Senior CareScorecard

Nursing home · Kahoka, MO

Clark County Nursing Home

1260 North Johnson Street, Kahoka, MO 63445 · 99 certified beds · government ownership

Medicare & Medicaid
Medicare overall rating2 / 5Below averageHannibal area 1.5 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
4/5Staffing Above average
1/5Quality measures Much below average
3/5Short-stay (rehab) quality Average
1/5Long-stay quality Much below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Feb 3, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jan 29, 2025) it had 14 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.41 hours per resident per day here, about the same as the Missouri average (3.43) and 12% less than the U.S. average (3.86). Registered nurses account for 0.52 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 45% over the past year, 11 points lower than Missouri (56%) and 1 points lower than the U.S. (46%).

How Clark County Nursing Home compares

This home's latest CMS figures next to the averages for Hannibal-area homes (15), Missouri (487) and the U.S. (14,680).

This homeHannibal areaMissouriU.S.
Total nurse hours per resident per day3.413.513.433.86
Registered nurse hours per resident per day0.520.340.460.68
Weekend nurse hours per resident per day3.123.163.013.42
Nursing staff turnover (past year)45%55%56%46%
Registered nurse turnover (past year)38%52%48%43%
Citations at the most recent standard inspection1416.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Feb 3, 20261complaint
Mar 4, 20251complaint
Jan 29, 202513standard
May 4, 20239standard
Sep 19, 20193standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 27 of 27 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Feb 3, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Mar 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights · complaint
DDeficient, Provider has date of correction
Jan 29, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Jan 29, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jan 29, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
BDeficient, Provider has date of correction
Jan 29, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of life and care
DDeficient, Provider has date of correction
Jan 29, 2025Provide 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.
Quality of life and care
DDeficient, Provider has date of correction
Jan 29, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
DDeficient, Provider has date of correction
Jan 29, 2025Notify 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.
Resident rights
BDeficient, Provider has date of correction
Jan 29, 2025Ensure 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.
Pharmacy service
EDeficient, Provider has date of correction
Jan 29, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Jan 29, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Jan 29, 2025Assess the resident when there is a significant change in condition
Resident assessment and care planning
EDeficient, Provider has date of correction
Jan 29, 2025Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Jan 29, 2025Try 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.
Quality of life and care
EDeficient, Provider has date of correction
May 4, 2023Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
May 4, 2023Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident assessment and care planning
BDeficient, Provider has date of correction
May 4, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
May 4, 2023Regularly 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.
Environmental
EDeficient, Provider has date of correction
May 4, 2023Try 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.
Quality of life and care
EDeficient, Provider has date of correction
May 4, 2023Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
May 4, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
May 4, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident assessment and care planning
EDeficient, Provider has date of correction
May 4, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Sep 19, 2019Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
EDeficient, Provider has date of correction
Sep 19, 2019Ensure that residents are free from significant medication errors.
Pharmacy service
DDeficient, Provider has date of correction
Sep 19, 2019Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

Map data © OpenStreetMap contributors.

We don't have licensed photos yet. See photos on Google Maps.

Reviews

No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.

Write a review

Read Google reviews (opens Google Maps).

Questions about Clark County Nursing Home

Answers computed from CMS data for this facility.

What is Clark County Nursing Home's Medicare rating?

Medicare rates Clark County Nursing Home 2 out of 5 stars overall (below average). The average for Hannibal-area nursing homes is 1.5, for Missouri 2.51 and for the U.S. 2.99.

How did Clark County Nursing Home do on its last inspection?

Inspectors' most recent visit in the CMS data was on Feb 3, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jan 29, 2025) it had 14 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.

Has Clark County Nursing Home been fined?

CMS reports no federal fines for this facility in the past three years.

Does Clark County Nursing Home accept Medicaid?

Clark County Nursing Home is certified for both Medicare and Medicaid. Call (660) 727-3303 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.