All states › Missouri › Edina › Knox County Nursing Home District
55774 State Highway 6 Edina, MO 63537 · Knox County
CMS certification number 265763 · See this home on Medicare Care Compare
Is Knox County Nursing Home District a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Knox County Nursing Home District as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.77 hours per resident per day at Knox County Nursing Home District, above the Missouri median of 3.37 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 15% below its all-week average. Ask how weekends are staffed.
About this nursing home
Paying for care at Knox County Nursing Home District: Medicare and Medicaid
Knox County Nursing Home District is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 26, 2026 and found 14 deficiencies. In total, inspectors issued 41 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 41 citations at Knox County Nursing Home District across 4 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 30, 2020. The most common areas cited were quality of life and care (12) and nutrition and dietary (5). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level K, September 30, 2020). 4 citations were under CMS's abuse, neglect and exploitation rules.
February 26, 2026 · 14 citations
GProvide enough food/fluids to maintain a resident's health.
GProvide safe, appropriate pain management for a resident who requires such services.
EProvide 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.
EEnsure 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.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DAssess the resident when there is a significant change in condition
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that residents are free from significant medication errors.
August 14, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
February 1, 2024 · 15 citations
FEnsure 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.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide and implement an infection prevention and control program.
EImplement a program that monitors antibiotic use.
ERegularly 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement 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.
CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CPost nurse staffing information every day.
September 30, 2020 · 11 citations, includes immediate jeopardy
KProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CHonor the resident's right to manage his or her financial affairs.
CProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Questions to ask on a tour of Knox County Nursing Home District
- Inspectors cited the home at the immediate-jeopardy level on September 30, 2020 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 1, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $60,632 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 26, 2026 | Fine | $60,632 |
| Feb 26, 2026 | Payment Denial | 48 days of payments denied |
| Aug 14, 2025 | Payment Denial | 2 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 3/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 1/5 |
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Location
Hospitals near Knox County Nursing Home District
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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20.6 mi
Scotland County Hospital MemphisEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 44m for patients treated and sent home
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23.8 mi
Northeast Regional Medical Center KirksvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 30m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.