HomeMissouriClark CountyCLARK COUNTY NURSING HOME
C
Below Standard

CLARK COUNTY NURSING HOME

1260 NORTH JOHNSON STREET · KAHOKA, MO 63445

6607273303 · Government - County

99 beds53.6 residents74 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CLARK COUNTY NURSING HOME receives an overall staffing grade of C (Below Standard). With 3.551 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4834 HPRD, below the recommended 0.75. It is 0.35 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.42% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4834 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (3)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.551hrs/resident/day 0.35
CMS benchmark: 3.48
RN HPRD
0.4834hrs/resident/day 0.20
Recommended: 0.75
Weekend Drop-off
11.42%
3.6695 weekday → 3.2503 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0286hrs/resident/day
Direct care aides
LPN HPRD
0.2514hrs/resident/day
Licensed practical nurses
Consistency
0.308std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Clark County Average+0.00 HPRD
3.55
03.55 HPRD
vs. Missouri State Average+0.07 HPRD
3.48
03.55 HPRD
vs. National Average-0.35 HPRD
3.90
03.55 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CLARK COUNTY NURSING HOME
KAHOKA · This facility
C
3.5510.4834★★☆☆☆
LEWIS COUNTY NURSING HOME DISTRICT
CANTON
22.3 mi
C
3.50660.4721★★☆☆☆
COUNTRY AIRE RETIREMENT CENTER
LEWISTOWN
24.4 mi
D
3.53130.3379☆☆☆☆
MAPLE LAWN NURSING HOME
PALMYRA
46 mi
C
4.46210.4448★★☆☆☆
TWIN PINES ADULT CARE CENTER
KIRKSVILLE
47.4 mi
D
3.81760.3744★★☆☆☆
KIRKSVILLE MANOR CARE CENTER
KIRKSVILLE
47.8 mi
F
3.86710.1501☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
26
Total Deficiencies
$0
Fines Assessed
Mar 4, 2025Health
1 deficiency cited
Jan 29, 2025Health
13 deficiencies cited
May 4, 2023Health
9 deficiencies cited
Sep 19, 2019Health
3 deficiencies cited
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.