These are the lowest-rated nursing homes in Missouri based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $2,347,403. 7 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 | $145,782 | |
| 2 | Beth Haven Nursing Home | Hannibal | $70,743 | |
| 3 | Florissant Valley Health & Rehabilitation Center | Florissant | $0 | |
| 4 | Aspen Point Health and Rehabilitation | Saint Charles | $464,634 | |
| 5 | St Sophia Health & Rehabilitation Center | Florissant | $69,203 | |
| 6 | Lebanon North Nursing & Rehab | Lebanon | $24,801 | |
| 7 | Four Seasons Living Center | Sedalia | $25,605 | |
| 8 | Lewis & Clark Gardens | Saint Charles | $139,916 | |
| 9 | Ascend at Aurora | Aurora | $46,940 | |
| 10 | Avenir at Mark Twain | Bridgeton | $195,310 | |
| 11 | Milan Health Care Center | Milan | $49,897 | |
| 12 | Kirksville Manor Care Center | Kirksville | $250,823 | |
| 13 | Truman Healthcare & Rehabilitation Center | Lamar | $0 | |
| 14 | Aspire Senior Living Joplin | Joplin | $0 | |
| 15 | North Village Park | Moberly | $521,334 | |
| 16 | Fountain Care at Sunset Hills | Saint Louis | $119,588 | |
| 17 | Carriage Square Rehab and Healthcare Center | Saint Joseph | $48,685 | |
| 18 | Golden Years Center for Rehab and Healthcare | Harrisonville | $166,800 | |
| 19 | Valley Manor and Rehabilitation Center | Excelsior Springs | $0 | |
| 20 | Lewis County Nursing Home District | Canton | $7,342 |
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.