There are no signs of any damage on the missile. And we know it's definitely a kh-101. The telltale sign is the jet exhaust on the underside at the back end of the missile.
I agree with that, assuming the photo hasn't been manipulated. But there are still questions, if you don't mind? I think a doctor and a child were killed by that particular missile. Would Russia deliberately use an expensive missile for that purpose? Would they not want to hit the main building where more patients would be?
If it was deliberate, I would also point out that it may have been a revenge attack following the recent Sevastopol incident.
Just saying, we don't know either way, at this point.