KATY MANOR
NPI 1497788525
Skilled Nursing Facility in Pilot Grove, MO

Active since July 09, 2006CLIA 26D0446629 · Waiver
4/5
Overall Rating
205 PROSPECT AVE, PILOT GROVE, MO 65276(660) 834-3111 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katy Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATY MANOR (NPI 1497788525) is a healthcare organization registered as a skilled nursing facility in Pilot Grove, Missouri and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Gina Twenter, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497788525
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOOPER COUNTY NURSING HOME DISTRICT NO 1
Location Address205 PROSPECT AVEPilot Grove, MO 65276-1111
Mailing AddressPo Box 8Pilot Grove, MO 65276-0008 · (660) 834-3111
Organization SubpartNo
Authorized OfficialGina TwenterAdministrator · (660) 834-3111
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 7, 2014
NPI 1497788525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 031713
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
205 PROSPECT AVE, Pilot Grove, MO 65276

Other Names 1

Doing Business AsKaty Manor

Other Identifiers 2

Medicaid102642600MO
Medicare OSCAR/certification265801MO

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0446629

Katy Manor · Pilot Grove, MO
Active · expires Aug 31, 2026
CLIA Number26D0446629
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLeslie Neal
Laboratory Phone(660) 834-3111
Laboratory LocationKaty Manor205 Prospect Ave, Pilot Grove, MO 65276
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Katy Manor (CMS certification number 265801), from CMS Care Compare.

Katy Manor

Nursing home · Pilot Grove, MO
4/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number265801
Certified Beds60 beds53 residents per day on average
Medicare & Medicaid Participant SinceMarch 15, 2006
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
46
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.41 · LPN 0.61 · RN 0.4
3.42 hrs per resident per day
Weekend Nurse Staffing
3.13 hrs per resident per day
Physical Therapist Staffing
0.11 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
79.4%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
4
Fines
1 totaling $25,606.10
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
205 PROSPECT AVE
PILOT GROVE, MO 65276
Occupational Therapist
205 PROSPECT AVE
PILOT GROVE, MO 65276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper County Nursing Home District No 1's NPI number?

The NPI number for Cooper County Nursing Home District No 1 is 1497788525. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Katy Manor.

Where is Cooper County Nursing Home District No 1 located?

Cooper County Nursing Home District No 1 is located at 205 Prospect Ave, Pilot Grove, MO 65276. The listed phone number is (660) 834-3111.

What is Cooper County Nursing Home District No 1's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Cooper County Nursing Home District No 1 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0446629) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cooper County Nursing Home District No 1 a Medicare-certified nursing home?

Yes. Katy Manor is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Cooper County Nursing Home District No 1 have?

CMS rates Katy Manor 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Cooper County Nursing Home District No 1 accept?

Health plans from Anthem Blue Cross and Blue Shield list Cooper County Nursing Home District No 1 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cooper County Nursing Home District No 1 was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.