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Nursing HomeMedicaid Investigative

Kirksville Manor Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1705 East Laharpe, Kirksville, MO 63501119 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 20 Google reviews

5
4
3
2
1
Kirksville Manor Care Center Nursing Home in Kirksville, MO — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (15 vs median 10)
  • High staff turnover (62%)

Bottom 25% in MO · Critically understaffed (RN) · Above average staffing · Worst in JUCKETTE FAMILY HOMES chain · $250,823 in fines

Source: Medicare data

What this means for your family

This facility is praised for its compassionate staff and responsive communication, which is a significant strength. However, families should conduct a thorough tour to assess the cleanliness and odor levels, as these have been noted as recurring concerns by visitors.

Google Reviews

Google Reviews

20 reviews on Google
Kirksville Manor Care Center receives polarized feedback, with some families praising the staff for treating residents with dignity and respect. However, other reviewers report significant concerns regarding facility cleanliness, specifically noting persistent odors, and inconsistent quality of care for residents.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean3.0ActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Responsive communication with family members
  • Supportive environment for end-of-life care

Concerns

  • Poor facility cleanliness and persistent odors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(4)'19(2)'21(1)'23(3)'25(2)

Distribution · 20 analyzed

5
9
4
4
3
1
2
1
1
5

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent focus on facility maintenance, what specific steps are being taken to ensure the environment remains clean and fresh for all residents?
  • 2I noticed the facility has a 119-resident capacity; how do you ensure that each resident receives consistent, personalized attention throughout the day?
  • 3I appreciate that your team stays engaged with family feedback online; how do you typically communicate with families when concerns arise regarding care or facility standards?
  • 4What specific protocols are in place to address the medical needs of residents, and how do you handle urgent care situations during overnight hours?
  • 5Could you walk me through the daily activity schedule to help me understand how residents stay socially and physically active here?
  • 6With the current staffing levels, how do you manage the workload to ensure that residents receive timely assistance with their daily needs?

Personalized based on this facility's data


Key Review Excerpts

The staff at Manor Care are amazing. They cared for my dad like he was their family. I cannot stress enough that this facility provides execellent care for loved ones.

Memory care family member · 2025★★★★★

The staff at Kirksville Manor has taken good care of my mom. They are available to talk and answer questions when I call. They all seemed so happy for mom to have us visit, had her dressed in her nicer outfits, up & ready to see us.

Long-term resident's family · 2024★★★★

Staff in every area has been so very nice & helpful. They are wonderful with the patients. My only complaint is cleanliness & strong smell of urine in the facility

Long-term resident's family · 2023★★★☆☆
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
29%
Registered nurses for medical care
Total Nursing
3.88hrs
95%
All nurses + aides combined
Staff Turnover
63%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

9

measures

Worse Than Avg

8

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.6%
Worse than Avg
Here
35.6%
US
19.5%
MO
25.4%
Adair
25.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
Adair
96.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
12.1%
MO
16.7%
Adair
5.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.9%
Worse than Avg
Here
26.9%
US
15.5%
MO
23.6%
Adair
14.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
Adair
98.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
15.3%
MO
18.9%
Adair
15.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
MO
63.5%
Adair
87.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
MO
65.9%
Adair
88.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
MO
2.2%
Adair
2.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
4penalties
Above state avg (12.0)
17 complaint-triggered
$250,823 in fines

This facility shows concerning patterns with families filing multiple complaints about recurring issues. The most frequent problems involve appropriate treatment and care, safety hazards, and nursing staffing adequacy. Recent complaints in October and November 2024 cited identical deficiencies around resident treatment, accident prevention, dignified care, daily living assistance, and adequate staffing levels, suggesting these core issues persist despite reported corrections.

Mar 18, 2026Routine
22
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0568Potential for harm · PatternCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0919Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Dec 23, 2025Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

Jun 30, 2025Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Nov 26, 2024Complaint
5
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0557Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Oct 4, 2024Complaint
7
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0838Potential for harm · PatternCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0557Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Feb 16, 2024Routine
17
0740Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0582Potential for harm · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Oct 4, 2024

$204,432

Payment Denial

Oct 4, 2024

11-day denial

Fine

Dec 20, 2023

$46,391

Payment Denial

Dec 20, 2023

48-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kirksville Manor Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Juckette Family Homes

Chain Size

6 facilities nationwide

Chain avg rating: 2.0/5 · Rank 6 of 6 (Worst)

Ownership & Management

Owners

Juckette, Joyce E

Owner

83%

Miller, Margaret

Owner

18%

Kirksville Manor INC

Owner · Organization

Key personnel

Juckette, HollyOfficer / DirectorJuckette, Joyce EOfficer / DirectorNeuroth, TeriOfficer / DirectorSteele, LisaOfficer / DirectorSteele, RandallOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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