Union Nursing is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2018-12-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (636) 206-8585 or your local Medicaid office to verify current eligibility.

Union Nursing holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (1★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 73.1/100, placing it #6877 of 14703 facilities nationally and #89 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Union Nursing receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 47.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 7 fine(s) over the 5-year period, totaling $36,166. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 49.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Union Nursing ranks 6877th out of 14,703 facilities (composite score: 73.1/100), placing it in the above average nationwide. Within MO, it ranks 89th out of 487 nursing homes. In Union, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2025 staffing: total nurse hours rank #9,271 nationally and RN hours rank #8,090 nationally (#106 in MO). Our composite quality score of 73.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Union, visit: https://nursinghomesnearme.org/missouri/union/