Quick answers
- Where is Clark County Nursing Home?
- 1260 North Johnson Street, Kahoka, MO 63445, in Clark County, Missouri.
- What is the phone number of Clark County Nursing Home?
- (660) 727-3303, as listed by Medicare (CMS).
- What is the Medicare star rating of Clark County Nursing Home?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Clark County Nursing Home been fined?
- Medicare lists no fines for Clark County Nursing Home.
- What did inspectors find at Clark County Nursing Home?
- In its last three inspection cycles (September 19, 2019 to February 3, 2026), Medicare lists 27 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (September 19, 2019 to February 3, 2026), Clark County Nursing Home had 27 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.53 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 29, 2025 — 14 health citations
Inspections in this cycle: January 29, 2025 (standard health inspection); February 3, 2026 (complaint investigation).
Show 14 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0637 Level E
“Assess the resident when there is a significant change in condition”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0700 Level E
“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.”
F0761 Level E
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0688 Level D
“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.”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0623 Level B
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level B
“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.”
Previous cycle: May 4, 2023 — 10 health citations
Inspections in this cycle: May 4, 2023 (standard health inspection); March 4, 2025 (complaint investigation).
Show 10 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0700 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0909 Level E
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0655 Level B
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
Earlier cycle: September 19, 2019 — 3 health citations
Inspections in this cycle: September 19, 2019 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (19)
K0222 Level E
“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.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0919 Level E
“Meet requirements for the use of electrical equipment.”
K0100 Level D
“Meet other general requirements.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0311 Level F
“Have an enclosure around a vertical opening shaft.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0912 Level E
“Have power receptacles that are properly grounded.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.54 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.38 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.61 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.53 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.22 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.37 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 43.4% | 56.9% | 45.3% |
| RN turnover (per year) | 28.6% | 50.0% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Clark County Nursing Home | Direct owner | 100% | January 30, 1992 |
| Clark County Nursing Home | Management company (operational or managerial control) | NOT APPLICABLE | December 18, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 51.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – county |
| First approved by Medicare/Medicaid | 1992-01-30 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1260 North Johnson Street, Kahoka, MO 63445 |
| County | Clark County |
| State | Missouri |
| Phone | (660) 727‑3303 |
| CMS Certification Number | 265485 |
| Name in Medicare records | CLARK COUNTY NURSING HOME |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- River Hills Village in Keokuk16 mi · Keokuk, IA · 3 of 5 stars
- Southeast Iowa Healthcare Center16 mi · Keokuk, IA · 4 of 5 stars
- Montrose Health Center17 mi · Montrose, IA · 4 of 5 stars
- Mississippi Valley17 mi · Keokuk, IA · 3 of 5 stars
- Lewis County Nursing Home District22 mi · Canton, MO · 1 of 5 stars
Nearest hospital emergency rooms
- Scotland County Hospital24 mi · Memphis, MO · Critical Access Hospital
- Van Buren County Hospital24 mi · Keosauqua, IA · Critical Access Hospital
- Memorial Hospital32 mi · Carthage, IL · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13