Knox County Nursing Home District: Staffing, Turnover, and Inspection Record
Knox County Nursing Home District is a 60-bed government-run nursing home in Edina, Missouri. In the CMS August 2026 release it reported 2.65 nurse aide hours per resident per day, 16% above the Missouri average of 2.29.
Knox County Nursing Home District
55774 State Highway 6Edina, MO 63537
Knox 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 Knox County Nursing Home District, nurse aides logged 2.65 hours per resident per day, 16% above the Missouri average. With about 38 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.65 | 2.29 | 2.32 |
| Licensed practical nurses | 0.77 | 0.68 | 0.86 |
| Registered nurses | 0.41 | 0.46 | 0.69 |
| All nursing staff | 3.83 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.38 | 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
CMS publishes no nursing staff turnover figure for Knox County Nursing Home District in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $93,280 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 26, 2026 | Fine | $93,280 |
| Feb 26, 2026 | Payment Denial | 45 days from Apr 7, 2026 |
| Aug 14, 2025 | Payment Denial | 2 days from Sep 17, 2025 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Knox County Nursing Home District holds 1 of 5 overall; the Missouri average is 2.5.
About Knox County Nursing Home District
- Ownership: Government - County
- Medicare and Medicaid certified since: Jun 20, 2003
- Councils: resident council
- Area: rural
Nursing homes near Knox County Nursing Home District
The closest homes by distance, with the same CMS figures. Select a column to sort.
| La Belle Manor Care Center La Belle · many days without an RN | 12.0 | 94 | 3.23 | 3.83 | 68.6% | 1 | None |
| Country Aire Retirement Center Lewistown · many days without an RN | 19.2 | 60 | 1.94 | 2.97 | 61.3% | 1 | None |
| La Plata Nursing Home La Plata | 20.6 | 52 | 2.63 | 3.52 | 30.0% | 3 | None |
| Twin Pines Adult Care Center Kirksville | 22.0 | 120 | 2.30 | 3.42 | 44.3% | 2 | None |
| Kirksville Manor Care Center Kirksville · many days without an RN | 22.4 | 119 | 2.98 | 4.08 | 57.4% | 1 | $250,823 |
| Clark County Nursing Home Kahoka | 28.9 | 99 | 2.51 | 3.41 | 44.6% | 2 | None |
| Clarence Care Center Clarence | 29.9 | 60 | 3.00 | 4.15 | 40.0% | 3 | None |
| Schuyler County Nursing Home District Queen City | 30.7 | 60 | 2.89 | 4.08 | 38.3% | 1 | None |
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.