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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Clark County Nursing Home is a skilled nursing facility in Kahoka, Missouri, with 103 beds. It’s a part of the Clark County Nursing Home District and is administered by Tammy McDaniel Ramsey. Medicare, Medicaid, and private pay are accepted, so families have several options for covering the cost of care. The facility has an occupancy rate of 52%. Residents stay an average of 197 days, including individuals recovering after hospitalization and those receiving longer-term nursing care.
The facility mainly provides hands-on clinical support, with total nurse staffing averaging 4 hours and 25 minutes per resident each day. The care team includes registered nurses, nurse aides, and licensed practical nurses. They work throughout the day to support residents’ care needs.
Its location on North Johnson Street offers moderate walkability, with a Walk Score of 56. Some errands can be handled on foot, while most trips require a short drive. The surrounding neighborhood can be easily accessed by visiting family, and there are services available nearby.
Care at Clark County Nursing Home includes general and specialized services. On-site rehabilitation services support residents’ recovery and mobility, and the clinical team is composed of physicians, nurses, pharmacists, and diagnostic services such as laboratory and X-ray. The facility has partnerships with dental, mental health, podiatry, and speech pathology services to address residents’ needs. Social work and therapeutic activities are also offered onsite, with housekeeping, dietary, and nutritional support.
The home has residential councils where residents can take part in community decisions and activities. The caregiver turnover rate is 36.8%, indicating the facility’s staffing stability.
State inspections focused on infection control procedures, care documentation and planning, and medication and catheterization protocols. The facility addresses these areas as part of its ongoing operations.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 56th out of 276 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▲ 6% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 20m per day | ▼ 52% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 42m per day | ▲ 16% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 12m per day | ▲ 5% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 80% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ■ Avg State avg: 20m per day · National avg: 28m per day |
Lower than the Missouri average: 66.6%Clark County Nursing Home is legally operated by Clark County Nursing Home District, and administrated by Tammy Mcdaniel Ramsey.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 88 | 35 | This facility has 151% more total deficiencies than a typical Missouri nursing home (88 vs. MO avg 35).↑ 151% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 11 | 4.4 | This facility has 150% more deficiencies per year than a typical Missouri nursing home (11 vs. MO avg 4.4).↑ 150% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 8 | 5 | This facility has 60% more deficiencies per inspection than a typical Missouri nursing home (8 vs. MO avg 5).↑ 60% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 11 | 7 | This facility has 57% more total inspections than a typical Missouri nursing home (11 vs. MO avg 7).↑ 57% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Mar 2025
Missouri average 36.5
Missouri average 5.67
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.
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
All 3 LPN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 28 CNA Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
755 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 28 | 0 | 28 | 9,176 | 91 | 99% | 8.1 |
| Medication Aide/Technician | 8 | 0 | 8 | 3,396 | 90 | 98% | 9.2 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,725 | 77 | 84% | 7 |
| Registered Nurse | 4 | 0 | 4 | 1,331 | 81 | 88% | 9.7 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,038 | 77 | 84% | 9.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 526 | 63 | 68% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 519 | 66 | 72% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 508 | 71 | 77% | 7.1 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 492 | 63 | 68% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 326 | 63 | 68% | 5.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 184 | 36 | 39% | 5.1 |
| Nurse Aide in Training | 2 | 0 | 2 | 158 | 22 | 24% | 7.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 125 | 31 | 34% | 4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 31 | 29 | 32% | 0.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 24 | 16 | 17% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 7 | 8% | 2.6 |
| Medical Director | 0 | 1 | 1 | 9 | 5 | 5% | 1.8 |
| Feeding Assistant | 0 | 1 | 1 | 8 | 5 | 5% | 1.5 |
| Other Physician | 0 | 2 | 2 | 6 | 6 | 7% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
29.2%
48% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
18.3%
11% better than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
31% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
6.4%
28% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.9%
32% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
6.1%
9% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
19.8%
10% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.01
45% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.32
41% worse than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
50% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.8%
22% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.5%
23% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
2.3%
195% worse than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.6%
In line with Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.6%
12% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
37% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Clark County Nursing Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #134 / 286Payroll — State benchmarkedThis home is ranked 134th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Kahoka's city center to Clark County Nursing Home's address, calculated via Google Maps.
Add your location
Clark County Nursing Home is located in KAHOKA, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 50
Facility
50
MO AVG
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Rank
#390 / 454 | - | - | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Farmington | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| Clark County Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
103
MO AVG
97
Rank
#168 / 454 |
52.4%
Facility
52.4%
MO AVG
66.6%
Rank
#326 / 428 | -21% | 4.41
Facility
4.41
MO AVG
3.74
Rank
#56 / 276 | -27% | +18% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 26
Facility
26
MO AVG
36.5
Rank
#112 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 51 | - |
56
Facility
56
MO AVG
45
Rank
#181 / 563 | Clark County Nursing Home | $4.9M
Facility
$4.9M
MO AVG
$8.4M
Rank
#205 / 286 | $3.8M
Facility
$3.8M
MO AVG
$3.3M
Rank
#134 / 286 | 76.4%
Facility
76.4%
MO AVG
45.6%
Rank
#18 / 286 | 265485 | ||||
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Facility
38
MO AVG
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Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
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Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
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IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Facility
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MO AVG
97
Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
#166 / 428 | +9% | 3.50
Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
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50
Facility
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MO AVG
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Rank
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Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of Clark County Nursing Home is Clark County Nursing Home District.
Clark County Nursing Home has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Clark County Nursing Home's license number is 053322.
According to MO state health department records, Clark County Nursing Home's license expires on January 29, 2028.
Clark County Nursing Home's occupancy is 52%.
Tammy McDaniel Ramsey is the administrator of Clark County Nursing Home.
Clark County Nursing Home has 103 beds.
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