Missouri › Adair County › Kirksville
Kirksville Manor Care Center
1705 East Laharpe, Kirksville, MO 63501
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.
Kirksville Manor Care Center is a For-profit, corporation nursing home in Kirksville, Missouri, certified for 119 beds and caring for about 51 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 1.
Inspectors recorded 54 health deficiencies across the three most recent survey cycles (11, 26, 17 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 45.4 per 100 beds, more than the state median of 32.1.
CMS lists 4 penalties in the period covered: fines totalling $251K and 2 payment denials.
Reported nurse staffing is 4.1 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 57.4%.
Compared with county, state and nation
| Measure | This facility | Adair Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 54 | 54 | 31 | 28.7 |
| Citations per 100 beds | 45.4 | 45.4 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 57.4% | 57.4% | 56.1% | 45.8% |
| Fines listed | $250,823 | $250,823 | $0 | — |
County and state figures are medians across facilities (2 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Mar 2026, 16 Feb 2024.
Severity mix: J ×2 G ×5 D ×11 E ×32 F ×4
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 4 May 2026 |
| 18 Mar 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 4 May 2026 |
| 23 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 6 Feb 2026 |
| 30 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | Past Non-Compliance |
| 26 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 8 Jan 2025 |
| 26 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Jan 2025 |
| 26 Nov 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 8 Jan 2025 |
| 26 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 8 Jan 2025 |
| 26 Nov 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 8 Jan 2025 |
| 4 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 8 Jan 2025 |
| 4 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Jan 2025 |
| 4 Oct 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 8 Jan 2025 |
| 4 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 8 Jan 2025 |
| 4 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 8 Jan 2025 |
| 4 Oct 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint investigation | 8 Jan 2025 |
| 4 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Jan 2025 |
| 16 Feb 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0803 | 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. | F | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Apr 2024 |
| 16 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Apr 2024 |
| 20 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 8 Apr 2024 |
| 20 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Apr 2024 |
| 4 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 8 Nov 2023 |
| 3 Mar 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0700 | Try 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. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0758 | 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. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0761 | 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. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0803 | 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. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0909 | 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. | E | Standard survey | 8 Apr 2020 |
| 3 Mar 2020 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 Apr 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Oct 2024 | Payment denial | — | 11 days |
| 4 Oct 2024 | Fine | $204,432 | |
| 20 Dec 2023 | Payment denial | — | 48 days |
| 20 Dec 2023 | Fine | $46,391 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 57.4%, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.5% | 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: for-profit, corporation. CMS groups this facility with 6 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Kirksville Manor Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kirksville Manor Inc | Direct ownership interest | NOT APPLICABLE | 09/22/1972 |
| Curana Health of Missouri-Kansas LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| Juckette Management Services Inc | Operational/managerial control | NOT APPLICABLE | 12/01/2015 |
| Curana Health of Missouri-Kansas LLC | Adp of the snf | NOT APPLICABLE | 10/14/2025 |
| Juckette Management Services Inc | Adp of the snf | NOT APPLICABLE | 10/14/2025 |
| Kirksville Manor Inc | Adp of the snf | NOT APPLICABLE | 09/22/1972 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Adair County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Twin Pines Adult Care Center | Kirksville | 120 | 2 | 2 | 4 | 35 | 29.2 | — | 24 Feb 2026 |
All 2 facilities in Adair County
Questions and answers
How many deficiencies has Kirksville Manor Care Center been cited for?
54 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Kirksville Manor Care Center been fined?
Yes. CMS lists fines totalling $251K in the period covered, plus 2 payment denials.
How does staffing at Kirksville Manor Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Kirksville Manor Care Center?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Kirksville Manor Inc, Curana Health of Missouri-Kansas LLC and Juckette Management Services Inc. Individual owners and managers are not listed on this site.
When was Kirksville Manor Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 18 Mar 2026.
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.