Knox County Nursing Home District
55774 State Highway 6, Edina, MO 63537 · (660) 397-2282
Government - County · 60 certified beds
Knox County Nursing Home District has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 14 citations, 2 for actual harm or immediate jeopardy (the Missouri average is 11.4). It was fined 1 time in the last three years, $60,632 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 26, 2026 found 14 citations. What an inspection citation means
- Provide enough food/fluids to maintain a resident's health.February 26, 2026 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.February 26, 2026 · F0697 · Level of harm: Actual harm · Residents affected: Few
- 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.February 26, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 26, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 26, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 26, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 26, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that a working call system is available in each resident's bathroom and bathing area.February 26, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.February 26, 2026 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident when there is a significant change in conditionFebruary 26, 2026 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.February 26, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesFebruary 26, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 26, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 26, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 1 citation.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 14, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $60,632February 26, 2026
- Medicare payment denial for 48 daysStarting April 4, 2026
- Medicare payment denial for 2 daysStarting September 17, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.83 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.41 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.77 | 0.68 | 0.86 |
| Nurse aides | 2.65 | 2.29 | 2.32 |
| Total nursing staff turnover | Not available | 56% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 60 |
| Average residents per day | 38.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Twin Pines Adult Care Center Kirksville · ★★★★★ 2 out of 5 stars
- Kirksville Manor Care Center Kirksville · ★★★★★ 1 out of 5 stars
- La Plata Nursing Home La Plata · ★★★★★ 3 out of 5 stars
- Macon Health Care Center Macon · ★★★★★ 5 out of 5 stars
- Loch Haven Macon · ★★★★★ 2 out of 5 stars
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from Knox County Nursing Home District on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.