Canton · 63435
Lewis County Nursing Home District
17528 State Highway 81
Canton, MO 63435
Clark County Nursing Home
⌖ Kahoka, MO · Clark County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds99
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Clark County Nursing Home
Clark County Nursing Home is a 99-bed government-run nursing home in Kahoka, MO. Medicare rates it 2 out of 5 stars overall (below average); the average in Missouri is 2.5. At its last full inspection (Jan 2025), inspectors found 14 problems, close to the Missouri average of 11.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 24 min a day with each resident, about the same as the Missouri average of 3 hr 26 min. About 45% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameClark County Nursing Home
LocationClark County, Missouri
Phone(660) 727-3303
Address1260 North Johnson Street, Kahoka, MO 63445 · Clark County
CMS provider number265485
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 30, 1992 (34 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths in Medicare's inspection, fine and staffing records for this home. 5 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jan 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Registered nurse time per resident31 min a dayMissouri average: 28 minStrength
- Nursing staff turnover45% a yearMissouri average: 56%Strength
About average
- Health citations at last inspection14 (Jan 2025)Missouri average: 11.4. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident3 hr 24 min a dayMissouri average: 3 hr 26 minAbout average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital33.5%State average: 26.0%Worse than average
- Needed an emergency room visit18.5%State average: 13.7%Worse than average
- Newly given antipsychotic drugs0.0%State average: 2.2%Better than average
Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.4%State average: 4.1%Worse than average
- Pressure sores (bedsores)8.1%State average: 4.5%Worse than average
- Given antipsychotic drugs26.1%State average: 23.5%About average
- Hospital stays per 1,000 resident days2.9State average: 2.1Worse than average
Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.
- 53% Medicaid
- 4% Medicare
- 43% Private pay, insurance and other
Beds in use, on average57%Missouri typical: 71%
Cost of care per resident day$249Missouri typical: $254
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 12 times.
Overall rating2★
Health inspections3★
Staffing4★
Quality of care1★
Nurse hours per resident per day3.4
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 3 | 4 | 5 | 3.7 |
| Jan 2020 | 5 | 4 | 3 | 5 | 3.0 |
| Jan 2021 | 5 | 4 | 4 | 5 | 3.3 |
| Jan 2022 | 4 | 4 | 3 | 4 | 2.9 |
| Jan 2023 | 5 | 4 | 5 | 2 | 4.4 |
| Jan 2024 | 4 | 4 | 4 | 4 | 4.2 |
| Feb 2025 | 5 | 4 | 4 | 5 | 3.9 |
| Feb 2026 | 2 | 3 | 4 | 1 | 3.6 |
| Sep 2026 | 2 | 3 | 4 | 1 | 3.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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