Clark County Nursing Home

Clark County Nursing Home is a Nursing Home in Missouri

Clark County Nursing Home is a Nursing Home in Missouri

Clark County Nursing Home

KAHOKA, MO 63445-1100 View Map

Clark County Nursing Home is a Nursing Home in Missouri

Clark County Nursing Home is a Nursing Home in Missouri

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Overview of Clark County Nursing Home
Clark County Nursing Home is a medium-sized nursing home facility in Kahoka, Missouri. It offers various services including nursing, rehabilitation, and therapeutic activities. The facility participates in Medicare and Medicaid programs.
(660) 727-3303

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.41/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 103

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 57.5%
Residents per day (avg) 58
Occupancy rate
57.5%
Residents per day (avg)
58

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

37% of new residents, usually for short-term rehab.

Typical stay 16 days

Private pay

55% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 4 years

Finances and operations

Governmental home
State
Home revenue
$4.9M
Operating deficit
-$59.3K
Governmental home State
Home revenue
$4,925,179.00
Operating deficit
$-59,294.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
64.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
Total costs $5.0M
Bed community size
103-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265485
Certification type: Medicare/Medicaid
County: CLARK

Ownership & operating entity

Clark County Nursing Home is administrated by TAMMY MCDANIEL RAMSEY.

Owner name: CLARK COUNTY NURSING HOME DISTRICT

Safety & Compliance

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
Caregiver Turnover: 36.8%

Amenities & Lifestyle

Residential Councils

Programs & Activities

Specific Programs
Clinical Labs, Dental Care, Dietary, Housekeeping, Mental Health, Nursing, Occupational Therapy, Pharmacy, Physician, Podiatry, Physical Therapy, Social Work, Speech Pathology, Therapeutic Activities, Therapeutic Social Services, Therapeutic Qualified Activities, X-rays

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Compare Nursing Homes around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Bertrand Nursing And Rehab Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
5/5
3.6515
5/5
3/5
2/5
-
Clark County Nursing Home
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63445-1100
103
No
-
CLARK COUNTY NURSING HOME
57.5%
$3,995,173.00
$3,196,095.00
80%
57.80
3/5
4.4095
3/5
4/5
2/5
-
Advanced Care of St Joseph
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64505-1872
180
No
-
NORTH 18TH STREET CONSULTING LLC
57.2%
$5,504,210.00
$2,303,058.00
41.8%
141.10
1/5
2.1152
2/5
1/5
4/5
1
Amberwood Estates Nursing and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63121-1407
115
No
-
BERMUDA DRIVE CONSULTING LLC
81.7%
$5,482,532.00
$3,052,207.00
55.7%
79.70
1/5
1.7169
2/5
1/5
2/5
4
Good Shepherd Care Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Clark County Nursing Home

Address 0.0 miles from city center

Address KAHOKA, MO 63445-1100

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

79
Total Staff
62
Employees
17
Contractors
21,229
Total Hours (Quarter)
30
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse68.6 No
Licensed Practical Nurse39 No
Certified Nursing Assistant318 No
Staff by Category
Administration
2 staff
7.2hs shift avg
Nursing Staff
55 staff
8.2hs shift avg
Physicians & Practitioners
4 staff
7.6hs shift avg
Therapy Services
11 staff
4.2hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.9hs shift avg
Dietary Services
5 staff
7.2hs shift avg
Other Services
1 staff
8.3hs shift avg
Contractor Analysis
3.5%
of total hours from contractors
749 contractor hours this quarter
Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Qualified Social Worker: 1 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Other Physician: 2 Medical Director: 1 Occupational Therapy Aide: 1 Feeding Assistant: 2 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant310319,67191100%8
Medication Aide/Technician8083,40591100%9.4
Registered Nurse6061,67091100%8.6
Nurse Aide in Training4041,3018897%7.3
Other Dietary Services Staff5051,2117684%7.2
Licensed Practical Nurse3037706571%9
RN Director of Nursing1015296976%7.7
Clinical Nurse Specialist1015196774%7.7
Nurse Practitioner1014886167%8
Mental Health Service Worker1014795864%8.3
Administrator1014365662%7.8
Physical Therapy Aide0222384145%5.8
Speech Language Pathologist0222325257%4.5
Physical Therapy Assistant0331192932%4.1
Qualified Social Worker011603134%1.9
Respiratory Therapy Technician022382730%1.3
Occupational Therapy Aide0112633%8.8
Occupational Therapy Assistant0111355%2.6
Medical Director0111167%1.8
Other Physician022867%1.3
Feeding Assistant022533%1.5

Health Inspection History

Total Health inspections 4
39% below Missouri average
Missouri average: 6.6

Last Health inspection on Mar 2025

Total Health citations 26
29% below Missouri average
Missouri average: 36.5

6.5 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 25 citations
Complaint investigations 1 citations
Breakdown of citations
Critical Health citations 0
100% below Missouri average
Missouri average: 0.7
Serious Health citations 0
100% below Missouri average
Missouri average: 1.0
Moderate Health citations 23

Minor Health citations 3
Citations history (last 3 years)
Resident Rights moderate citation Mar 04, 2025
Corrected

Abuse/Neglect moderate citation Jan 29, 2025
Corrected

Infection Control moderate citation Jan 29, 2025
Corrected

Nutrition moderate citation Jan 29, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: County Government
Resident Census by Payment Source
59 Total Residents
Medicare 2 (3.4%)
Medicaid 31 (52.5%)
Private Pay/Other 26 (44.1%)
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 13.1
19% worse than Missouri average
Missouri average: 10.9
Functional decline score 22.2
14% worse than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 29.2%
48% above Missouri average.

Walking Ability Worsened 18.3%
11% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 19.1%
5% above Missouri average.
Safety & clinical stability

Falls with Major Injury 5.3%
31% above Missouri average.

High Risk Residents with Pressure Ulcers 6.4%
28% above Missouri average.

Urinary Tract Infection 1.9%
32% below Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Missouri average.

Antipsychotic Use 19.8%
10% below Missouri average.
Preventive care

Pneumococcal Vaccine 100.0%
17% above Missouri average.

Influenza Vaccine 100.0%
10% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 6.1%
9% above Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 100.0%

50% better than Missouri average
Antipsychotic medication increase 0.0%

100% better than Missouri average

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Missouri Seniors

Get financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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