KNOX COUNTY NURSING HOME DISTRICT (EDINA, MO) has a 1-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 1 star for quality measures. It has had $60,632 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.83 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: February 26, 2026Penalties, last 24 months: $60,632recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8314.
Staffing detail
Registered nurses
0.41
Licensed practical nurses
0.77
Nurse aides
2.65
Weekend nursing
3.38
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20%25.8%Worsening
Residents with a fall causing major injury
17.1%2.8%Improving
Residents with pressure ulcers (bedsores)
8.2%3.8%Improving
Residents with a urinary tract infection
11.8%5.6%Improving
Residents who lost too much weight
3%8.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.2%17.1%Improving
Residents whose ability to walk got worse
—4.2%—
Long-stay residents on antianxiety or sleep medication
26.5%27.8%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
5.3%6.5%Worsening
Residents with new or worsening incontinence
11%8.3%Improving
Residents with depressive symptoms
0%6.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%88.9%Worsening
Short-stay residents given the pneumonia vaccine
—86.3%—
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2020 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K
The home failed to provide enough food and fluids to keep residents healthy. Cited February 2026 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2026 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to ensure nurse aides were properly trained and competent to provide safe care. Cited February 2024 — widespread issue, potential for harm.
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F-Tag 728 — 42 CFR §483.35(e) — S/S: F
Recent history
PENALTY
A federal fine of $60,632 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $93,280 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 15 health deficiencies.
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INSPECTION
Health inspection found 11 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $60,632 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Feb 26, 2026
48 days
Federal fine
Feb 26, 2026
$60,632
Medicare/Medicaid payment denial
Aug 14, 2025
2 days
Operator & ownership
Ownership
Government - County
Occupancy
38.3 residents on an average day (64% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.