Total health inspections
8
Missouri average 6.6
Last Health inspection on Jun 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Kirksville Manor Care Center
Nursing Home
Kirksville Manor Care Center
Nursing Home
Find the right care for your needs with Kirksville Manor Care Center, a dependable senior living community in East Laharpe, Kirksville, MO, providing skilled care and short-term rehabilitation. Residents will surely thrive with the community’s comprehensive care and expansive amenities designed for their comfort and wellness. The community also strives to ease residents’ financial constraints with Medicare and Medicaid.
With a nearby hospital and other trusted senior care providers, residents can easily access their medical needs. The community is committed to improving residents’ well-being by promoting a nurturing and welcoming environment. Here, residents are encouraged to live their lives to the fullest while receiving the utmost care and support they deserve.
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.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
132
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
43.4%
Residents per day (avg)
44
Occupancy rate
43.4%
Residents per day (avg)
44
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
20% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
27% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
53% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Proprietary home
Corporation
Home revenue
$4.4M
Operating loss
-$671.1K
Proprietary home
Corporation
Home revenue
$4,427,198.00
Operating loss
$-671,067.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
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.
$1.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.1M
132-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 24 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265247
County:
ADAIR
Ownership & operating entity
Kirksville Manor Care Center is legally operated by KIRKSVILLE MANOR, INC, and administrated by ESLINGER.
Corporate entity:
KIRKSVILLE MANOR, INC
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Nursing Services, Rehabilitation Services, Activities, Social Services
Volunteer Programs
Yes
What does this home offer?
Accept Medicaid: Yes, Accept
Total Residents: 119 Residents
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Types of Care at Kirksville Manor Care Center
Nursing Home
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 Kirksville
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Kirksville Manor Care Center
-80%
+21%
-35%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
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.
SNF
Nursing Homes 24/7 care needed
Kirksville
132
No
24
KIRKSVILLE MANOR INC
43.4%
$4,396,415.00
$3,148,645.00
71.6%
44.10
4.5134
2
47
7
-80%+21%-35%Private / Semi-Private Rooms
Preferred Family Healthcare, Inc
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63501-4520
57
No
-
-
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Rooms
Kirksville Manor Care Center
Type of care:
AL
IL
MC
SNF
Community:
Kirksville
Bed Count:
132
Pets Allowed:
No
Operator:
KIRKSVILLE MANOR INC
CCN:
265247
Occupancy:
43.4%
Home Revenue:
$4,396,415.00
Payroll Costs:
$3,148,645.00
Payroll %:
71.6%
Avg Residents/Day:
44.10
Overall Rating:
Adj Nurse Hours:
4.5134
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
47
Severe Citations:
7
RN share vs State Avg:
-80%
-80%
Staffing vs State Avg:
+21%
+21%
Occupancy vs State Avg:
-35%
-35%
Bed Options:
Private / Semi-Private Rooms
Places of interest near Kirksville Manor Care Center
2.0 miles from city center
1705 E La Harpe St, Kirksville, MO 63501
Calculate Travel Distance to Kirksville Manor Care Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
123
Total Staff
116
Employees
7
Contractors
19,600
Total Hours (Quarter)
24
Avg Staff/Day
9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 2 | 10.6 | No |
| Licensed Practical Nurse | 19 | 9.5 | No |
| Certified Nursing Assistant | 61 | 8.9 | No |
Staff by Category
Administration ⓘ
11 staff
8.1hs shift avg
Nursing Staff ⓘ
102 staff
9.3hs shift avg
Physicians & Practitioners ⓘ
1 staff
5.7hs shift avg
Therapy Services ⓘ
6 staff
6.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.5hs shift avg
Dietary Services ⓘ
1 staff
7hs shift avg
Other Services ⓘ
1 staff
7.7hs shift avg
Contractor Analysis
6%
of total hours from contractors
1,179 contractor hours this quarter
Speech Language Pathologist: 1
Physical Therapy Assistant: 1
Physical Therapy Aide: 1
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 61 | 0 | 61 | 8,211 | 91 | 100% | 8.9 |
| Medication Aide/Technician | 6 | 0 | 6 | 3,008 | 91 | 100% | 11.4 |
| Licensed Practical Nurse | 19 | 0 | 19 | 2,846 | 90 | 99% | 9.5 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,455 | 78 | 86% | 8.8 |
| Administrator | 11 | 0 | 11 | 730 | 42 | 46% | 8.1 |
| RN Director of Nursing | 6 | 0 | 6 | 719 | 69 | 76% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 525 | 62 | 68% | 8.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 506 | 64 | 70% | 7.9 |
| Dietitian | 1 | 0 | 1 | 478 | 68 | 75% | 7 |
| Mental Health Service Worker | 1 | 0 | 1 | 477 | 62 | 68% | 7.7 |
| Registered Nurse | 2 | 0 | 2 | 465 | 41 | 45% | 10.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 72 | 28 | 31% | 2.6 |
| Nurse Practitioner | 1 | 0 | 1 | 34 | 6 | 7% | 5.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 18 | 12 | 13% | 1.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 16 | 14 | 15% | 1.1 |
Health Inspection History
Inspections
Total health citations
47
Citations per inspection
5.88
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
31 of 47 citations resulted from standard inspections; and 16 of 47 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
5
5
400% worse than Missouri averageMissouri average: 1
2 critical citations
5 serious citations
40 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Jun 30, 2025
Nursing Services moderate citation
Nov 26, 2024
Corrected
Quality of Care moderate citation
Nov 26, 2024
Corrected
Quality of Care critical citation
Nov 26, 2024
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: For-Profit Corporation
Resident Census by Payment Source
64
Total Residents
Medicare
7
(10.9%)
ⓘ
Medicaid
41
(64.1%)
ⓘ
Private Pay/Other
16
(25%)
ⓘ
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.
5.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.3
51% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.6
56% better 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
7.9%
Percent of long-stay residents whose need for help with daily activities has increased
7.9%
60% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.3%
Percent of long-stay residents whose ability to move independently worsened
6.3%
69% 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
11.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.6%
36% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
42% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
43% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
12.7%
Percent of long-stay residents with a urinary tract infection
12.7%
365% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.2%
Percent of long-stay residents who lose too much weight
7.2%
29% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.6%
Percent of long-stay residents who have depressive symptoms
0.6%
95% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
29.1%
Percent of long-stay residents who received an antipsychotic medication
29.1%
32% worse 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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.49
Number of hospitalizations per 1,000 long-stay resident days.
2.49
20% worse than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.67
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.67
99% worse than Missouri averageMissouri average: 2.35
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%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
58% better than Missouri averageMissouri average: 63.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.3%
8% better than Missouri averageMissouri average: 25.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
25.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
25.6%
91% worse than Missouri averageMissouri average: 13.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
20.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
20.7%
61% worse than Missouri averageMissouri average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
41.1%
Rate of successful return to home or community from a skilled nursing facility.
41.1%
19% 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.
Penalties and fines
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 (Data as of Jan 2026)
Total fines amount
$251K
243% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
191% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$251K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 4, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 4, 2024
$204K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 4, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 4, 2024
11 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 20, 2023
$46K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Dec 20, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Dec 20, 2023
48 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Kirksville Manor Care Center based on CMS SNF Cost Reports.
Occupancy Rate
43.4%
↑ 1.4pp vs 2023
Net Income
-$671,067
↓ ~$663K vs 2023
Total Payroll
$3,959,219
↑ ~$619K vs 2023
Profit Margin
-15.3%
↓ 15.1pp vs 2023
Loading trend charts...
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