All states › Missouri › Kirksville › Kirksville Manor Care Center
1705 East Laharpe Kirksville, MO 63501 · Adair County
All 2 nursing homes in Kirksville, MO (2 take Medicaid)
CMS certification number 265247 · See this home on Medicare Care Compare
Is Kirksville Manor Care Center 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 Kirksville Manor Care Center 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 3.70 hours per resident per day at Kirksville Manor Care Center, above the Missouri median of 3.37 (US median: 3.72). About 0.24 of those hours are from registered nurses. On weekends it falls to 3.07 hours, 17% below its all-week average. Ask how weekends are staffed. 63.1% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at Kirksville Manor Care Center: Medicare and Medicaid
Kirksville Manor Care Center 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 March 18, 2026 and found 10 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 54 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 54 citations at Kirksville Manor Care Center across 9 inspection dates, 17 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 26, 2024 (complaint inspection). The most common areas cited were quality of life and care (13) and resident rights (13). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, November 26, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
March 18, 2026 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that residents are free from significant medication errors.
EProvide and implement an infection prevention and control program.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DAssess the resident when there is a significant change in condition
December 23, 2025 · 1 citation · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 30, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 26, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
October 4, 2024 · 7 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
EProvide and implement an infection prevention and control program.
February 16, 2024 · 13 citations, includes actual harm
GEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
FEnsure 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.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide safe and appropriate respiratory care for a resident when needed.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
December 20, 2023 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 4, 2023 · 1 citation · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
March 3, 2020 · 14 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EImplement 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.
EEnsure that residents are free from significant medication errors.
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.
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.
DReasonably accommodate the needs and preferences of each resident.
Questions to ask on a tour of Kirksville Manor Care Center
- Inspectors cited the home at the immediate-jeopardy level on November 26, 2024 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 June 30, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 17% 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?
- The home averages about 46% of its beds filled. Are any units closed?
- 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
4 penalties in the last three years, including $250,823 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 4, 2024 | Fine | $204,432 |
| Oct 4, 2024 | Payment Denial | 11 days of payments denied |
| Dec 20, 2023 | Fine | $46,391 |
| Dec 20, 2023 | Payment Denial | 48 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 1/5 |
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Location
Hospitals near Kirksville Manor Care Center
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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1.6 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.
Nearby nursing homes
More nursing homes near Kirksville Manor Care Center › All nursing homes in Kirksville ›
Compare Kirksville Manor Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Twin Pines Adult Care Center · Kirksville · 2 stars · 0.4 mi
Other Juckette Family Homes nursing homes in Missouri
- Pleasant Valley Manor Care Center · Liberty · 5 stars
- Warrensburg Manor Care Center · Warrensburg · 3 stars
- Independence Manor Care Center · Independence · 2 stars
- Fulton Manor Care Center · Fulton · 1 stars
- Livingston Manor Care Center · Chillicothe · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Juckette Family Homes nursing homes ›
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.