| Knox County Nursing Home District | |
| 55774 State Highway 6, Edina, Missouri 63537 | |
| (660) 397-2282 | |
| Name | Knox County Nursing Home District |
|---|---|
| Location | 55774 State Highway 6, Edina, Missouri |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 60 |
| Occupancy Rate | 63.83% |
| Medicare ID (CCN) | 265763 |
| Legal Business Name | Knox County Nursing Home District |
| Ownership Type | Government - County |
| NPI Number | 1316937642 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Knox County Nursing Home District |
| Address | 55774 State Highway 6, Edina, MO 63537 |
| Phone Number | 660-397-2282 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.83 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.41 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.77 | 0.86 |
| Nurse aide hours per resident per day | 2.65 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.38 | 3.42 |
| RN hours per resident per day on the weekend | 0.29 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $93,280 |
| Number of Payment Denials | 2 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 26, 2026 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by May 22, 2026 |
| Feb 26, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Feb 26, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Aug 14, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Sep 19, 2025 |
| Feb 1, 2024 | 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. F0728, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | 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. F0909, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Minimal harm potential, widespread | Corrected by Mar 1, 2024 |
| Feb 1, 2024 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Mar 1, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.98 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.11 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.66 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 8.63 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.15 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.09 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.91 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.27 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.73 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.24 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.72 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.44 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 23.64 | 15.38 |