Federal inspection record · CMS data as of October 1, 2026
Lewis County Nursing Home District
17528 State Highway 81, Canton, MO · (573) 288-4454
- Certified beds
- 118
- Residents per day
- 49
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 18, 1989
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.
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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
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.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Lewis County Nursing Home District carries 175.5 inspection points. That is fewer than 15% 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
42 health citations on record since 2021. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care10E
- E
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.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide activities to meet all resident's needs.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary5F
- 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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
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.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning5E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure each resident receives an accurate assessment.
- D
Assess the resident when there is a significant change in condition
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights5E
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Nursing and Physician Services3E
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration2F
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Inspection history
2025-11-17
15 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-11-17
16 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2021-05-21
11 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 36 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% 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 days0.5 pts worse | 2.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.6 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts worse | 8.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms19.4 pts better | 0.6% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 4.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better | 18.7% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.9 pts better | 17.6% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.4 pts better | 8.4% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts worse | 21.5% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.2 pts worse | 4.1% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 1.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.2 pts better | 9.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5 pts worse | 9.4% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.1 pts better | 93.8% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.3 pts better | 5.1% | 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 rehospitalized after a nursing home admission0.5 pts better | 25.2% | 25.7% | 23.4% |
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Who owns and runs it
9 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 |
|---|---|---|---|
| Berhorst, Naydene | Corporate Officer · Individual | 0% | 1 facilities |
| Collier, Gregory | Corporate Director · Individual | 0% | 1 facilities |
| Lasswell, Karen | Corporate Director · Individual | 0% | 1 facilities |
| Lewis County Nursing Home District | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lewis County Nursing Home District | Adp Of The SNF · Organization | 0% | 1 facilities |
| Long, Susan | Corporate Officer · Individual | 0% | 1 facilities |
| Nichols, Michelle | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Spratt, Frances | Corporate Director · Individual | 0% | 1 facilities |
| Stiffey, Vicki | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 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.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
Emergency Preparedness7F
- F
Develop Emergency Preparedness policies and procedures.
- F
Establish policies and procedures for volunteers.
- E
Establish policies and procedures including evacuation.
- E
Develop Emergency Preparedness policies and procedures.
- E
Address subsistence needs for staff and patients.
- E
Establish policies and procedures including evacuation.
- E
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Egress3E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Country Aire Retirement Center
Lewistown, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 55 min
- Fines
- $0
-
Quincy Healthcare & Sr Living
Quincy, IL · Pointe Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
- $61,453
-
Sunset Home
Quincy, IL · Abuse icon
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 7 min
- Fines
- $184,377