Missouri › Knox County › Edina
Knox County Nursing Home District
55774 State Highway 6, Edina, MO 63537
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.
Certified for 60 beds, Knox County Nursing Home District serves Edina in Knox County, Missouri and has taken Medicare and Medicaid residents since 2003.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (15, 15, 11 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 68.3 per 100 beds, more than the state median of 32.1.
CMS lists 3 penalties in the period covered: fines totalling $93K and 2 payment denials.
Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Missouri median of 3.4.
Compared with county, state and nation
| Measure | This facility | Knox Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 41 | 41 | 31 | 28.7 |
| Citations per 100 beds | 68.3 | 68.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | — | 56.1% | 45.8% |
| Fines listed | $93,280 | $93,280 | $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
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2026, 1 Feb 2024.
Severity mix: K ×1 G ×3 D ×17 E ×14 F ×2 C ×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 |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0688 | 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. | E | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | 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 2026 |
| 26 Feb 2026 | 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 2026 |
| 26 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 May 2026 |
| 26 Feb 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Apr 2026 |
| 26 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 8 Apr 2026 |
| 14 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 19 Sep 2025 |
| 1 Feb 2024 | F0728 | 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. | F | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | 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 | 1 Mar 2024 |
| 1 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | 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. | D | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 1 Mar 2024 |
| 1 Feb 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 1 Mar 2024 |
| 30 Sep 2020 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | Standard survey | 27 Nov 2020 |
| 30 Sep 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 | 27 Nov 2020 |
| 30 Sep 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 | 27 Nov 2020 |
| 30 Sep 2020 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Nov 2020 |
| 30 Sep 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Nov 2020 |
| 30 Sep 2020 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard survey | 27 Nov 2020 |
| 30 Sep 2020 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Nov 2020 |
| 30 Sep 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Nov 2020 |
| 30 Sep 2020 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 27 Nov 2020 |
| 30 Sep 2020 | F0567 | Honor the resident's right to manage his or her financial affairs. | C | Standard survey | 27 Nov 2020 |
| 30 Sep 2020 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | C | Standard survey | 27 Nov 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Feb 2026 | Payment denial | — | 45 days |
| 26 Feb 2026 | Fine | $93,280 | |
| 14 Aug 2025 | Payment denial | — | 2 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, 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 | 19.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.1% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.6% | 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.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Knox County Nursing Home District | 5% or greater direct ownership interest | 100% | 05/09/1967 |
| Knox County Nursing Home District | 5% or greater mortgage interest | NOT APPLICABLE | 05/09/1967 |
| Knox County Nursing Home District | 5% or greater security interest | NOT APPLICABLE | 05/09/1967 |
| Knox County Nursing Home District | Operational/managerial control | NOT APPLICABLE | 05/09/1967 |
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 Knox County Nursing Home District been cited for?
41 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Knox County Nursing Home District been fined?
Yes. CMS lists fines totalling $93K in the period covered, plus 2 payment denials.
How does staffing at Knox County Nursing Home District compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Knox County Nursing Home District?
Ownership type is government, county. Organisations in the CMS ownership record include Knox County Nursing Home District and Knox County Nursing Home District. Individual owners and managers are not listed on this site.
When was Knox County Nursing Home District last inspected?
The most recent survey or investigation in the CMS record is dated 26 Feb 2026; the most recent standard health survey was 26 Feb 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.