Kirksville Manor Care Center
1705 East Laharpe · Kirksville, MO · 63501 · 6606653774
119 certified beds For profit - Corporation Chain: Juckette Family Homes
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $204,432 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$204,432 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.38 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 2 · $250,823 |
Inspection citations (54 in the current record)
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Potential for harm · E March 18, 2026
Honor the resident's right to manage his or her financial affairs.
Corrected May 4, 2026 · Resident Rights
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Potential for harm · E March 18, 2026
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected May 4, 2026 · Resident Rights
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Potential for harm · D March 18, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 4, 2026 · Resident Rights
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Potential for harm · E March 18, 2026
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 May 4, 2026 · Resident Rights
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Potential for harm · D March 18, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 4, 2026 · Resident Rights
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Potential for harm · D March 18, 2026
Assess the resident when there is a significant change in condition
Corrected May 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 18, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 18, 2026
Ensure that residents are free from significant medication errors.
Corrected May 4, 2026 · Pharmacy Service
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Potential for harm · F March 18, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 4, 2026 · Nutrition and Dietary
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Potential for harm · E March 18, 2026
Provide and implement an infection prevention and control program.
Corrected May 4, 2026 · Infection Control
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Potential for harm · F December 23, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 6, 2026 · Nutrition and Dietary
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Potential for harm · D June 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 26, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 8, 2025 · Quality of Life and Care
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Actual harm · G November 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 8, 2025 · Quality of Life and Care
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Potential for harm · E November 26, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 8, 2025 · Resident Rights
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Potential for harm · E November 26, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 8, 2025 · Quality of Life and Care
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Potential for harm · E November 26, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 8, 2025 · Nursing and Physician Services
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Immediate jeopardy · J October 4, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 8, 2025 · Quality of Life and Care
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Actual harm · G October 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 8, 2025 · Quality of Life and Care
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Potential for harm · E October 4, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected January 8, 2025 · Resident Rights
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Potential for harm · E October 4, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 8, 2025 · Quality of Life and Care
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Potential for harm · E October 4, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 8, 2025 · Nursing and Physician Services
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Potential for harm · E October 4, 2024 · found via complaint
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.
Corrected January 8, 2025 · Administration
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Potential for harm · E October 4, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 8, 2025 · Infection Control
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Actual harm · G February 16, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 12, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 4, 2024 | Fine | $204,432 |
| October 4, 2024 | Payment Denial | 11 days |
| December 20, 2023 | Fine | $46,391 |
| December 20, 2023 | Payment Denial | 48 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265247 · certified since September 26, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.