Kirksville · 63501
Kirksville Manor Care Center
1705 East Laharpe
Kirksville, MO 63501
Schuyler County Nursing Home District
⌖ Queen City, MO · Schuyler County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds60
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Schuyler County Nursing Home District
Schuyler County Nursing Home District is a 60-bed government-run nursing home in Queen City, 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 (Sep 2025), inspectors found 17 problems, more than 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 4 hr 05 min a day with each resident, more than the Missouri average of 3 hr 26 min. About 38% of its nursing staff left in the past year. It has had no federal fines 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 nameSchuyler County Nursing Home District
LocationSchuyler County, Missouri
Phone(660) 766-2291
Address1306 Us Highway 63, Queen City, MO 63561 · Schuyler County
CMS provider number265816
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 16, 2007 (19 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 and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 4 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 Sep 2025.Strength
- Nurse staffing per resident4 hr 05 min a dayMissouri average: 3 hr 26 minStrength
- Registered nurse time per resident31 min a dayMissouri average: 28 minStrength
- Nursing staff turnover38% a yearMissouri average: 56%Strength
Things to ask about
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- Fines and penalties1 Medicare payment denialFederal penalties from the last three years, most recently in Dec 2023 (about 2 years ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection17 (Sep 2025)Missouri average: 11.4. Most citations are minor and corrected within weeks.Worse than state 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 hospital22.8%State average: 26.0%About average
- Needed an emergency room visit21.7%State average: 13.7%Worse than average
- Newly given antipsychotic drugs3.4%State average: 2.2%Worse than average
Physical therapist time: about 2 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 injury6.7%State average: 4.1%Worse than average
- Pressure sores (bedsores)3.6%State average: 4.5%Better than average
- Given antipsychotic drugs26.0%State average: 23.5%About average
- Hospital stays per 1,000 resident days2.6State 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.
- 42% Medicaid
- 8% Medicare
- 50% Private pay, insurance and other
Beds in use, on average70%Missouri typical: 71%
Cost of care per resident day$221Missouri typical: $254
Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. 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, the same as 1 star in January 2019. It has ranged from 1 to 3 stars and changed 8 times.
Overall rating1★
Health inspections2★
Staffing4★
Quality of care1★
Nurse hours per resident per day4.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 2 | 2 | 2.8 |
| Jan 2020 | 2 | 2 | 3 | 2 | 3.9 |
| Jan 2021 | 3 | 2 | 4 | 3 | 3.6 |
| Jan 2022 | 2 | 2 | 3 | 4 | 3.4 |
| Jan 2023 | 2 | 2 | 3 | 2 | 3.5 |
| Jan 2024 | 1 | 2 | 4 | 1 | 4.2 |
| Feb 2025 | 2 | 2 | 2 | 2 | 3.4 |
| Feb 2026 | 1 | 2 | 4 | 1 | 4.0 |
| Sep 2026 | 1 | 2 | 4 | 1 | 4.1 |
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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