These are the lowest-rated nursing homes in Missouri based on CMS data (2026). All facilities listed have an overall rating of 1 star(s) or lower. Combined, these 20 facilities have been fined a total of $2,358,530. 8 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Athene Nursing and Rehabilitation | Town and Country | $268,447 | |
| 2 | Beth Haven Nursing Home | Hannibal | $258,087 | |
| 3 | Florissant Valley Health & Rehabilitation Center | Florissant | $0 | |
| 4 | St Sophia Health & Rehabilitation Center | Florissant | $87,273 | |
| 5 | Lebanon North Nursing & Rehab | Lebanon | $50,907 | |
| 6 | Big Bend Woods Healthcare Center | Valley Park | $185,221 | |
| 7 | Four Seasons Living Center | Sedalia | $25,294 | |
| 8 | Lewis & Clark Gardens | Saint Charles | $139,601 | |
| 9 | Ascend at Aurora | Aurora | $46,940 | |
| 10 | Life Care Center of Cape Girardeau | Cape Girardeau | $149,578 | |
| 11 | Avenir at Mark Twain | Bridgeton | $195,310 | |
| 12 | Milan Health Care Center | Milan | $49,897 | |
| 13 | Kirksville Manor Care Center | Kirksville | $250,823 | |
| 14 | Truman Healthcare & Rehabilitation Center | Lamar | $0 | |
| 15 | Ignite Medical Resort Carondelet LLC | Kansas City | $0 | |
| 16 | Garden View Care Center | O Fallon | $3,145 | |
| 17 | Delmar Gardens North | Black Jack | $39,299 | |
| 18 | North Village Park | Moberly | $440,435 | |
| 19 | Fountain Care at Sunset Hills | Saint Louis | $119,588 | |
| 20 | Carriage Square Rehab and Healthcare Center | Saint Joseph | $48,685 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.