Katy Manor — nursing home in Pilot Grove, MO

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: 60 state-licensed beds · Missouri Department of Health and Senior Services
State license: 052946 active · licensee COOPER COUNTY NURSING HOME DISTRICT NO 1
Average residents per day: 55.9 CMS, MDS-derived
CMS Certification Number: 265801
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 15, 2006
Ownership type: Government - County
Operator (legal business name): Cooper County Nursing Home District No 1
CMS chain: Not part of a CMS-reported chain
Phone: (660) 834-3111
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Mar 27, 2025

Citations

25

16 health · 9 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L2
Actual harm	G·	H·	I·
Potential harm	D8	E8	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 265801
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Mar 15, 2006
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 4, 2026
Evidence: Verified

State license

Authority: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
License number: 052946
State facility ID: 14982
License type: Skilled nursing facility
License status: active
Licensed beds: 60
Link to CMS record: Linked by exact CCN Verified
Licensee: COOPER COUNTY NURSING HOME DISTRICT NO 1 · Nursing Home District
Current license: Jun 15, 2025 → Jun 14, 2027
Certification (per state): Medicare/Medicaid
As of: Nov 4, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 27, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 27, 2025	Health	Health Standard	2	Potential harm	—	Open →
Feb 7, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Jul 11, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Mar 16, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Dec 1, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 1, 2023	Health	Health Standard	4	Potential harm	—	Open →
Oct 6, 2022	Fire safety	Fire Safety Standard	3	Immediate jeopardy	—	Open →
Oct 6, 2022	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L2
Actual harm	G·	H·	I·
Potential harm	D8	E8	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 27, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 29, 2025
Mar 27, 2025	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted
Mar 27, 2025	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 31, 2025
Mar 27, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 28, 2025
Mar 27, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2025
Mar 27, 2025	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 15, 2025
Feb 7, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 28, 2025	Complaint
Feb 7, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 28, 2025	Complaint
Jul 11, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 23, 2024	Complaint
Mar 16, 2024	F-0678	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 21, 2024	Complaint
Dec 1, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 10, 2024
Dec 1, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 22, 2023
Dec 1, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 29, 2023
Dec 1, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 5, 2024
Dec 1, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Dec 29, 2023
Dec 1, 2023	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Dec 29, 2023
Oct 6, 2022	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	L · Immediate jeopardy Widespread	Corrected Nov 16, 2022
Oct 6, 2022	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	L · Immediate jeopardy Widespread	Corrected Nov 16, 2022
Oct 6, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 16, 2022
Oct 6, 2022	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 16, 2022
Oct 6, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 16, 2022
Oct 6, 2022	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 16, 2022
Oct 6, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 16, 2022
Oct 6, 2022	F-0838	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. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Nov 16, 2022
Oct 6, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 16, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.8

Staffingstate 2.2

Quality measuresstate 2.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.52

State avg 3.40US avg 3.90

Registered nurse (RN)0.50

State avg 0.46US avg 0.69

Licensed practical nurse0.52

State avg 0.68US avg 0.86

Nurse aide2.50

State avg 2.26US avg 2.35

Weekend total nurse2.93

State avg 2.96US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.36 (case-mix index 1.13).

Staff turnover

Total nursing staff turnover44.2%

State avg 56.9%US avg 45.3%

Registered nurse turnover0.0%

State avg 50.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 27, 2025
Cycle 1 health score: 8
Total weighted score: 17

Operating entity

Cooper County Nursing Home District No 1

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

27

Organizations

1

Individuals

25

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cooper County Nursing Home District No 1	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 1989

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cooper County Nursing Home District No 1	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 1989
Lyle Aggeler	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 24, 2010
Laurie Beach	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2016
Marilyn Gerling	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 1, 2014
Judi Hirst	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 12, 2016
Robert Lorenz	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2016
Herby Twenter	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 11, 2006
Lyle Aggeler	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 24, 2010
Carrie Mckinney	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2022
Carrie Peecher	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Danielle Ransburgh	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 28, 2024
Herby Twenter	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 11, 2006
Kendra Twenter	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 10, 2024
Lyle Aggeler	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 24, 2010
Laurie Beach	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2016
Marilyn Gerling	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2014
Judi Hirst	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 12, 2016
Robert Lorenz	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 1, 2016
Herby Twenter	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 11, 2006
Carrie Mckinney	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 1, 2023
Cooper County Nursing Home District No 1	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 15, 2010
Lyle Aggeler	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 24, 2010
Carrie Mckinney	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2022
Carrie Peecher	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Danielle Ransburgh	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 28, 2024
Herby Twenter	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 11, 2006
Kendra Twenter	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 10, 2024

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 205 Prospect, Pilot Grove, MO 65276
ZIP: 65276
County: Cooper County FIPS 29053
State: Missouri
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Ashley Manor Health & Rehabilitation 1630 Radio Hill Road, Boonville, MO 65233 CCN 265738	15 km	52		Jan 15, 2025	47	—
Lakeview Health Care & Rehabilitation Center 1450 Ashley Road, Boonville, MO 65233 CCN 265522	15.7 km	59		Jul 29, 2026	561 harm	$49k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	265801	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	265801	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Missouri DHSS Long-Term Care Directory MO	14982	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Nov 4, 2026	Nov 7, 2026

Record-level source links for CCN 265801

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction