Federal inspection record · CMS data as of October 1, 2026
Kirksville Manor Care Center
1705 East Laharpe, Kirksville, MO · (660) 665-3774
- Certified beds
- 119
- Residents per day
- 54
- Ownership
- For-Profit
- Chain
- Juckette Family Homes
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 26, 1984
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Kirksville Manor Care Center carries 170.5 inspection points. That is fewer than 16% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
54 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights13E
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning8E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Ensure each resident receives an accurate assessment.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Quality of Life and Care6E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pharmacy Service4E
- E
Ensure that residents are free from significant medication errors.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Ensure that residents are free from significant medication errors.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration1E
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Environmental1E
- E
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspection history
2026-03-18
11 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-02-16
26 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2020-03-03
17 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 42 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$250,823 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-04 | Fine | $204,432 |
| 2024-10-04 | Payment Denial · 11 day denial | $0 |
| 2023-12-20 | Fine | $46,391 |
| 2023-12-20 | Payment Denial · 48 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2 pts worse | 4.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3.1 pts worse | 5.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts worse | 6.5% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.2 pts better | 2.8% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 3.8% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.6 pts worse | 37.2% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts worse | 29.6% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.3 pts better | 8.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.7 pts better | 12.7% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse | 3.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts worse | 4.1% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better | 16.1% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 7.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.3 pts better | 100.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit17.7 pts worse | 31.1% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 2.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.6 pts better | 100.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts better | 24.5% | 25.7% | 23.4% |
·
Who owns and runs it
39 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Juckette, Joyce E | 5% Or Greater Direct Ownership Interest · Individual | 83% | 6 facilities |
| Miller, Margaret | 5% Or Greater Direct Ownership Interest · Individual | 18% | 2 facilities |
| Biesenthal, Nichole | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Biesenthal, Nichole | Adp Of The SNF · Individual | 0% | 6 facilities |
| Curana Health Of Missouri-Kansas LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Curana Health Of Missouri-Kansas LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Eslinger, Cory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Eslinger, Cory | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hudlemeyer, Teresa | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Hudlemeyer, Teresa | Adp Of The SNF · Individual | 0% | 6 facilities |
| Jones, Michael | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Jones, Michael | Adp Of The SNF · Individual | 0% | 5 facilities |
| Juckette Management Services Inc | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Juckette Management Services Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Juckette, Holly | Corporate Director · Individual | 0% | 6 facilities |
| Juckette, Holly | Corporate Officer · Individual | 0% | 6 facilities |
| Juckette, Holly | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Juckette, Holly | Adp Of The SNF · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Corporate Director · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Corporate Officer · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Adp Of The SNF · Individual | 0% | 6 facilities |
| Kirksville Manor Inc | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Kirksville Manor Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mansour, Kristianna | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Mansour, Kristianna | Adp Of The SNF · Individual | 0% | 6 facilities |
| Neuroth, Teri | Corporate Director · Individual | 0% | 6 facilities |
| Neuroth, Teri | Corporate Officer · Individual | 0% | 6 facilities |
| Neuroth, Teri | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Neuroth, Teri | Adp Of The SNF · Individual | 0% | 6 facilities |
| Plowman, Audrey | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Plowman, Audrey | Adp Of The SNF · Individual | 0% | 6 facilities |
| Steele, Lisa | Corporate Director · Individual | 0% | 6 facilities |
| Steele, Lisa | Corporate Officer · Individual | 0% | 6 facilities |
| Steele, Lisa | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Steele, Lisa | Adp Of The SNF · Individual | 0% | 6 facilities |
| Steele, Randall | Corporate Director · Individual | 0% | 6 facilities |
| Steele, Randall | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Steele, Randall | Adp Of The SNF · Individual | 0% | 6 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Meet requirements for the use of electrical equipment.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
Construction2E
- E
Meet other general requirements.
- E
Use approved construction type or materials.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Twin Pines Adult Care Center
Kirksville, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0
-
La Plata Nursing Home
La Plata, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0
-
Schuyler County Nursing Home District
Queen City, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 16 min
- Fines
- $0