Nursing homeActive
Katy Manor
205 Prospect, Pilot Grove, MO 65276660834311160 certified beds · 57 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
6
since 2022
Deficiencies
16
● 0● 16● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-03-27
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-03-27 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-01 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2022-10-06 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 265801-20250327-F658
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 265801-20250327-F761
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 265801-20250207-F580
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 265801-20250207-F760
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 265801-20240711-F658
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-21Record 265801-20240316-F678
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-29Record 265801-20231201-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 265801-20231201-F689
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-29Record 265801-20231201-F759
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-29Record 265801-20231201-F761
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 265801-20221006-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 265801-20221006-F689
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 265801-20221006-F740
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 265801-20221006-F812
F838Conduct 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.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 265801-20221006-F838
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 265801-20221006-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.52
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.47
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours2.87
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover43%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover0%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.3% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.1% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.3% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.7% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.4% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.9% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.9% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cooper County Nursing Home District No 1 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Aggeler, Lyle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mckinney, Carrie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Peecher, Carrie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ransburgh, Danielle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Twenter, Herby Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Twenter, Kendra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aggeler, Lyle Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Aggeler, Lyle Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Aggeler, Lyle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Beach, Laurie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Beach, Laurie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cooper County Nursing Home District No 1 Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gerling, Marilyn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gerling, Marilyn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hirst, Judi Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hirst, Judi Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lorenz, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lorenz, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mckinney, Carrie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mckinney, Carrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peecher, Carrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ransburgh, Danielle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Twenter, Herby Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Twenter, Herby Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Twenter, Herby Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Twenter, Kendra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Cooper.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Ashley Manor Health & Rehabilitation Boonville | 9.3 mi | 2025-01-15 | 4150 |
| Lakeview Health Care & Rehabilitation Center Boonville | 9.8 mi | 2026-03-31 | 3141 |
| Riverdell Care Center Boonville | 12.0 mi | 2024-12-13 | 050 |
| Tipton Oak Manor Tipton | 16.2 mi | 2026-03-12 | 280 |
| Four Seasons Living Center Sedalia | 18.0 mi | 2026-06-12 | 1414 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |