KNOX COUNTY NURSING HOME DISTRICT

The information listed below provides an in-depth look into the type and quality of care offered at Knox County Nursing Home District. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

KNOX COUNTY NURSING HOME DISTRICT
ROUTE 3, BOX 53
EDINA, MO 63537
(660) 397-2282

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only

Overall Rating

Percent of Beds Occupied

49%

Number of Residents and Certified Beds

Residents: 29
Certified Beds: 59

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By Government - County
Offers Only Resident Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Van Buren

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Knox County Nursing Home District. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week
A second rehabilitation discipline three days/week

ADL Index Range: 0-5	10.1%
Total Percent:	10.1%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	27.0%
ADL Index Range: 0-5	25.7%
Total Percent:	52.7%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 6-10	27.7%
Total Percent:	27.7%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 0-5	9.5%
Total Percent:	9.5%

Rating Details For Knox County Nursing Home District

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day	Reported	Expected
Registered Nurse (RN) Hours	52 Minutes	1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 32 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	3 Hours and 16 Minutes	1 Hour and 56 Minutes
Total Licensed Nurse Hours	2 Hours and 24 Minutes	1 Hour and 41 Minutes
Total Nurse Hours	5 Hours and 40 Minutes	3 Hours and 37 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Missouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	73%	88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight	7%	7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	1%	3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	14%	9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	14%	9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	21%	11%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	7%	38%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	6%	11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	4%	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	81%	87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	87%	83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	38%	20%
Percent of Short-Stay Residents Who Have Pressure Sores	-	11%
Percent of Short-Stay Residents Who Have Delirium	2%	4%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/11/2011.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
Post Nurse Staffing Information. Inspection Date: 05/11/2011 Correction Date: 06/17/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/17/2010 Correction Date: 07/30/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 06/17/2010 Correction Date: 07/30/2010
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 06/17/2010 Correction Date: 07/30/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/11/2011 Correction Date: 06/17/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 05/11/2011 Correction Date: 06/17/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 05/11/2011 Correction Date: 06/17/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
Make Sure That Residents Are Well Nourished. Inspection Date: 06/17/2010 Correction Date: 07/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/11/2011 Correction Date: 06/17/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.

Inspection Date: 04/15/2009
Correction Date: 06/19/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 06/17/2010 Correction Date: 07/30/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/11/2011 Correction Date: 06/17/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/11/2011 Correction Date: 06/17/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible. Inspection Date: 05/11/2011 Correction Date: 06/17/2011

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/15/2009 Correction Date: 06/19/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/15/2009 Correction Date: 06/19/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 06/17/2010 Correction Date: 07/30/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	04/15/2009	$6,500
Denial of Payment for New Admission (DPNA)	04/15/2009	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Knox County Nursing Home District, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated
- Some Residents
- Many Residents

Formal Complaints

Degree of Harm

Residents Affected