The senior-care watchlist — Missouri
70 facilities in Missouri carry an official government warning that the referral sites — paid by those same facilities — will never show you: a CMS Special Focus designation, an active licensing probation, or an abuse-citation flag. Every one is a matter of public record, linked to its full file below.
What these labels mean. A Special Focus Facility (SFF) is one CMS has singled out nationally for a persistent pattern of serious problems; an SFF candidate is in the pool being considered. Probation means a state licensing agency has placed formal conditions on the facility's license. An abuse-citation flag marks a home cited by CMS for actual or potential resident harm. A warning is not a verdict — but it is exactly the kind of signal you want before you tour, not after.
| Grade | Facility & warning | Location | Subst. |
|---|---|---|---|
| F | Hillside Health Care Center Special Focus FacilityOn probationAbuse-citation flag |
Saint Louis, MO | 29 |
| F | Lincoln County Nursing & Rehab Special Focus FacilityOn probationAbuse-citation flag |
Troy, MO | 3 |
| D | Belleview Valley Nursing Home Special Focus FacilityOn probation |
Belleview, MO | 2 |
| F | Cassville Health Care Center SFF candidate |
Cassville, MO | 33 |
| F | Bridgewood Health Care Center SFF candidateAbuse-citation flag |
Kansas City, MO | 33 |
| F | North Village Park SFF candidateAbuse-citation flag |
Moberly, MO | 32 |
| F | Ellisville Rehabilitation And Nursing SFF candidateAbuse-citation flag |
Ellisville, MO | 32 |
| F | Gregory Ridge Health Care Center SFF candidateAbuse-citation flag |
Kansas City, MO | 22 |
| F | Abode Health And Wellness Center SFF candidateAbuse-citation flag |
Independence, MO | 16 |
| F | Willowcreek Wellness & Rehabilitation SFF candidate |
Florissant, MO | 15 |
| F | Golden Years Center For Rehab And Healthcare SFF candidateAbuse-citation flag |
Harrisonville, MO | 14 |
| F | Buffalo Prairie Center For Rehab And Healthcare SFF candidate |
Buffalo, MO | 14 |
| F | St Peters Rehab And Healthcare Center SFF candidateAbuse-citation flag |
Saint Peters, MO | 12 |
| F | Heritage Care Center SFF candidateAbuse-citation flag |
Saint Louis, MO | 11 |
| F | Beloved Health And Rehabilitation Center SFF candidateAbuse-citation flag |
Hannibal, MO | 8 |
| F | Hidden Lake Health Care Center SFF candidate |
Saint Louis, MO | 8 |
| F | Parkview Healthcare SFF candidateAbuse-citation flag |
Kansas City, MO | 6 |
| F | Beth Haven Nursing Home SFF candidate |
Hannibal, MO | 0 |
| F | Athene Nursing And Rehabilitation Abuse-citation flag |
Town And Country, MO | 18 |
| F | Windsor Estates Of St Charles Abuse-citation flag |
Saint Charles, MO | 16 |
| F | Four Seasons Living Center Abuse-citation flag |
Sedalia, MO | 15 |
| F | Magnolia Wellness Center Abuse-citation flag |
Saint Louis, MO | 14 |
| F | Marshfield Care Center For Rehab And Healthcare Abuse-citation flag |
Marshfield, MO | 12 |
| F | Villa At Blue Ridge, The Abuse-citation flag |
Columbia, MO | 11 |
| F | Eastview Manor Care Center Abuse-citation flag |
Trenton, MO | 11 |
| F | Chariton Park Health Care Center Abuse-citation flag |
Salisbury, MO | 10 |
| F | Truman Healthcare & Rehabilitation Center Abuse-citation flag |
Lamar, MO | 9 |
| F | Pin Oaks Living Center Abuse-citation flag |
Mexico, MO | 9 |
| F | Edgewood Manor Health Care Center Abuse-citation flag |
Raytown, MO | 8 |
| F | Bentleys Extended Care Abuse-citation flag |
Overland, MO | 8 |
| F | Crestwood Health Care Center, LLC Abuse-citation flag |
Florissant, MO | 8 |
| C | Highland Rehabilitation & Health Care Center Abuse-citation flag |
Kansas City, MO | 7 |
| F | Ascend At Aurora Abuse-citation flag |
Aurora, MO | 7 |
| C | Hermitage Nursing & Rehab Abuse-citation flag |
Hermitage, MO | 7 |
| F | Truman Lake Manor Inc Abuse-citation flag |
Lowry City, MO | 7 |
| F | Eldon Nursing & Rehab Abuse-citation flag |
Eldon, MO | 7 |
| F | U-City Forest Manor Abuse-citation flag |
Saint Louis, MO | 7 |
| F | Grand River Health Care Abuse-citation flag |
Chillicothe, MO | 6 |
| F | Rest Haven Health Care Center Abuse-citation flag |
Sedalia, MO | 6 |
| F | Maryville Living Center Abuse-citation flag |
Maryville, MO | 5 |
| F | Country View Nursing Abuse-citation flag |
Bowling Green, MO | 5 |
| F | Lawson Manor & Rehab Abuse-citation flag |
Lawson, MO | 5 |
| D | Rosewood Rehab And Healthcare Center Abuse-citation flag |
Independence, MO | 5 |
| F | Seville Care Center Abuse-citation flag |
Salem, MO | 4 |
| F | Normandy Nursing Center Abuse-citation flag |
Saint Louis, MO | 4 |
| F | Livingston Manor Care Center Abuse-citation flag |
Chillicothe, MO | 4 |
| F | Beauvais Rehab And Healthcare Center Abuse-citation flag |
Saint Louis, MO | 4 |
| F | Estates Of Perryville, LLC, The Abuse-citation flag |
Perryville, MO | 4 |
| F | Belleview Care Center Abuse-citation flag |
Saint Joseph, MO | 4 |
| F | Milan Health Care Center Abuse-citation flag |
Milan, MO | 3 |
| D | Life Care Center Of Grandview Abuse-citation flag |
Grandview, MO | 3 |
| F | Rocky Ridge Manor Abuse-citation flag |
Mansfield, MO | 3 |
| D | Claru Deville Nursing Center Abuse-citation flag |
Fredericktown, MO | 3 |
| F | Fulton Manor Care Center Abuse-citation flag |
Fulton, MO | 3 |
| C | Laverna Manor Health & Rehabilitation Abuse-citation flag |
Savannah, MO | 3 |
| F | Cotton Point Living Center Abuse-citation flag |
Matthews, MO | 3 |
| D | Garden View Care Center Abuse-citation flag |
O Fallon, MO | 2 |
| D | Alpine Breeze Health And Wellness Abuse-citation flag |
Raytown, MO | 2 |
| F | Wellsville Health Care Center Abuse-citation flag |
Wellsville, MO | 2 |
| D | Blue Springs Wellness & Rehabilitation Abuse-citation flag |
Blue Springs, MO | 2 |
| D | Carroll House Abuse-citation flag |
Carrollton, MO | 2 |
| F | Sunnyview Nursing Home & Apartments Abuse-citation flag |
Trenton, MO | 2 |
| F | Clara Manor Nursing Home Abuse-citation flag |
Kansas City, MO | 2 |
| F | Pine View Manor Inc Abuse-citation flag |
Stanberry, MO | 1 |
| D | Aspire Senior Living Warsaw Abuse-citation flag |
Warsaw, MO | 1 |
| C | Village Care Center Inc Abuse-citation flag |
Maryville, MO | 1 |
| D | Rehabilitation Center Of Independence, The Abuse-citation flag |
Independence, MO | 1 |
| F | Nick'S Health Care Center Abuse-citation flag |
Plattsburg, MO | 1 |
| D | Morningside Center Abuse-citation flag |
Chillicothe, MO | 1 |
| C | Abbey Senior Health Abuse-citation flag |
O Fallon, MO | 1 |
Special Focus & abuse flags from CMS Care Compare / Medicare.gov (Jul 2026); probation from state licensing records (CA CDSS, Aug 2, 2026). One signal, not a verdict — verify directly with the facility and the licensing agency. How grades work →
Finding facilities to avoid in Missouri
How do I find the nursing homes to avoid in Missouri?
Start with the official warnings. This page lists the 70 facilities in Missouri that federal or state regulators have formally flagged — 3 CMS Special Focus Facilities, 3 on licensing probation, and 64 cited for abuse. These are the homes to scrutinize hardest before you tour. A flag is a reason to ask hard questions, not an automatic disqualification — some flagged homes have since corrected.
What are the worst-rated senior-care facilities in Missouri?
Senior Care Record Map doesn't crown a single "worst" home, but the strongest negative signal a regulator can give is the CMS Special Focus Facility designation — reserved for a persistent pattern of serious problems. Those, plus homes on probation or with abuse citations, are ranked at the top of the watchlist above by severity.
Why don't other senior-care sites show these warnings?
Most referral and listing sites are paid by the facilities they recommend, so surfacing a facility's Special Focus status, probation, or abuse citations works against their business. Senior Care Record Map takes zero referral fees, so it can show you the public records first.
Before you rule a facility in or out
A warning flag is a reason to ask hard questions, not always to walk away — some flagged homes have since corrected. Bring our free tour checklist, understand what care costs, and read when it's time to move. And know how referral sites make money so you can read their recommendations with clear eyes.
See exactly why a facility was flagged
$19.99 one-time · lifetime accessThe map and safety grades are free. When a home carries a Special Focus, probation, or abuse flag, Senior Care Record Map Pro shows you the specific deficiencies, citations and enforcement actions behind it — so you can ask the right questions instead of guessing. No referral fees, no salespeople, your data never sold.
- The full CMS deficiency, staffing & enforcement history behind every flag
- Direct links to the underlying government records
- Save, tag & rate facilities to follow up
- Side-by-side comparison & CSV shortlist export
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