Knox County Nursing Home District

CMS star ratings

Overall★★★★★ 1/5

State avg 2.5

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 3/5

State avg 2.2

Quality measures★★★★★ 1/5

State avg 2.7

Long-stay quality★★★★★ 1/5

Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.83 (state 3.43 · U.S. 3.86)
Registered nurses (RN): 0.41 (state 0.46 · U.S. 0.69)
Licensed practical nurses: 0.77 (state 0.68 · U.S. 0.86)
Nurse aides: 2.65 (state 2.29 · U.S. 2.32)
Weekend total: 3.38 (state 3.02 · U.S. 3.42)
Nursing staff turnover: —
RN turnover: —

Inspections

Last standard inspection: February 26, 2026
Health deficiencies (last cycle): 15.0 (state 11.5 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 41 health · 21 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-02-26	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2026-04-08
2026-02-26	Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2026-04-08
2026-02-26	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. F0688 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	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. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	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. F0803 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-05-22
2026-02-26	Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2026-02-26	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-04-08
2025-08-14	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-09-19
2024-02-01	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. F0728 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	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. F0909 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-03-01
2024-02-01	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2024-03-01
2024-02-01	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2024-03-01
2020-09-30	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies	K Immediate jeopardy to resident health or safety	Corrected 2020-11-27
2020-09-30	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	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. F0803 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	Not hire anyone with a finding of abuse, neglect, exploitation, or theft. F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-11-27
2020-09-30	Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2020-11-27
2020-09-30	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2020-11-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $93,280 in fines.

Date	Type	Amount
2026-02-26	Payment Denial	45 days payment denial
2026-02-26	Fine	$93,280
2025-08-14	Payment Denial	2 days payment denial

Ownership & management

Name	Role	Since
Knox County Nursing Home District (organization)	5%+ Direct Ownership Interest · 100%
Knox County Nursing Home District (organization)	5%+ Mortgage Interest · NOT APPLICABLE
Knox County Nursing Home District (organization)	5%+ Security Interest · NOT APPLICABLE
Berry, Ken (individual)	Managing Control - Governing Body · NOT APPLICABLE
Early, Connie (individual)	Managing Control - Governing Body · NOT APPLICABLE
Hamlin, Tom (individual)	Managing Control - Governing Body · NOT APPLICABLE
Palmer, Linda (individual)	Managing Control - Governing Body · NOT APPLICABLE
Sayres, Brenda (individual)	Managing Control - Governing Body · NOT APPLICABLE
Witherow, Pamela (individual)	Managing Control - Governing Body · NOT APPLICABLE
Knox County Nursing Home District (organization)	Operational/managerial Control · NOT APPLICABLE
Murry, Katlind (individual)	Operational/managerial Control · NOT APPLICABLE
Strange, Lori (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Knox County Nursing Home District?

Knox County Nursing Home District has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Knox County Nursing Home District have?

It has 60 certified beds and cares for about 38 residents per day.

Has Knox County Nursing Home District been fined?

Yes. CMS lists 3 penalties totaling $93,280 in the last three years.

What is the phone number of Knox County Nursing Home District?

(660) 397-2282. The facility is located at 55774 State Highway 6, Edina, MO 63537.

Contact & location

Facility details