Knox County Nursing Home District
55774 State Highway 6, Edina, MO 63537
Knox County Nursing Home District, a 60-bed government - county nursing facility in Edina, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #413 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6603972282
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #413 of 479
- In-state rank among rated MO homes
- 3.83
- About average · nurse hrs/day · nat'l 3.86
- 41
- Inspection findings · 4 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Knox County Nursing Home District, a 60-bed government - county nursing facility in Edina, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #413 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #413 of 479
- In-state rank among rated MO homes
- 3.83
- Nurse hrs/resident-day · national 3.86
- 41
- Inspection findings · 4 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 487 MO nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 265763
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 38
- In Hospital
- No
- County
- Knox
- Last Inspection
- Feb 26, 2026
Staffing Data
How the 3.83 total nursing hours per resident-day are staffed:
- RN Hours
- 0.41 (nat'l avg: 0.69)
- LPN Hours
- 0.77
- CNA Hours
- 2.65
- Total Nursing Hours
- 3.83 (nat'l avg: 3.86)
- PT Hours
- 0.01
What the CMS Record Reveals About Knox County Nursing Home District
According to CMS Nursing Home Compare, Knox County Nursing Home District ranks #413 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Knox County Nursing Home District operates 60 certified beds in Edina, MO with approximately 38 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 3★ · quality 1★).
The inspection file contains 41 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $93K levied against this facility. Staffing is reported at 3.83 total nursing hours per resident day (national average 3.86), with RN coverage at 0.41 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Knox County Nursing Home District falls into a category where comparative context matters.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (41 most recent)
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Apr 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 8, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 8, 2026
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 8, 2026
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Category: Resident Rights Deficiencies
Corrected: Apr 8, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Category: Environmental Deficiencies
Corrected: Apr 8, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 22, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 8, 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.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 8, 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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 8, 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.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2026
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 19, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 1, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Mar 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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 1, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Mar 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.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 1, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 1, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 1, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 1, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 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.
Category: Environmental Deficiencies
Corrected: Mar 1, 2024
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Mar 1, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 1, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 1, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Category: Resident Rights Deficiencies
Corrected: Mar 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.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 1, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Category: Resident Rights Deficiencies
Corrected: Nov 27, 2020
Honor the resident's right to manage his or her financial affairs.
Category: Resident Rights Deficiencies
Corrected: Nov 27, 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.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 27, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 27, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 27, 2020
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 27, 2020
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 27, 2020
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 27, 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.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 27, 2020
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Nov 27, 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.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 27, 2020
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 5.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.1% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 90.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 26.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 12.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 86.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $93K
| Date | Type | Amount |
|---|---|---|
| Feb 26, 2026 | Fine | $93K |
| Feb 26, 2026 | Payment Denial | - |
| Aug 14, 2025 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Knox County Nursing Home District, both outside MO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MO (60 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MO (5.06 here).
Nearby Nursing Homes in MO
486 other nursing homes are on record in MO; 6 are shown here.
Abbey Senior Health
O Fallon, MO
Aberdeen Heights
Kirkwood, MO
Abode Health and Wellness Center
Independence, MO
Abundant Acres Care and Rehab
Savannah, MO
Adair Village
Clinton, MO
Advanced Care of St Joseph
Saint Joseph, MO
Understanding Nursing Home Data
What the CMS records show for Knox County Nursing Home District
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
- Peer homes near 60 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Knox County Nursing Home District?
Where does Knox County Nursing Home District rank among nursing homes in MO?
What are the staffing levels at Knox County Nursing Home District?
How many beds does Knox County Nursing Home District have?
Does Knox County Nursing Home District have any deficiencies on record?
Has Knox County Nursing Home District received any fines or penalties?
Who owns Knox County Nursing Home District?
When was Knox County Nursing Home District last inspected?
What quality measures are tracked for Knox County Nursing Home District?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
