State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. A Brief Description of Missouri's Nursing Home Industry


In order to compare Missouri's nursing home industry with the other study states, we present some descriptive characteristics. There are 552 facilities in Missouri (AHCA web site) with 38,671 residents reported as of Spring 2001. The average number of beds per facility is 99, which is slightly lower than the national average of 108. Missouri's average occupancy rate for its nursing homes (80 percent) is one of the lowest in the nation as reported by the Missouri auditor (2001). The median occupancy rate per facility is 75.9 percent as compared to the national rate of 95.1 percent.

The percentage of for profit and not for profit homes in Missouri is very close to the national averages with 67 percent of Missouri homes operating for profit (vs. 65 percent national average) and 24 percent as non-profit homes (vs. 28 percent national average). There are slightly more homes government operated (9 percent vs. 7 percent). The state has a below-average percentage of chain-affiliated facilities (48 percent vs. the national average of 55 percent). Twelve percent of the state's nursing facilities are hospital-based, which is the same as the national average. The majority of homes are dually certified for Medicare and Medicaid (75 percent) as compared to the national average of 80 percent.

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