Nursing home · Edina, MO
Knox County Nursing Home District
55774 State Highway 6, Edina, MO 63537 · 60 certified beds · government ownership
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 26, 2026, when they cited 14 problems. The most common area was quality of life and care (4 citations). 2 citations were rated as causing actual harm or immediate jeopardy to residents. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Feb 26, 2026) 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 3.83 hours per resident per day here, 12% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.41 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Knox County Nursing Home District 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 home | Hannibal area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.83 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.41 | 0.34 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.38 | 3.16 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | — | 55% | 56% | 46% |
| Registered nurse turnover (past year) | — | 52% | 48% | 43% |
| Citations at the most recent standard inspection | 14 | 16.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 41 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Feb 26, 2026 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| Feb 26, 2026 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | D | Deficient, Provider has date of correction |
| Feb 26, 2026 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| Feb 26, 2026 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 26, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 26, 2026 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 26, 2026 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 26, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 26, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental | E | Deficient, Provider has date of correction |
| Feb 26, 2026 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 26, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Feb 26, 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. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Feb 26, 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. Pharmacy service | E | Deficient, Provider has date of correction |
| Feb 26, 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. Quality of life and care | E | Deficient, Provider has date of correction |
| Aug 14, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Feb 1, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 1, 2024 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Feb 1, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | C | Deficient, Provider has date of correction |
| Feb 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 1, 2024 | Ensure each residentâs drug regimen must be free from unnecessary drugs. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 1, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 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. Environmental | E | Deficient, Provider has date of correction |
| Feb 1, 2024 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Feb 1, 2024 | Implement a program that monitors antibiotic use. Infection control | E | Deficient, Provider has date of correction |
| Feb 1, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 1, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Feb 1, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| Feb 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. Nursing and physician services | F | Deficient, Provider has date of correction |
| Feb 1, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Sep 30, 2020 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Sep 30, 2020 | Honor the resident's right to manage his or her financial affairs. Resident rights | C | Deficient, Provider has date of correction |
| Sep 30, 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 30, 2020 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 30, 2020 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 30, 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. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Sep 30, 2020 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Sep 30, 2020 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Sep 30, 2020 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Sep 30, 2020 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care | K immediate jeopardy | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Feb 26, 2026 | Fine | $60,632 |
| Feb 26, 2026 | Payment Denial | 48 days |
| Aug 14, 2025 | Payment Denial | 2 days |
Location
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Reviews
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Questions about Knox County Nursing Home District
Answers computed from CMS data for this facility.
What is Knox County Nursing Home District's Medicare rating?
Medicare rates Knox County Nursing Home District 1 out of 5 stars overall (much 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 Knox County Nursing Home District do on its last inspection?
Inspectors' most recent visit in the CMS data was on Feb 26, 2026, when they cited 14 problems. The most common area was quality of life and care (4 citations). 2 citations were rated as causing actual harm or immediate jeopardy to residents. 0 of 14 are marked corrected in the CMS data. At its most recent standard inspection (Feb 26, 2026) it had 14 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Has Knox County Nursing Home District been fined?
Yes. CMS reports 1 fine totaling $60,632 in the past three years.
Does Knox County Nursing Home District accept Medicaid?
Knox County Nursing Home District is certified for both Medicare and Medicaid. Call (660) 397-2282 to ask whether a Medicaid bed is open.
Other nursing homes near Edina
- 4/5Elsberry Missouri Health Care CenterElsberry · 56 beds
- 4/5Monroe City Manor Care CenterMonroe City · 60 beds
- 2/5Clark County Nursing HomeKahoka · 99 beds
- 1/5Avenir at Maple GroveLouisiana · 90 beds
- 1/5Baptist Homes, Tri-CountyVandalia · 90 beds
- 1/5Beloved Health and Rehabilitation CenterHannibal · 111 beds
Compare all 15 Hannibal-area nursing homes · · Hannibal guide
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.