Federal inspection record · CMS data as of October 1, 2026
Knox County Nursing Home District
55774 State Highway 6, Edina, MO · (660) 397-2282
- Certified beds
- 60
- Residents per day
- 38
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 20, 2003
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
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
★★★★★−1 star
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
Knox County Nursing Home District carries 152 inspection points. That is fewer than 20% 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
41 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 (4)
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
K
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care8E
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary5F
- 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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights5E
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
Honor the resident's right to manage his or her financial affairs.
- C
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Pharmacy Service4E
- 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.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Resident Assessment and Care Planning3D
- D
Assess the resident when there is a significant change in condition
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Environmental2E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 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.
Nursing and Physician Services2F
- F
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- C
Post nurse staffing information every day.
Inspection history
2026-02-26
14 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-02-01
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2020-09-30
11 health deficiencies · 7 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 46 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 46 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$60,632 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-26 | Fine | $60,632 |
| 2026-02-26 | Payment Denial · 48 day denial | $0 |
| 2025-08-14 | Payment Denial · 2 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 days1.4 pts worse | 3.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.8 pts worse | 5.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 91.0% | 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 injury2.2 pts worse | 6.2% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.9 pts better | 3.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 6.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better | 22.2% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts better | 23.1% | 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 worsened8.5 pts better | 7.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts worse | 24.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.1 pts worse | 5.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.7 pts worse | 7.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts better | 15.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 4.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.5 pts better | 88.2% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts worse | 17.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.4 pts worse | 37.1% | 25.7% | 23.4% |
·
Who owns and runs it
12 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 |
|---|---|---|---|
| Knox County Nursing Home District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Berry, Ken | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Early, Connie | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hamlin, Tom | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Knox County Nursing Home District | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Knox County Nursing Home District | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Knox County Nursing Home District | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Murry, Katlind | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Palmer, Linda | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Sayres, Brenda | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Strange, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Witherow, Pamela | Managing Control - Governing Body · Individual | 0% | 1 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Have an enclosure around a vertical opening shaft.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness6F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Establish roles under a Waiver declared by secretary.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems5F
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Construction3E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
- D
Meet other general requirements.
- E
Use approved construction type or materials.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
·
Other homes nearby
-
La Belle Manor Care Center
La Belle, MO
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0
-
Country Aire Retirement Center
Lewistown, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 55 min
- Fines
- $0
-
La Plata Nursing Home
La Plata, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0