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Best nursing homes in Saint Louis, MO

These are the 36 CMS-certified nursing homes in Saint Louis, Missouri, ranked best-first by the home’s CMS overall star rating. When two homes tie, we break the tie by the health-inspection rating — the domain assigned by independent state surveyors rather than self-reported by the facility. Nothing on this page is sponsored: no home pays to appear or to rank higher.

Check the certification chip before anything else. Most homes here are certified for both Medicare and Medicaid, but CMS certifies some for only one — and a 5-star home that doesn’t take your programme is not an option, however it ranks. Certification is not a quality measure and we don’t rank on it; we label it, because it decides whether the rest of the row matters to you.

Insights

How to read this: a high overall star can be lifted by self-reported quality-measure and payroll-staffing scores, so we surface the inspection rating and any serious citations, fines, abuse flags or ownership changes right on the row. A lower-ranked home with a clean inspection record can be the better fit than a higher-ranked one carrying red flags — open each profile.

  1. 1
    CMS overall: 5 of 5 5/5 · Health inspection: 5 of 5
    Medicare & Medicaid certified1 serious citation
    5943 Telegraph Road, Saint Louis, MO
  2. 2
    CMS overall: 5 of 5 5/5 · Health inspection: 5 of 5
    Medicare & Medicaid certifiedNo major red flags on record
    11160 Village North Drive, Saint Louis, MO
  3. 3
    CMS overall: 4 of 5 4/5 · Health inspection: 4 of 5
    Medicare & Medicaid certified1 serious citation$23,520 in federal fines
    5300 Butler Hill Road, Saint Louis, MO
  4. 4
    CMS overall: 4 of 5 4/5 · Health inspection: 4 of 5
    Medicare only — no MedicaidNo major red flags on record
    Two McKnight Place, Saint Louis, MO
  5. 5
    CMS overall: 4 of 5 4/5 · Health inspection: 3 of 5
    Medicare & Medicaid certified$15,646 in federal finesSelf-reported scores 2★ above inspection
    3520 Chouteau Ave, Saint Louis, MO
  6. 6
    CMS overall: 3 of 5 3/5 · Health inspection: 4 of 5
    Medicare & Medicaid certified1 serious citation
    6637 Berthold Avenue, Saint Louis, MO
  7. 7
    CMS overall: 3 of 5 3/5 · Health inspection: 3 of 5
    Medicare & Medicaid certifiedNo major red flags on record
    401 Corporate Park Drive, Saint Louis, MO
  8. 8
    CMS overall: 3 of 5 3/5 · Health inspection: 3 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$88,946 in federal fines
    9645 Big Bend Blvd, Saint Louis, MO
  9. 9
    CMS overall: 3 of 5 3/5 · Health inspection: 3 of 5
    Medicare & Medicaid certified1 serious citation$14,433 in federal fines
    12651 Village Circle Drive, Saint Louis, MO
  10. 10
    CMS overall: 3 of 5 3/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$73,048 in federal finesSelf-reported scores 3★ above inspection
    5460 Delmar Blvd, Saint Louis, MO
  11. 11
    CMS overall: 2 of 5 2/5 · Health inspection: 3 of 5
    Medicare & Medicaid certified1 serious citation
    9353 South Broadway, Saint Louis, MO
  12. 12
    CMS overall: 2 of 5 2/5 · Health inspection: 3 of 5
    Medicare & Medicaid certifiedNo major red flags on record
    11278 Schuetz Road, Saint Louis, MO
  13. 13
    CMS overall: 2 of 5 2/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$38,520 in federal finesSelf-reported scores 2★ above inspection
    4005 Ripa Avenue, Saint Louis, MO
  14. 14
    CMS overall: 2 of 5 2/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified3 serious citations$13,042 in federal finesSelf-reported scores 4★ above inspection
    2939 Magazine Street, Saint Louis, MO
  15. 15
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified$13,409 in federal fines
    5303 Bermuda Drive, Saint Louis, MO
  16. 16
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$157,667 in federal fines
    2600 Redman Road, Saint Louis, MO
  17. 17
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certifiedAbuse icon3 serious citations
    3625 Magnolia Avenue, Saint Louis, MO
  18. 18
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified$37,388 in federal fines
    4335 West Pine Blvd, Saint Louis, MO
  19. 19
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$126,118 in federal fines
    3645 Cook Ave, Saint Louis, MO
  20. 20
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$15,015 in federal fines
    4624 Lansdowne Avenue, Saint Louis, MO
  21. 21
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified1 serious citation$11,928 in federal fines
    #2 Nazareth Lane, Saint Louis, MO
  22. 22
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certifiedAbuse icon2 serious citations$9,315 in federal fines
    7301 St Charles Rock Rd, Saint Louis, MO
  23. 23
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certifiedNo major red flags on record
    3333 Brown Road, Saint Louis, MO
  24. 24
    CMS overall: 1 of 5 1/5 · Health inspection: 2 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$15,949 in federal fines
    1301 Partridge Avenue, Saint Louis, MO
  25. 25
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified4 immediate-jeopardy citations$234,836 in federal finesSelf-reported scores 2★ above inspection
    9350 Green Park Road, Saint Louis, MO
  26. 26
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified6 serious citations$92,561 in federal fines
    5000 South Broadway, Saint Louis, MO
  27. 27
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified3 serious citationsSelf-reported scores 2★ above inspection
    1127 Timber Run Drive, Saint Louis, MO
  28. 28
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified2 immediate-jeopardy citations$57,868 in federal finesSelf-reported scores 3★ above inspection
    610 Prigge Road, Saint Louis, MO
  29. 29
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified1 serious citation$66,640 in federal finesSelf-reported scores 3★ above inspection
    2115 Kappel Drive, Saint Louis, MO
  30. 30
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified2 immediate-jeopardy citations$105,665 in federal fines
    10954 Kennerly Road, Saint Louis, MO
  31. 31
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certifiedSpecial Focus candidate (CMS is watching this home)Abuse icon10 immediate-jeopardy citations$424,748 in federal finesSelf-reported scores 3★ above inspection
    4401 North Hanley Road, Saint Louis, MO
  32. 32
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified1 immediate-jeopardy citation$123,610 in federal finesChanged owner in last 12 months
    11728 Hidden Lake Drive, Saint Louis, MO
  33. 33
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certifiedAbuse icon2 immediate-jeopardy citations$209,790 in federal finesSelf-reported scores 3★ above inspection
    3421 Gasconade, Saint Louis, MO
  34. 34
    CMS overall: 1 of 5 1/5 · Health inspection: 1 of 5
    Medicare & Medicaid certified2 immediate-jeopardy citations$31,665 in federal finesSelf-reported scores 3★ above inspection
    4359 Taft Avenue, Saint Louis, MO
  35. 35
    CMS overall: Not rated Not rated · Health inspection: Not rated
    Medicare & Medicaid certifiedSpecial Focus Facility (federal watch list)Abuse icon5 immediate-jeopardy citations$168,680 in federal finesChanged owner in last 12 months
    1265 McLaran Avenue, Saint Louis, MO
  36. 36
    CMS overall: Not rated Not rated · Health inspection: Not rated
    Medicare & Medicaid certifiedNo major red flags on record
    5408 South Broadway, Saint Louis, MO

How we rank

We order this list strictly by each home’s CMS overall star rating — the government’s own rating, not a score of our own. When two homes carry the same overall rating we break the tie by the health-inspection rating — the domain scored by independent state surveyors rather than self-reported — and then alphabetically. Homes with no rating on file sink to the bottom.

We should be straight with you about a tension here. The CMS overall star is a blend of three domains, and elsewhere on this site we argue that blend can be misleading: the staffing and quality-measure components lean on data facilities report about themselves, and they can lift a home’s overall star above what inspectors actually found. We still sort by it, for one reason — it is the only ranking of nursing homes the government publishes, and the alternative is us deciding which domain ought to count, which is our opinion dressed up as an official rating. We won’t do that. (It is the same reason we refuse to rank assisted living at all.) So instead of quietly re-sorting to our taste, we un-blend the star on every row: the inspection rating sits next to the overall one, and serious citations, fines and abuse flags are on the row too. Where the two disagree, trust the inspection record and the citations — and treat our sort order as the government’s claim, not ours. See our methodology.

No home pays to appear here or to rank higher. There is no sponsored placement, no paid listing, and no referral fee. The page carries ordinary Google display advertising, sold against the page by Google: it cannot move a home up or down this list, and no advertiser sees who you are. The ratings, citations and fines are assigned by government inspectors (CMS), not by Eldercare Lens.

Common questions

Does Medicaid pay here?

Check the row. Each home is labelled Medicare & Medicaid certified, Medicare only — no Medicaid or Medicaid only — no Medicare, straight from the CMS certification record. Most homes are certified for both, and Medicaid is the largest single payer for long-term nursing-home care — but a home certified for Medicare only cannot bill Medicaid for you at all. Certification is also not the same as availability: even at a dual-certified home, whether a Medicaid bed is open for you depends on the home and your eligibility, so confirm directly. See our Medicaid and long-term care guide.

How current is this data?

The ratings, inspections, fines and staffing shown here are copied from the CMS Provider Data Catalog, which CMS refreshes monthly. A star rating rests on the home’s last standard inspection, which can lag current conditions, so always verify with the facility.

What does the star rating mean?

CMS assigns each home an overall rating from 1 to 5 stars, blended from three domains: health inspections, staffing, and quality measures. We rank by that overall star because it is the government’s rating rather than one of ours — but we show the independent health-inspection rating beside it on every row, because a high overall star can be lifted by the self-reported staffing and quality components above what inspectors found. Where the two disagree, trust the inspection record.

Ratings and citations are assigned by government inspectors (CMS), not by Eldercare Lens. The absence of a citation does not guarantee the absence of problems. Always verify with the facility and your state Long-Term Care Ombudsman.