Federal inspection record · CMS data as of October 1, 2026
Lawrence County Manor
915 Carl Allen Street, Mount Vernon, MO · (417) 466-2183
- Certified beds
- 90
- Residents per day
- 63
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 2003
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Lawrence County Manor carries 163.75 inspection points. That is fewer than 18% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
32 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care11E
- D
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.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Freedom from Abuse, Neglect, and Exploitation6E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning3E
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Rights3E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Pharmacy Service2E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Environmental1E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspection history
2025-08-13
12 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2023-09-22
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2020-01-21
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 1 h 7 min of nursing staff time a day, 8 min of it from a registered nurse.
This home
1 h 7 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 88% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine50.1 pts worse | 33.9% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 91.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 6.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.7 pts better | 1.3% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 7.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication16.8 pts worse | 42.4% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.3 pts worse | 28.8% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.4 pts worse | 0.4% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.9 pts worse | 19.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse | 18.0% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.8% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection8.4 pts worse | 10.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 18.1% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 4.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.7 pts worse | 33.0% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts better | 11.9% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.9 pts worse | 45.5% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts worse | 27.6% | 25.7% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Baldwin, Darrel | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Burks, Dylan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Choate, H | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Eden, David | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Hilton, Kevin | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Huston, Cessily | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Huston, Cessily | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lawrence County Nursing Home District | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Lawrence County Nursing Home District | Adp Of The SNF · Organization | 0% | 1 facilities |
| Midwest Physical Therapy Pc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Newby, Russell | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Newby, Russell | Adp Of The SNF · Individual | 0% | 1 facilities |
| Springer, Max | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Whitesell, Sophie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams, Cheryl | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Williams, Cheryl | Adp Of The SNF · Individual | 0% | 5 facilities |
| Williams, Tina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williams, Tina | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
·
Other homes nearby
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Mt Vernon Nursing
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 10 min
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-
Ascend At Aurora
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- Nursing / resident / day
- 3 h 21 min
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-
Ozarks Methodist Manor, The
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- Nursing / resident / day
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