Elder Care Record

Missouri › Clark County › Kahoka

Clark County Nursing Home

1260 North Johnson Street, Kahoka, MO 63445

CCN 265485 · Government, county · 99 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Clark County Nursing Home, in Kahoka, Missouri, is certified for 99 beds under government, county ownership.

CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 4 and quality measures 1.

Inspectors recorded 27 health deficiencies across the three most recent survey cycles (14, 10, 3 by cycle, most recent first), none at the actual-harm level. That is 27.3 per 100 beds, about the same as the state median of 32.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 44.6%.

27health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.4nurse hours per resident per daystate median 3.4
54%occupancy (residents ÷ beds)54 residents a day

Compared with county, state and nation

MeasureThis facilityClark Co. medianMissouri medianUS average
Overall star rating2223.0
Health citations, 3 cycles27273128.7
Citations per 100 beds27.327.332.126.8
Total nurse hours per resident day3.43.43.43.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover44.6%44.6%56.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 210
Cycle 33

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Jan 2025, 4 May 2023.

Severity mix: D ×9 E ×12 F ×3 B ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Feb 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation4 Mar 2026
4 Mar 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation9 Apr 2025
29 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Mar 2025
29 Jan 2025F0880Provide and implement an infection prevention and control program.FStandard survey7 Mar 2025
29 Jan 2025F0637Assess the resident when there is a significant change in conditionEStandard survey7 Mar 2025
29 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey7 Mar 2025
29 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey7 Mar 2025
29 Jan 2025F0700Try 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.EStandard survey7 Mar 2025
29 Jan 2025F0761Ensure 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.EStandard survey7 Mar 2025
29 Jan 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey7 Mar 2025
29 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey7 Mar 2025
29 Jan 2025F0688Provide 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.DStandard survey7 Mar 2025
29 Jan 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey7 Mar 2025
29 Jan 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey7 Mar 2025
29 Jan 2025F0625Notify 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.BStandard survey7 Mar 2025
4 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Jun 2023
4 May 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey30 Jun 2023
4 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey30 Jun 2023
4 May 2023F0700Try 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.EStandard survey30 Jun 2023
4 May 2023F0880Provide and implement an infection prevention and control program.EStandard survey30 Jun 2023
4 May 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey30 Jun 2023
4 May 2023F0909Regularly 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.EStandard survey30 Jun 2023
4 May 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey30 Jun 2023
4 May 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedBStandard survey30 Jun 2023
19 Sep 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey17 Oct 2019
19 Sep 2019F0760Ensure that residents are free from significant medication errors.DStandard survey17 Oct 2019
19 Sep 2019F0880Provide and implement an infection prevention and control program.DStandard survey17 Oct 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.41 h
Nurse aides2.51 h
LPN0.38 h
RN0.52 h
Weekend total3.12 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 44.6%, RNs 37.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay29.8%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.0%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.4%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.4%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.1%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay26.1%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, county.

OrganisationRole in the CMS recordInterestSince
Clark County Nursing Home5% or greater direct ownership interest100%01/30/1992
Clark County Nursing HomeOperational/managerial controlNOT APPLICABLE12/18/2024
Clark County Nursing HomeAdp of the snfNOT APPLICABLE12/18/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Clark County Nursing Home been cited for?

27 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Clark County Nursing Home been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Clark County Nursing Home compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Clark County Nursing Home?

Ownership type is government, county. Organisations in the CMS ownership record include Clark County Nursing Home and Clark County Nursing Home. Individual owners and managers are not listed on this site.

When was Clark County Nursing Home last inspected?

The most recent survey or investigation in the CMS record is dated 3 Feb 2026; the most recent standard health survey was 29 Jan 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.