Knox County Nursing Home District
55774 State Highway 6 · Edina, MO · 63537 · 6603972282
60 certified beds Government - County
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Actual harm · G August 14, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · E February 1, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected March 1, 2024 · Resident Rights
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Potential for harm · E February 1, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 1, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 1, 2024
Respond appropriately to all alleged violations.
Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 1, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · D February 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.
Corrected March 1, 2024 · Quality of Life and Care
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Potential for harm · F February 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.
Corrected March 1, 2024 · Nursing and Physician Services
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Potential for harm · D February 1, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 1, 2024 · Pharmacy Service
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Potential for harm · D February 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.
Corrected March 1, 2024 · Pharmacy Service
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Potential for harm · E February 1, 2024
Provide and implement an infection prevention and control program.
Corrected March 1, 2024 · Infection Control
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Potential for harm · E February 1, 2024
Implement a program that monitors antibiotic use.
Corrected March 1, 2024 · Infection Control
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Potential for harm · E February 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.
Corrected March 1, 2024 · Environmental
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No harm found · C February 1, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 1, 2024 · Resident Rights
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No harm found · C February 1, 2024
Post nurse staffing information every day.
Corrected March 1, 2024 · Nursing and Physician Services
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Immediate jeopardy · K September 30, 2020
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected November 27, 2020 · Quality of Life and Care
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Potential for harm · D September 30, 2020
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected November 27, 2020 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 30, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 27, 2020 · Quality of Life and Care
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Potential for harm · D September 30, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 27, 2020 · Quality of Life and Care
-
Potential for harm · D September 30, 2020
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 27, 2020 · Quality of Life and Care
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Potential for harm · E September 30, 2020
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.
Corrected November 27, 2020 · Nutrition and Dietary
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Potential for harm · E September 30, 2020
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 27, 2020 · Nutrition and Dietary
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Potential for harm · F September 30, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 27, 2020 · Nutrition and Dietary
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Potential for harm · E September 30, 2020
Provide and implement an infection prevention and control program.
Corrected November 27, 2020 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 14, 2025 | Payment Denial | 2 days |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265763 · certified since June 20, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.