KNOX COUNTY NURSING HOME DISTRICT in Edina, MO has an overall rating of 1 out of 5 stars. Its staffing is 3.83 hours per resident per day, below the federal benchmark of 4.1, and it has a recent federal penalty with $93,280 in fines over the last 24 months; health inspections are 2 stars and quality measures are 1 star.
Last inspection: August 14, 2025Penalties, last 24 months: $93,280recent 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 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.
View the original federal record
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.
View the original federal record
F-Tag 728 — 42 CFR §483.35(e) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2020 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly hold, secure, and manage residents’ personal money kept by the facility. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 568 — 42 CFR §483.10 — S/S: E
Recent history
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.
See what inspectors found
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $93,280 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Feb 26, 2026
45 days
Federal fine
Feb 26, 2026
$93,280
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
The most recent standard health inspection was more than two years ago.
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.