Who owns Missouri nursing homes
Ownership shapes staffing and cost decisions. Here is how Missouri nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 388 | 2.3 | 3.28 hrs | 46% |
| Non profit | 77 | 3.3 | 3.93 hrs | 29% |
| Government | 22 | 2.7 | 3.71 hrs | 36% |
Largest chains in Missouri
70% of Missouri nursing homes belong to a chain. Counts are homes we list in Missouri.
- James & judy lincoln54 homes · average 2.5 of 5 Medicare stars
- Reliant care management33 homes · average 1.2 of 5 Medicare stars
- Circle b enterprisEs32 homes · average 2.5 of 5 Medicare stars
- AsPire sEnior living16 homes · average 1.9 of 5 Medicare stars
- Mgm healthcare14 homes · average 1.9 of 5 Medicare stars
- Opco sKilled management13 homes · average 1.5 of 5 Medicare stars
- Ama holdings13 homes · average 1.6 of 5 Medicare stars
- Stonebridge sEnior living12 homes · average 3.3 of 5 Medicare stars
- Vertical health sErvices11 homes · average 1.8 of 5 Medicare stars
- Life care centers of america10 homes · average 2.5 of 5 Medicare stars
- Americare sEnior living10 homes · average 4.0 of 5 Medicare stars
- Shafiq malik9 homes · average 3.5 of 5 Medicare stars
- Mo op holdco, llc9 homes · average 2.6 of 5 Medicare stars
- National healthcare corporation9 homes · average 4.0 of 5 Medicare stars
- Community care centers8 homes · average 2.6 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.