Healthcare CenterSaint Peters | 9.4 | 26.0 | 71.4% | 4.5% | 1 of 5 | 1 of 5 |
| Aspire Senior Living Roaring RiverCassville | 9.5 | 26.4 | Not reported | 0.0% | 2 of 5 | 3 of 5 |
| Hillcrest Care Center IncDe Soto | 9.5 | 32.9 | 47.1% | 0.0% | 3 of 5 | 4 of 5 |
| St James Living CenterSaint James | 9.6 | 30.3 | 52.7% | 0.0% | 4 of 5 | 4 of 5 |
| Stonebridge Adams StreetJefferson City | 9.7 | 16.1 | 78.4% | 33.6% | 2 of 5 | 2 of 5 |
| Athene Nursing and RehabilitationTown and Country | 9.9 | 25.6 | 69.6% | 0.0% | 1 of 5 | 1 of 5 |
| Ignite Medical Resort St PetersSaint Peters | 9.9 | 13.9 | Not reported | 0.9% | Not rated | Not rated |
| Stonebridge FlorissantFlorissant | 10.1 | 23.4 | 78.8% | 0.0% | 2 of 5 | 3 of 5 |
| Stonebridge WestphaliaWestphalia | 10.1 | 21.0 | 62.2% | 0.0% | 2 of 5 | 3 of 5 |
| Aspire Senior Living Pleasant HillPleasant Hill | 10.2 | 21.0 | Not reported | 0.0% | 2 of 5 | 1 of 5 |
| Stonebridge ChillicotheChillicothe | 10.4 | 23.5 | 43.8% | 0.0% | 3 of 5 | 5 of 5 |
| Stonebridge OwensvilleOwensville | 10.4 | 25.7 | 56.9% | 0.0% | 1 of 5 | 2 of 5 |
| Aspire Senior Living MoberlyMoberly | 10.5 | 28.7 | 50.9% | 0.0% | 1 of 5 | 1 of 5 |
| Belleview Care CenterSaint Joseph | 10.5 | 22.5 | 57.7% | 0.0% | 1 of 5 | 1 of 5 |
| Aegis Health and RehabilitationWildwood | 10.6 | 20.3 | 35.6% | 0.0% | 2 of 5 | 1 of 5 |
| Magnolia Wellness CenterSaint Louis | 10.6 | 24.2 | 59.3% | 0.0% | 1 of 5 | 1 of 5 |
| Blue Springs Wellness & RehabilitationBlue Springs | 10.7 | 37.4 | 64.5% | 0.1% | 1 of 5 | 1 of 5 |
| Shepherd of the Hills Living CenterBranson | 10.7 | 23.7 | 56.6% | 0.0% | 2 of 5 | 4 of 5 |
| Willard Care CenterWillard | 10.8 | 32.9 | 69.8% | 0.0% | 2 of 5 | 2 of 5 |
| Cedargate Health Care CenterPoplar Bluff | 10.9 | 23.1 | Not reported | 0.0% | 1 of 5 | 2 of 5 |
| Stonebridge Marble HillMarble Hill | 10.9 | 23.8 | 33.3% | 0.0% | 2 of 5 | 4 of 5 |
| Stonebridge Lake OzarkOsage Beach | 11.0 | 22.5 | 58.3% | 1.1% | 3 of 5 | 5 of 5 |
| Aspire Senior Living JoplinJoplin | 11.1 | 22.8 | Not reported | 0.0% | 1 of 5 | 2 of 5 |
| Maple Grove Wellness & RehabilitationFenton | 11.1 | 27.0 | 84.4% | 30.9% | 1 of 5 | 1 of 5 |
| Aspire Senior Living New FlorenceNew Florence | 11.2 | 28.6 | 83.6% | 0.0% | 1 of 5 | 1 of 5 |
| Aurora Health and RehabilitationRolla | 11.2 | 19.1 | 74.7% | 0.0% | 1 of 5 | 2 of 5 |
| Aspire Senior Living AdvanceAdvance | 11.3 | 16.0 | 50% | 0.0% | 3 of 5 | 4 of 5 |
| Aspire Senior Living Webb CityWebb City | 11.4 | 21.9 | Not reported | 0.0% | 2 of 5 | 2 of 5 |
| Bluebird Wellness and RehabilitationSaint Louis | 11.4 | 23.9 | 60.5% | 0.0% | 1 of 5 | 1 of 5 |
| Heisinger Bluffs Rehab and Healthcare CenterJefferson City | 11.4 | 31.2 | 42% | 11.3% | 2 of 5 | 5 of 5 |
| Stonebridge Villa MarieJefferson City | 11.7 | 22.7 | 68.4% | 11.6% | 1 of 5 | 1 of 5 |
| Hilltop at Blue River, theKansas City | 11.9 | 33.5 | 42.6% | 0.0% | 1 of 5 | 2 of 5 |
| Westwood Hills Health & Rehabilitation CenterPoplar Bluff | 11.9 | 27.1 | 43.5% | 0.0% | 2 of 5 | 4 of 5 |
| Hidden Lake Health Care CenterSaint Louis | 12.0 | 31.6 | Not reported | 0.0% | 1 of 5 | 1 of 5 |
| Avalon View Health and WellnessLiberty | 12.4 | 28.1 | 51.8% | 0.0% | 1 of 5 | 3 of 5 |
| Hillside Health Care CenterSaint Louis | 12.5 | 46.0 | 86.9% | 0.0% | Not rated | Not rated |
| Ignite Medical Resort St Marys LLCBlue Springs | 12.5 | 20.0 | 55.3% | 0.2% | 2 of 5 | 3 of 5 |
| Alpine Breeze Health and WellnessRaytown | 12.6 | 36.0 | 62.7% | 0.0% | 1 of 5 | 2 of 5 |
| Cameron Nursing CenterCameron | 12.8 | 22.6 | 42.3% | 0.0% | 1 of 5 | 1 of 5 |
| St Joseph ChateauSaint Joseph | 12.8 | 29.2 | 39.2% | 0.0% | 1 of 5 | 4 of 5 |
| Lee's Summit PlaceLees Summit | 12.9 | 16.7 | 81.1% | 0.0% | 1 of 5 | 3 of 5 |
| Aspire Senior Living CarthageCarthage | 13.0 | 36.1 | Not reported | 0.0% | 1 of 5 | 3 of 5 |
| Gregory Ridge Health Care CenterKansas City | 13.1 | 48.9 | Not reported | 0.0% | 1 of 5 | 1 of 5 |
| Ignite Medical Resort Kansas City, LLCKansas City | 13.1 | 13.7 | 45.8% | 0.0% | 2 of 5 | 3 of 5 |
| Advanced Care of St JosephSaint Joseph | 13.5 | 32.6 | 58.4% | 0.0% | 1 of 5 | 1 of 5 |
| Stonebridge HermannHermann | 14.0 | 23.6 | 45.5% | 0.0% | 2 of 5 | 5 of 5 |
| Glasgow GardensGlasgow | 14.1 | 33.6 | 50% | 0.0% | 1 of 5 | 3 of 5 |
| Rehabilitation Center of Independence, theIndependence | 14.1 | 30.2 | 71.1% | 0.0% | 1 of 5 | 2 of 5 |
| Sunrise Nursing & RehabilitationRaymore | 14.1 | 22.6 | 49% | 0.0% | 2 of 5 | 3 of 5 |
| Aspire Senior Living JonesburgJonesburg | 14.2 | 19.7 | 60.4% | 0.0% | 3 of 5 | 2 of 5 |
| Aspire Senior Living WarsawWarsaw | 14.6 | 23.1 | Not reported | 0.0% | 1 of 5 | 1 of 5 |
| Aspen Point Health and RehabilitationSaint Charles | 14.9 | 15.4 | 58% | 0.0% | 1 of 5 | 2 of 5 |
| Edgewood Manor Health Care CenterRaytown | 14.9 | 37.7 | 70% | 0.0% | 1 of 5 | 2 of 5 |
| Ignite Medical Resort Blue SpringsBlue Springs | 14.9 | 12.2 | 51% | 0.0% | 2 of 5 | 5 of 5 |
| Troy ManorTroy | 15.1 | 27.6 | 43.5% | 0.0% | 1 of 5 | 1 of 5 |
| Atrium Place Health and RehabilitationSaint Louis | 15.8 | 23.2 | 80.4% | 0.0% | 1 of 5 | 1 of 5 |
| Ignite Medical Resort Carondelet LLCKansas City | 16.4 | 15.0 | 68.9% | 0.9% | 2 of 5 | 3 of 5 |
| Legendary Health Care CenterMarshall | 16.4 | 38.1 | Not reported | 0.0% | 1 of 5 | 1 of 5 |
| Milan Health Care CenterMilan | 17.8 | 43.8 | Not reported | 0.0% | 1 of 5 | 1 of 5 |
| Pacific Care CenterPacific | 17.8 | 30.1 | 71.2% | 0.0% | 1 of 5 | 1 of 5 |
| Brunswick Health Care CenterBrunswick | 18.2 | 19.4 | 54.5% | 0.0% | 1 of 5 | 1 of 5 |
| Greenville Health Care CenterGreenville | 25.5 | 30.9 | 70.6% | 0.0% | 1 of 5 | 3 of 5 |
| Four Seasons Living CenterSedalia | 36.3 | 116.9 | Not reported | 0.0% | 1 of 5 | 1 of 5 |
| Aspire Senior Living East PrairieEast Prairie | Not reported | Not reported | Not reported | 0.0% | 1 of 5 | 3 of 5 |
Residents per aide on duty averages the day's 24 hours: day shifts have more aides and nights fewer. Licensed nurses are RNs and LPNs. Turnover is the share of nursing staff who left in a year. Ratings are Medicare's, 1 to 5 stars.
Agencies that place CNAs and nurses in Missouri
Agency staff worked 3.2% of the nurse aide hours in Missouri's nursing homes (1 Apr to 30 Jun 2026).
Selected agencies hiring now
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AHS StaffingTravel nursing agency
Places travel and local contract nurses and allied professionals.
Places: Nurses, CNAs & PCTs, Therapy & rehab, Mental health

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Healthcare staffing agency placing nurses and allied professionals on assignments from offices in Pennsylvania and Missouri.
Places: Nurses, Allied health
These agencies and apps pay CareJobs.Now a referral fee when someone we introduce is placed or signs up. It costs you nothing and never changes your pay. Hospital and clinic jobs below keep their own order.
Nursing home staffing in Missouri: common questions
What is the CNA to resident ratio in Missouri nursing homes?
At Missouri's middle nursing home, one nurse aide is on duty for every 10.6 residents at an average hour; the middle half of its 475 nursing homes run from 9.4 to 12.1, against 10.7 at the middle US home. Day shifts have more aides on the floor and nights fewer. Licensed nurses (RNs and LPNs) have 23.0 residents each. From what each home reports to Medicare from its payroll (Oct 2026).
Which nursing homes in Missouri hiring now have the most aides per resident?
Of the 81 Missouri nursing homes hiring on this site, the fewest residents per aide on duty: Stonebridge Oak Tree in Jefferson City (7.5), Sherbrooke Village in Saint Louis (7.7) and Stonebridge Desoto in De Soto (7.7). Every one is listed with its turnover and Medicare ratings, and each opens its open jobs.
How much nursing staff turnover do Missouri nursing homes have?
At the middle Missouri nursing home, 56.8% of the nursing staff left in a year (the middle half 45.9% to 67.1%), against 44.7% at the middle US home; 50% of its registered nurses.
How much do Missouri nursing homes use agency CNAs?
From 1 Apr to 30 Jun 2026, agency (contract) staff worked 3.2% of the nurse aide hours in Missouri's nursing homes (US: 4.9%) and 5.7% of nurse hours; 134 of its 480 homes used some, by what each reports to Medicare's Payroll-Based Journal. Travel and agency healthcare jobs are listed every night.
Where are the nursing home jobs in Missouri?
486 open nursing home and senior care jobs in Missouri are listed from the employers' own job boards, by kind of job.
Nursing home staffing in other states
Each state's figures and the nursing homes hiring there.
- Texas171
- Illinois113
- Florida93
- New York92
- Indiana89
- Pennsylvania89
- California72
- Ohio71
- North Carolina65
- New Jersey64
- Massachusetts49
- Connecticut48
- Maryland40
- Michigan39
- Minnesota38
- Iowa37
- Wisconsin35
- Georgia34
- Tennessee27
- Alabama26
- Virginia26
- Louisiana20
- Nebraska19
- Colorado18
- Arizona17
- Kansas17
- Kentucky17
- Oregon17
- Washington17
- Delaware13
- Arkansas12
- South Carolina10
- Idaho8
- Oklahoma8
- Montana7
- New Mexico6
- South Dakota6
- Mississippi5
- New Hampshire5
- Vermont4
- Wyoming4
- West Virginia3
- Maine2
- Nevada2
- Alaska1
- Hawaii1
- Rhode Island1
- District of Columbia
- North Dakota
- Utah
Sources and method
Each nursing home's reported nurse aide, LPN and RN hours per resident per day and its nursing staff turnover, as Medicare publishes them from the Payroll-Based Journal. Residents per staff member on duty is 24 divided by the hours per resident per day. The state's figure is its middle nursing home's (the median). A nursing home is listed here when an employer this site reads names it by its Medicare number.
- Centers for Medicare & Medicaid Services, Nursing Home Provider Information (Care Compare), Oct 2026, published 1 Oct 2026
- Centers for Medicare & Medicaid Services, Payroll Based Journal Daily Nurse Staffing, 1 Apr to 30 Jun 2026
Cite this page
CareJobs.Now. (2026). Nursing home staffing in Missouri. Data as of 1 Oct 2026. https://carejobs.now/nursing-home-staffing/missouri