La Belle · 63447
La Belle Manor Care Center
1002 Central
La Belle, MO 63447
Knox County Nursing Home District
⌖ Edina, MO · Knox County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds60
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Knox County Nursing Home District
Knox County Nursing Home District is a 60-bed government-run nursing home in Edina, MO. Medicare rates it 1 out of 5 stars overall (much below average); the average in Missouri is 2.5. At its last full inspection (Feb 2026), inspectors found 14 problems, close to the Missouri average of 11.4. 2 citations in its recent inspections were for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 50 min a day with each resident, more than the Missouri average of 3 hr 26 min. Medicare fined it $60,632 in the last three years. Its quality ratings are similar for short-term rehab (1 of 5) and long-term care (1 of 5).
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 nameKnox County Nursing Home District
LocationKnox County, Missouri
Phone(660) 397-2282
Address55774 State Highway 6, Edina, MO 63537 · Knox County
CMS provider number265763
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 20, 2003 (23 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
1 strength and 2 things to ask about 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
- Nurse staffing per resident3 hr 50 min a dayMissouri average: 3 hr 26 minStrength
About average
- Health citations at last inspection14 (Feb 2026)Missouri average: 11.4. Most citations are minor and corrected within weeks.About average
- Registered nurse time per resident25 min a dayMissouri average: 28 minAbout average
Things to ask about
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- Serious health citations2 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Feb 2026 (within the past year). All 2 were later corrected.Ask about this
- Fines and penalties1 fine totaling $60,632; 2 Medicare payment denialsFederal penalties from the last three years, most recently in Feb 2026 (within the past year). The national average is $30,972 per home.Ask about this
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 hospital38.0%State average: 26.0%Worse than average
- Needed an emergency room visit17.0%State average: 13.7%Worse than average
- Newly given antipsychotic drugs0.0%State average: 2.2%Better than average
Physical therapist time: about 1 minute 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 injury9.1%State average: 4.1%Worse than average
- Pressure sores (bedsores)5.7%State average: 4.5%Worse than average
- Given antipsychotic drugs23.6%State average: 23.5%About average
- Hospital stays per 1,000 resident days3.6State 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
Many residents here pay privately or through insurance. In Missouri, Medicaid pays for 65% of resident days at a typical home.
- 38% Medicaid
- 7% Medicare
- 55% Private pay, insurance and other
Beds in use, on average64%Missouri typical: 71%
Cost of care per resident day$280Missouri typical: $254
Shares of resident days, from the home’s Medicare cost report for the year ending August 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 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 11 times.
Overall rating1★
Health inspections2★
Staffing3★
Quality of care1★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 3 | 3 | 3.8 |
| Jan 2020 | 3 | 3 | 3 | 2 | 3.2 |
| Jan 2021 | 1 | 1 | 3 | 3 | 3.3 |
| Jan 2022 | 2 | 1 | 1 | 5 | 2.7 |
| Jan 2023 | 1 | 1 | 1 | 3 | 2.9 |
| Jan 2024 | 1 | 2 | 1 | 1 | 3.5 |
| Feb 2025 | 1 | 2 | 1 | 3 | 3.7 |
| Feb 2026 | 1 | 2 | 4 | 1 | 3.9 |
| Sep 2026 | 1 | 2 | 3 | 1 | 3.8 |
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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No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.