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Nursing homeFAID #7156

Clark County Nursing Home

1260 NORTH JOHNSON STREET, KAHOKA, MO, 63445

(660) 727-3303

99 licensed beds

★★★★★2/5CMS Five-Star overall3/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

1260 North Johnson Street

Kahoka, MO 63445

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Public record summary

What we can show you for free.

Bed capacity

State license

053322

CMS facility ID

265485

Care type

Nursing home

Facility name

Clark County Nursing Home

Street address

1260 NORTH JOHNSON STREET

City / state / ZIP

Kahoka, MO 63445

Phone

(660) 727-3303

State license #

053322

About this facility — Clark County Nursing Home

Clark County Nursing Home is a Medicare/Medicaid-certified skilled nursing facility in Kahoka, Missouri. It is licensed for 99 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 1 senior care facility in Kahoka and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Clark County Nursing Home 46 times across 8 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Clark County Nursing Home District

Ownership type

Government - County

Administrator

Tammy Mcdaniel Ramsey

Registered owners & officers

Clark County Nursing Home

Direct owner · Operational control · Additional disclosable party — 100% stake — since 1992

Davis, Jeffrey

Additional disclosable party — since 2017

Hopp, Dakota

Operational control · Additional disclosable party — since 2021

Mcdaniel-ramsey, Tammy

Officer · Operational control · Additional disclosable party — since 2009

Saxton, Larry

Director · Operational control — since 2006

Regulatory standing

Licensed / certified since

1992-01-30

License expires

2028-01-29

CMS overall rating

2 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-01-29

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$184 per day (≈ $5,590/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 3% Medicare · 41% private/other

Occupancy

57% (fiscal year 2024)

Vs. state median

28% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-03Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-03-04

2025-03-04Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-09

6 earlier / fire-safety inspections (44 citations)

2025-01-29Health inspection13 citations

F-0604

D · No harm found

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-03-07

F-0623

B · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-07

F-0625

B · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-03-07

F-0637

E · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-03-07

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-07

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-07

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-03-07

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-07

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-03-07

F-0700

E · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-03-07

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-03-07

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-07

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-07

2023-05-04Health inspection9 citations

F-0655

B · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-06-30

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-06-30

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-30

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-06-30

F-0700

E · No harm found

Corrected 2023-06-30

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-30

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-06-30

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-06-30

F-0909

E · No harm found

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2023-06-30

2019-09-19Health inspection3 citations

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-10-17

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2019-10-17

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2019-10-17

2025-01-29Fire-safety inspection7 citations

K-0100

D · No harm found

Meet other general requirements.

Corrected 2025-03-07

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-03-07

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-03-07

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-07

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-03-07

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-03-07

K-0919

E · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-03-07

2023-05-04Fire-safety inspection8 citations

K-0311

F · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2023-06-30

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-06-30

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-30

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-06-30

K-0912

E · No harm found

Have power receptacles that are properly grounded.

Corrected 2023-06-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-06-30

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-30

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-06-30

2019-09-19Fire-safety inspection4 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-10-17

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2019-10-17

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-10-17

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-10-17

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265485.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered