11 health deficiencies
Top issue: Resident Rights (4 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Kirksville, MO
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1900 S Jamison, Kirksville, MO
(660) 665-2887
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1983-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.37
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.19
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.23
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
5.19
CMS adjusted total nurse staffing hours
Case-mix index
1.01
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
8,175
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9846
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.91
Baseline 19.11% · Performance 20.08% · Measure score 2.91 · Achievement 2.91 · Improvement 0
Healthcare-associated infections
0
Baseline 7.43% · Performance 8.80% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
5.36
Baseline 4.83 hours · Performance 4.60 hours · Measure score 5.36 · Achievement 5.36 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.1% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 164 · Observed rate 6.71% · Lower 95% interval 6.48% |
| Discharge to community | 45.57% |
50.57%
5 pts worse
|
No Different than the National Rate · Eligible stays 184 · Observed rate 40.76% · Lower 95% interval 37.3% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 92 · Denominator 92 |
| Falls with major injury | 1.09% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 92 |
| Discharge self-care score | 61.76% |
53.69%
8.1 pts better
|
Numerator 42 · Denominator 68 |
| Discharge mobility score | 75% |
50.94%
24.1 pts better
|
Numerator 51 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 5.43% |
2.29%
3.1 pts worse
|
Numerator 5 · Denominator 92 · Adjusted rate 7.43% |
| Healthcare-associated infections requiring hospitalization | 8.8% |
7.12%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 111 · Observed rate 9.91% · Lower 95% interval 5.8% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 103 |
| Staff flu vaccination coverage | 4.24% |
42%
37.8 pts worse
|
Numerator 5 · Denominator 118 |
| Discharge function score | 73.53% |
56.45%
17.1 pts better
|
Numerator 50 · Denominator 68 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 46 · Denominator 46 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.69% |
25.2%
7.5 pts better
|
Numerator 17 · Denominator 52 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.1
0.6 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
2.3
1 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
84.8%
9.9 pts better
|
93.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 95.1% · Q3 93.5% · Q4 92.3% · 4Q avg 94.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
90.9%
5.9 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
4.1%
0.8 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.6% · Q3 3.2% · Q4 1.5% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
14.7%
13 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.7% · Q3 1.6% · Q4 1.6% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 0.4% |
5.5%
5.1 pts better
|
5.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.1% |
25.3%
4.2 pts better
|
19.6%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 24.6% · Q3 19.7% · Q4 19.4% · 4Q avg 21.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.4% |
25.0%
8.6 pts better
|
16.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 14.0% · Q3 17.3% · Q4 16.1% · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.4% |
20.3%
4.9 pts better
|
16.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 18.1% · Q3 22.4% · Q4 12.5% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
19.8%
5.5 pts better
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 10.7% · Q3 16.4% · Q4 17.7% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.8% |
1.4%
2.4 pts worse
|
1.0%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.1% · Q3 3.7% · Q4 4.8% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.6% |
2.6%
2 pts worse
|
1.7%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 1.7% · Q3 8.1% · Q4 3.2% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.8% |
18.1%
7.3 pts better
|
19.8%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 14.9% · Q3 10.5% · Q4 10.3% · 4Q avg 10.8% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
5.0%
2.5 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.2% · Q3 13.0% · Q4 10.0% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.7% |
66.4%
6.3 pts better
|
81.7%
9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 80.4% · Q2 83.0% · Q3 54.3% · Q4 73.0% · 4Q avg 72.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.8% |
13.4%
9.4 pts worse
|
12.0%
10.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 18.9% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.7% |
2.2%
2.5 pts worse
|
1.6%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 8.3% · Q4 8.3% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.8% |
63.5%
2.7 pts worse
|
79.7%
18.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.0% |
25.3%
0.3 pts better
|
23.9%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 22.2% · Expected 21.2% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (4 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (2 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (8 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-19
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-19
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-03-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-03-16
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-03-16
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-03-16
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-03-16
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2023-03-16
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-03-16
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-03-16
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-03-16
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-03-16
Fire Safety
Meet other general requirements.
Corrected 2023-03-16
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-03-16
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-03-16
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-03-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-07
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-07-17
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-07-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-07-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-07-17
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-07-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-07-17
Inspection history
Health
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.
Corrected 2024-11-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-13
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-11-19
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-11-19
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-19
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-11-19
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-11-19
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-11-19
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-19
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-11-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-16
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-16
Health
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.
Corrected 2023-03-16
Health
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.
Corrected 2023-03-16
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-16
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-03-16
Health
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.
Corrected 2023-03-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-16
Health
Post nurse staffing information every day.
Corrected 2023-03-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-07-17
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-17
Health
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.
Corrected 2019-07-17
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-07-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-07-17
Health
Provide activities to meet all resident's needs.
Corrected 2019-07-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-07-17
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-07-17
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-07-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-07-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-07-17
Penalties and ownership
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
Kirksville, MO
1-star overall rating with 1-star inspections with $250,823 in total fines with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
La Plata, MO
3-star overall rating with 3-star inspections with $173,534 in total fines with 4 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Queen City, MO
1-star overall rating with 2-star inspections with 17 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
Jump out