Katy Manor

Name: Katy Manor
Address: 205 PROSPECT, Pilot Grove, MO, 65276, US
Telephone: 6608343111

205 Prospect, Pilot Grove, MO 65276 · Cooper County · 60 certified beds · avg 57 residents/day · certified since Mar 15, 2006

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 27, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 27, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 7, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Feb 7, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jul 11, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Mar 16, 2024	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Dec 1, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 1, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 1, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 1, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 6, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 6, 2022	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 6, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 6, 2022	E · Potential for harm, repeated	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Oct 6, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 6, 2022	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2022	6	F
2023	4	E
2024	2	D
2025	4	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.53	3.66	3.95	top 18% in Missouri; top 22% in the U.S.
Registered Nurse hours	0.68	0.49	0.69	top 14% in Missouri; top 38% in the U.S.
Weekend total nurse staffing	3.74	3.22	3.50	top 25% in Missouri; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.33	0.48	top 36% in Missouri; bottom 37% in the U.S.
Total nursing staff turnover (%)	43.4	56.0	45.8	top 18% in Missouri; top 46% in the U.S.
RN turnover (%)	0.0	47.8	42.9	top 1% in Missouri; top 1% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.47, RN 0.52, weekend 2.87. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Cooper County Nursing Home District No 1	Organization	5% or Greater Direct Ownership Interest	100%	06/01/1989
Aggeler, Lyle	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/24/2010
Aggeler, Lyle	Individual	Corporate Director	NOT APPLICABLE	02/24/2010
Aggeler, Lyle	Individual	Operational/Managerial Control	NOT APPLICABLE	02/24/2010
Aggeler, Lyle	Individual	ADP of the SNF	NOT APPLICABLE	02/24/2010
Beach, Laurie	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2016
Beach, Laurie	Individual	Corporate Director	NOT APPLICABLE	05/01/2016
Cooper County Nursing Home District No 1	Organization	ADP of the SNF	NOT APPLICABLE	03/15/2010
Gerling, Marilyn	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2014
Gerling, Marilyn	Individual	Corporate Director	NOT APPLICABLE	10/01/2014
Hirst, Judi	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/12/2016
Hirst, Judi	Individual	Corporate Director	NOT APPLICABLE	04/12/2016
Lorenz, Robert	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2016
Lorenz, Robert	Individual	Corporate Director	NOT APPLICABLE	05/01/2016
McKinney, Carrie	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
McKinney, Carrie	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
McKinney, Carrie	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Peecher, Carrie	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Peecher, Carrie	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Ransburgh, Danielle	Individual	Operational/Managerial Control	NOT APPLICABLE	12/28/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Ashley Manor Health & Rehabilitation	9.3 mi	Boonville, MO	★★★★☆	4/5
Lakeview Health Care & Rehabilitation Center	9.8 mi	Boonville, MO	★★☆☆☆	4/5
Riverdell Care Center	12.0 mi	Boonville, MO	★★☆☆☆	4/5
Tipton Oak Manor	16.3 mi	Tipton, MO	★★★★☆	4/5
Four Seasons Living Center	18.0 mi	Sedalia, MO	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Pilot Grove →

Facility data as of CMS processing date 2026-08-01. CCN 265801.

The Care File

Visit checklist — Katy Manor

205 Prospect, Pilot Grove, MO 65276 · 6608343111

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265801 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)