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HomeMissouriLewis County Nursing Home District

Lewis County Nursing Home District

17528 State Highway 81, Canton, MO 634355732884454Google Maps
3.9on Google(14 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
4/5
Quality
2/5
Beds
118
certified
1 fine(s) totaling $7,342

How Lewis County Nursing Home District Compares in Missouri

Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
MO average
2.5/5
Below state average
Health inspection rating
1/5
MO average
2.8/5
Below state average
Staffing rating
4/5
MO average
2.2/5
Above state average
Nursing hours per resident
3.71 hrs/day
MO average
3.43 hrs/day
Above state average
RN hours per resident
0.48 hrs/day
MO average
0.46 hrs/day
Close to state average
Staff turnover
40.9%
MO average
56.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Missouri average of 2.5/5.
Its 1/5 health inspection rating is below the Missouri average of 2.8/5.
Reported nursing time is 3.71 hours per resident per day, above the state average of 3.43.
Staff turnover is 40.9%, lower than the Missouri average of 56.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
22
deficiency citations
Inspected Nov 17, 2023
Most recent cycle
15
deficiency citations
Inspected Nov 17, 2025
The most recent cycle recorded 7 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,540/mo
Missouri median
Private Room
$6,236/mo
Missouri median
Lewis County 65+
1,869
18.7% of county
County Population
9,987
Lewis County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Lewis County Nursing Home District is a 1-star Medicare and Medicaid certified nursing home in Canton, Missouri with 118 certified beds. It has been operating since 1989. Its overall CMS rating is 1 out of 5.

Beds
118
Avg Residents/Day
46.7
Ownership
Government - County
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 18, 1989
Sprinklers
Yes
Council
Resident
County
Lewis
Last Inspection
Nov 17, 2025
Deficiencies (Cycle 1)
15
Weighted Score
175.5
Infection Citations
0

Deficiency Citations (42)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0744Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0582Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0728Potential for Harm

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Survey: Nov 17, 2023Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Nov 17, 2023Corrected: NoCycle: 2

+ 12 more deficiencies

Total Fines
$7,342
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJul 17, 2023
$7,342

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.44 hrs
National avg: 2.32 hrs
LPN0.79 hrs
National avg: 0.86 hrs
RN0.48 hrs
National avg: 0.69 hrs
Total Nursing3.71 hrs
National avg: 3.86 hrs
Weekend Total3.38 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
40.9%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - County
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
COLLIER, GREGORYCORPORATE DIRECTORIndividualN/AJul 31, 2007
LASSWELL, KARENCORPORATE DIRECTORIndividualN/AJul 15, 2019
SPRATT, FRANCESCORPORATE DIRECTORIndividualN/AJul 31, 2007
STIFFEY, VICKICORPORATE DIRECTORIndividualN/AApr 22, 2020
BERHORST, NAYDENECORPORATE OFFICERIndividualN/AAug 1, 2015
LONG, SUSANCORPORATE OFFICERIndividualN/AMay 18, 2015
LEWIS COUNTY NURSING HOME DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 18, 1989
NICHOLS, MICHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 18, 2021
LEWIS COUNTY NURSING HOME DISTRICTADP OF THE SNFOrganizationN/ADec 4, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Lewis County Nursing Home District and nearby alternatives.

All Missouri facilities
Lewis County Nursing Home District
Canton, MOCurrent facility
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $7,342
Country Aire Retirement Center
Lewistown, MO13.8 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: None
La Belle Manor Care Center
La Belle, MO20.1 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: None
Clark County Nursing Home
Kahoka, MO22.3 mi
CMS
2/5
Health
3/5
Staffing
4/5
Recorded fines: None
Maple Lawn Nursing Home
Palmyra, MO24.7 mi
CMS
1/5
Health
2/5
Staffing
3/5
Recorded fines: $74,653
Luther Manor Retirement & Nursing Center
Hannibal, MO26.6 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $13,270
Beloved Health and Rehabilitation Center
Hannibal, MO30.1 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $279,380
FacilityDistanceCMSHealthStaffingRecorded fines
Lewis County Nursing Home District
Canton, MO · Current facility
—1/51/54/5$7,342
Country Aire Retirement Center
Lewistown, MO
13.8 mi1/51/51/5None recorded
La Belle Manor Care Center
La Belle, MO
20.1 mi1/52/51/5None recorded
Clark County Nursing Home
Kahoka, MO
22.3 mi2/53/54/5None recorded
Maple Lawn Nursing Home
Palmyra, MO
24.7 mi1/52/53/5$74,653
Luther Manor Retirement & Nursing Center
Hannibal, MO
26.6 mi1/52/51/5$13,270
Beloved Health and Rehabilitation Center
Hannibal, MO
30.1 mi1/51/51/5$279,380

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Lewis County Nursing Home District?▾
Lewis County Nursing Home District has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Lewis County Nursing Home District cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Missouri is $5,540/month for a semi-private room and $6,236/month for a private room (Genworth/CareScout 2024). Lewis County Nursing Home District participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Lewis County Nursing Home District had any health inspection violations?▾
Lewis County Nursing Home District had 15 deficiency citations in its most recent health inspection (Nov 17, 2025). The current CMS dataset records 1 fine(s) totaling $7,342.
What are the staffing levels at Lewis County Nursing Home District?▾
Lewis County Nursing Home District provides 3.71 total nursing staff hours per resident per day, including 0.48 RN hours, 0.79 LPN hours, and 2.44 nurse aide hours. The total staff turnover rate is 40.9%.
How many beds does Lewis County Nursing Home District have?▾
Lewis County Nursing Home District has 118 certified beds with an average of 46.7 residents per day, resulting in approximately 40% occupancy. The facility is Government - County owned.
Are there other nursing homes near Lewis County Nursing Home District?▾
Yes. This page lists 6 nearby nursing homes in Missouri. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Lewis County Nursing Home District?▾
On Google Maps, Lewis County Nursing Home District has a rating of 3.9 out of 5 based on 14 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.