Quick answers
- Where is Knox County Nursing Home District?
- 55774 State Highway 6, Edina, MO 63537, in Knox County, Missouri.
- What is the phone number of Knox County Nursing Home District?
- (660) 397-2282, as listed by Medicare (CMS).
- What is the Medicare star rating of Knox County Nursing Home District?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Knox County Nursing Home District been fined?
- Medicare lists 1 fine totaling $60,632 and 2 payment denials.
- What did inspectors find at Knox County Nursing Home District?
- In its last three inspection cycles (September 30, 2020 to February 26, 2026), Medicare lists 41 health citations; the most serious was level K. 4 were level G or higher (actual harm or immediate jeopardy). 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 30, 2020 to February 26, 2026), Knox County Nursing Home District had 41 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $60,632 in total (1 fine, the latest on February 26, 2026) and had 2 Medicare payment denials. Nurse staffing is 3.77 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: February 26, 2026 — 14 health citations
Inspections in this cycle: February 26, 2026 (standard health inspection).
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0688 Level E
“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.”
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.”
F0803 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0569 Level D
“Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Previous cycle: February 1, 2024 — 16 health citations
Inspections in this cycle: February 1, 2024 (standard health inspection); August 14, 2025 (complaint investigation).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 15 less serious citations (levels A to F)
F0728 Level F
“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.”
F0568 Level E
“Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0881 Level E
“Implement a program that monitors antibiotic use.”
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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0758 Level D
“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.”
F0623 Level C
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0732 Level C
“Post nurse staffing information every day.”
Earlier cycle: September 30, 2020 — 11 health citations
Inspections in this cycle: September 30, 2020 (standard health inspection).
F0678 Level K
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
Show 10 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0803 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0606 Level D
“Not hire anyone with a finding of abuse, neglect, exploitation, or theft.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0567 Level C
“Honor the resident's right to manage his or her financial affairs.”
F0568 Level C
“Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.”
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 (21)
K0131 Level E
“Meet requirements for sections of health care facilities separated by fire resistive construction.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0100 Level D
“Meet other general requirements.”
E0018 Level F
“Establish procedures for tracking staff and patients during an emergency.”
E0020 Level F
“Establish policies and procedures including evacuation.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
K0311 Level E
“Have an enclosure around a vertical opening shaft.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0324 Level D
“Provide properly protected cooking facilities.”
E0004 Level C
“Develop and maintain an Emergency Preparedness Program (EP).”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0036 Level F
“Establish emergency prep training and testing.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0161 Level E
“Use approved construction type or materials.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Fines and payment denials
Total fines over about the last three years: $60,632 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 26, 2026 | Fine | $60,632 |
| February 26, 2026 | Payment denial | from April 4, 2026, 48 days |
| August 14, 2025 | Payment denial | from September 17, 2025, 2 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
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 | 0.53 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.58 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.67 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.77 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.20 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.34 | 0.32 | 0.48 |
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 |
|---|---|---|---|
| Knox County Nursing Home District | Direct owner | 100% | May 9, 1967 |
| Knox County Nursing Home District | Management company (operational or managerial control) | NOT APPLICABLE | May 9, 1967 |
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 | 60 |
| Average residents per day | 38.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – county |
| First approved by Medicare/Medicaid | 2003-06-20 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 55774 State Highway 6, Edina, MO 63537 |
| County | Knox County |
| State | Missouri |
| Phone | (660) 397‑2282 |
| CMS Certification Number | 265763 |
| Name in Medicare records | KNOX COUNTY NURSING HOME DISTRICT |
| 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).
- La Belle Manor Care Center12 mi · La Belle, MO · 1 of 5 stars
- Country Aire Retirement Center19 mi · Lewistown, MO · 1 of 5 stars
- La Plata Nursing Home21 mi · La Plata, MO · 3 of 5 stars
- Twin Pines Adult Care Center22 mi · Kirksville, MO · 2 of 5 stars
- Kirksville Manor Care Center22 mi · Kirksville, MO · 1 of 5 stars
Nearest hospital emergency rooms
- Scotland County Hospital21 mi · Memphis, MO · Critical Access Hospital
- Northeast Regional Medical Center24 mi · Kirksville, MO · Acute Care Hospital
- Macon County Samaritan Memorial Hospital34 mi · Macon, MO · 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