Clark County Nursing Home: Staffing, Turnover, and Inspection Record
Clark County Nursing Home is a 99-bed government-run nursing home in Kahoka, Missouri. In the CMS August 2026 release it reported 2.51 nurse aide hours per resident per day, 10% above the Missouri average of 2.29, and 44.6% nursing staff turnover (Missouri average 56.0%).
Clark County Nursing Home
1260 North Johnson StreetKahoka, MO 63445
Clark County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Clark County Nursing Home, nurse aides logged 2.51 hours per resident per day, 10% above the Missouri average. With about 54 residents a day, that works out to roughly 135 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.51 | 2.29 | 2.32 |
| Licensed practical nurses | 0.38 | 0.68 | 0.86 |
| Registered nurses | 0.52 | 0.46 | 0.69 |
| All nursing staff | 3.41 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.12 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
44.6% of nursing staff at Clark County Nursing Home left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 37.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 29, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Clark County Nursing Home holds 2 of 5 overall; the Missouri average is 2.5.
About Clark County Nursing Home
- Ownership: Government - County
- Medicare and Medicaid certified since: Jan 30, 1992
- Councils: resident council
- Area: rural
Nursing homes near Clark County Nursing Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| River Hills Village in Keokuk Keokuk | 16.1 | 84 | 3.06 | 4.28 | 40.0% | 3 | None |
| Southeast Iowa Healthcare Center Keokuk | 16.4 | 55 | 1.60 | 2.94 | 35.9% | 4 | $25,495 |
| Montrose Health Center Montrose | 17.0 | 44 | 2.23 | 3.32 | 43.6% | 3 | $43,079 |
| Mississippi Valley Keokuk | 17.1 | 83 | 3.39 | 5.67 | 36.8% | 3 | $19,663 |
| Lewis County Nursing Home District Canton | 22.3 | 118 | 2.44 | 3.71 | 40.9% | 1 | None |
| Birkwood Village of Fort Madison Fort Madison | 22.7 | 80 | 2.81 | 4.52 | 52.5% | 3 | $3,145 |
| La Belle Manor Care Center La Belle · many days without an RN | 24.2 | 94 | 3.23 | 3.83 | 68.6% | 1 | None |
| West Point Care Center Inc West Point | 24.3 | 46 | 2.62 | 3.92 | 53.7% | 5 | $13,627 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.