Best-Rated Nursing Homes in St. Charles County, MO (2026)
The 10 highest-rated nursing homes in St. Charles County, MO, ranked from Medicare’s star ratings, inspections and staffing, using data as of September 2026. No home paid to be on this list.
- 1
Nhc Healthcare, St Charles
Medicare rates it 4 out of 5 overall, with 4 for health inspections, 4 for staffing and 4 for quality of care. Nurses and aides spend about 3 hr 20 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. Quality ratings: 4 of 5 for short-term rehab, 5 of 5 for long-term care.
- 2
Cottages of Lake St Louis
Medicare rates it 4 out of 5 overall, with 4 for health inspections, 4 for staffing and 4 for quality of care. Nurses and aides spend about 6 hr 02 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. It was fined $17,696 in the last three years. Quality ratings: 3 of 5 for short-term rehab, 4 of 5 for long-term care.
- 3
Lutheran Senior Services at Breeze Park
Medicare rates it 4 out of 5 overall, with 3 for health inspections, 5 for staffing and 3 for quality of care. Nurses and aides spend about 4 hr 43 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. It was fined $41,347 in the last three years. Quality ratings: 4 of 5 for short-term rehab, 2 of 5 for long-term care.
- 4
Mcclay Senior Care
Medicare rates it 3 out of 5 overall, with 3 for health inspections, 3 for staffing and 2 for quality of care. Nurses and aides spend about 3 hr 49 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. Quality ratings: 1 of 5 for short-term rehab, 2 of 5 for long-term care.
- 5
Delmar Gardens of O'fallon
Medicare rates it 3 out of 5 overall, with 2 for health inspections, 4 for staffing and 5 for quality of care. Nurses and aides spend about 4 hr 12 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. Quality ratings: 5 of 5 for short-term rehab, 3 of 5 for long-term care.
- 6
Sunterra Springs Dardenne Prairie
Medicare rates it 2 out of 5 overall, with 2 for health inspections, 3 for staffing and 4 for quality of care. Nurses and aides spend about 4 hr 28 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. It was fined $49,722 in the last three years.
- 7
Laurel Meadows Wellness & Rehabilitation
Medicare rates it 2 out of 5 overall, with 2 for health inspections, 3 for staffing and 3 for quality of care. Nurses and aides spend about 4 hr 19 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. It was fined $11,536 in the last three years. Quality ratings: 3 of 5 for short-term rehab, 3 of 5 for long-term care.
- 8
Lewis & Clark Gardens
Medicare rates it 1 out of 5 overall, with 1 for health inspections, 4 for staffing and 2 for quality of care. Nurses and aides spend about 3 hr 29 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. It was fined $139,916 in the last three years.
- 9
Aspen Point Health and Rehabilitation
Medicare rates it 1 out of 5 overall, with 1 for health inspections, 2 for staffing and 4 for quality of care. Nurses and aides spend about 3 hr 25 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. It was fined $326,921 in the last three years. Quality ratings: 3 of 5 for short-term rehab, 5 of 5 for long-term care.
- 10
St Peters Post Acute
Medicare rates it 1 out of 5 overall, with 1 for health inspections, 2 for staffing and 3 for quality of care. Nurses and aides spend about 3 hr 40 min a day with each resident (Missouri average 3 hr 26 min). Its recent inspections found no citations for resident harm. It was fined $69,999 in the last three years. Quality ratings: 2 of 5 for short-term rehab, 4 of 5 for long-term care.
Tick “Compare” on two to four homes to see them side by side. See all nursing homes in St. Charles County, MO →
How we rank. Homes are ordered by Medicare’s overall star rating. When two homes tie, the one with the better health inspection rating goes first, then staffing rating, then quality rating, then fewer serious citations, then lower fines. Homes still tied are listed alphabetically.
About nursing homes in St. Charles County, MO
What is the best-rated nursing home in St. Charles County, MO?
By Medicare’s ratings, Nhc Healthcare, St Charles ranks first in St. Charles County, MO, with an overall rating of 4 out of 5. Ratings are a starting point; visit and ask about anything in a home’s inspection record.
How many nursing homes are in St. Charles County, MO?
10 homes in St. Charles County, MO qualify for this ranking: rated by Medicare and not on its Special Focus or abuse lists. See every nursing home in St. Charles County, MO, including homes not yet rated.
How is this list ranked?
By Medicare’s overall star rating, then its health inspection, staffing and quality ratings, then fewer serious citations and fines. Homes on Medicare’s Special Focus list or with its abuse icon are not included, nor are children’s facilities. Paid or sponsored listings never affect the order.
Medicare ratings can lag behind changes at a home. Always visit, ask about recent inspections, and confirm openings, insurance and care needs with each home. How we use Medicare data