Total health inspections
4
Missouri average 6.6
Last Health inspection on Mar 2025
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.
Clark County Nursing Home
Nursing Home
Clark County Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
Occupancy rate
57.5%
Residents per day (avg)
58
Occupancy rate
57.5%
Residents per day (avg)
58
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.0M
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
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.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
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
3.6515
10
-
+42%-2%+18%
Clark County Nursing Home
-3%
+18%
-14%
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
4.4095
26
-
-3%+18%-14%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
29
2
-2%+5%-67%
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
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Pets Allowed:
No
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
53.70
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Clark County Nursing Home
Type of care:
SNF
AL
Community:
MO 63445-1100
Bed Count:
103
Pets Allowed:
No
Operator:
CLARK COUNTY NURSING HOME
CCN:
265485
Occupancy:
57.5%
Home Revenue:
$3,995,173.00
Payroll Costs:
$3,196,095.00
Payroll %:
80%
Avg Residents/Day:
57.80
Overall Rating:
Adj Nurse Hours:
4.4095
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
26
RN share vs State Avg:
-3%
-3%
Staffing vs State Avg:
+18%
+18%
Occupancy vs State Avg:
-14%
-14%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%Places of interest near Clark County Nursing Home
0.0 miles from city center
KAHOKA, MO 63445-1100
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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 Nurse | 6 | 8.6 | No |
| Licensed Practical Nurse | 3 | 9 | No |
| Certified Nursing Assistant | 31 | 8 | 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 Assistant | 31 | 0 | 31 | 9,671 | 91 | 100% | 8 |
| Medication Aide/Technician | 8 | 0 | 8 | 3,405 | 91 | 100% | 9.4 |
| Registered Nurse | 6 | 0 | 6 | 1,670 | 91 | 100% | 8.6 |
| Nurse Aide in Training | 4 | 0 | 4 | 1,301 | 88 | 97% | 7.3 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,211 | 76 | 84% | 7.2 |
| Licensed Practical Nurse | 3 | 0 | 3 | 770 | 65 | 71% | 9 |
| RN Director of Nursing | 1 | 0 | 1 | 529 | 69 | 76% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 519 | 67 | 74% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 479 | 58 | 64% | 8.3 |
| Administrator | 1 | 0 | 1 | 436 | 56 | 62% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 238 | 41 | 45% | 5.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 232 | 52 | 57% | 4.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 119 | 29 | 32% | 4.1 |
| Qualified Social Worker | 0 | 1 | 1 | 60 | 31 | 34% | 1.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 38 | 27 | 30% | 1.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 26 | 3 | 3% | 8.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 5 | 5% | 2.6 |
| Medical Director | 0 | 1 | 1 | 11 | 6 | 7% | 1.8 |
| Other Physician | 0 | 2 | 2 | 8 | 6 | 7% | 1.3 |
| Feeding Assistant | 0 | 2 | 2 | 5 | 3 | 3% | 1.5 |
Health Inspection History
Inspections
Total health citations
26
Citations per inspection
6.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
25 of 26 citations resulted from standard inspections; and 1 of 26 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
23 moderate citations
3 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.1
19% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.2
14% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
29.2%
Percent of long-stay residents whose need for help with daily activities has increased
29.2%
48% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.3%
Percent of long-stay residents whose ability to move independently worsened
18.3%
11% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
5% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
31% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
28% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
32% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.1%
Percent of long-stay residents who lose too much weight
6.1%
9% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.8%
Percent of long-stay residents who received an antipsychotic medication
19.8%
10% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
50% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Clark County Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
57.5%
↓ 1.2pp vs 2023
Net Income
-$59,294
↓ ~$324K vs 2023
Total Payroll
$3,762,941
↑ ~$383K vs 2023
Profit Margin
-1.5%
↓ 8.5pp vs 2023
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