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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriLewis County Nursing Home District

Lewis County Nursing Home District

17528 State Highway 81, Canton, MO 634355732884454
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
3/5
Beds
118
certified
Last health inspection was more than 2 years ago.
2 fine(s) totaling $19,991

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 118 certified beds with an average of 44.3 residents per day (38% occupancy)

• Last health inspection found 16 deficiencies (inspected Nov 17, 2023)

• Has been fined a total of $19,991 across 2 fine(s)

• Total nursing staff: 3.51 hours per resident per day

• Staff turnover rate: 51.9% (high)

Lewis County Nursing Home District is a 2-star Medicare and Medicaid certified nursing home in Canton, Missouri with 118 certified beds. It has been operating since 1989. The facility scored below average compared to Missouri facilities.

Beds
118
Avg Residents/Day
44.3
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, 2023
Deficiencies (Cycle 1)
16
Weighted Score
143.5
Infection Citations
0

Deficiency Citations (30)

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: 1
F0602Potential for Harm

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

Survey: Nov 17, 2023Corrected: NoCycle: 1
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: 1
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0692Potential for Harm

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

Survey: Nov 17, 2023Corrected: NoCycle: 1
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: 1
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: 1
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0865Potential for Harm

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

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0883Potential for Harm

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

Survey: Nov 17, 2023Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: May 21, 2021Corrected: NoCycle: 2
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: May 21, 2021Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: May 21, 2021Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: May 21, 2021Corrected: NoCycle: 2
F0809Potential for Harm

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey: May 21, 2021Corrected: 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: Jan 5, 2024Corrected: NoCycle: 3
F0602Potential for Harm

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

Survey: Jan 5, 2024Corrected: NoCycle: 3
F0658Potential for Harm

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

Survey: Jan 5, 2024Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: Jan 5, 2024Corrected: NoCycle: 3
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: Jan 5, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 5, 2024Corrected: NoCycle: 3
F0689Actual Harm

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

Survey: Jun 13, 2023Corrected: NoCycle: 3
F0686Potential for Harm

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

Survey: Feb 9, 2023Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Apr 11, 2019Corrected: NoCycle: 3
Total Fines
$19,991
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJul 17, 2023
$7,342
FineJun 13, 2023
$12,649

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

Nurse Aide2.23 hrs
National avg: 2.35 hrs
LPN0.81 hrs
National avg: 0.86 hrs
RN0.47 hrs
National avg: 0.68 hrs
Total Nursing3.51 hrs
National avg: 3.89 hrs
Weekend Total3.06 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
51.9%
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 (8)

NameRoleTypeOwnership %Since
LEWIS COUNTY NURSING HOME DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 18, 1989
NICHOLS, MICHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 18, 2021
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

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 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated below average.
Has Lewis County Nursing Home District had any health inspection violations?▾
Lewis County Nursing Home District had 16 deficiency citations in its most recent health inspection (Nov 17, 2023). The facility has been fined a total of $19,991 across 2 fine(s).
What are the staffing levels at Lewis County Nursing Home District?▾
Lewis County Nursing Home District provides 3.51 total nursing staff hours per resident per day, including 0.47 RN hours, 0.81 LPN hours, and 2.23 nurse aide hours. The total staff turnover rate is 51.9%.
How many beds does Lewis County Nursing Home District have?▾
Lewis County Nursing Home District has 118 certified beds with an average of 44.3 residents per day, resulting in approximately 38% occupancy. The facility is Government - County owned.