Clark County Nursing Home
Clark County Nursing Home Information
| Facility Name | Clark County Nursing Home |
| Location | 1260 North Johnson Street, Kahoka, MO 63445 |
| County (SSA Code) | Clark (220) |
| Phone Number | 660-727-3303 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 99 |
| Average Number of Residents | 59.6 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | CLARK COUNTY NURSING HOME |
| Ownership Type | Government - County |
| Date First Approved | 1992-01-30 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.39056 |
| Reported LPN Staffing Hours per Resident per Day | 0.53753 |
| Reported RN Staffing - Hours per Resident per Day | 0.59616 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.13369 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.52425 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00925 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.9365 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.61647 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.27592 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.82889 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.97186 |
| Total Weighted Health Survey Score for three cycles | 19.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-19 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-13 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-18 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |