Starfile

Starfile / Missouri

LEWIS COUNTY NURSING HOME DISTRICT

17528 STATE HIGHWAY 81, CANTON, MO 63435 · CCN 265360

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★★★☆ 4

Facility

Ownership type
Government - County
Certified beds
118
Avg residents/day
44.3
Phone
5732884454

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMissouri avgNational avgvs state
12025-11-171511.99.5+3.1 worse
22023-11-171613.09.8+3.0 worse
32021-05-211211.09.3+1.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care4
Resident assessment and care planning1
Nursing and physician services1
Resident rights1
Nutrition and dietary4
Pharmacy service2
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.5151.9%
RN staffing (reported)0.47
Total nurse staffing (adjusted)4.55

Fines & penalties

Total fines
$19,991
Number of fines
2
Number of penalties
2
Payment denials
0

Inspection citations (43)1 actual harm

  1. BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-11-17 · Health · corrected 2025-12-31

    Potential for minimal harm

  2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  3. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  4. EF0688Provide 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.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  5. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  6. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  7. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-17 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  8. EF0761Ensure 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.2025-11-17 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  9. EF0803Ensure 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.2025-11-17 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  10. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  11. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-17 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  13. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  14. FF0880Provide and implement an infection prevention and control program.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  15. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-11-17 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  16. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-01-05 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  17. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-01-05 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  18. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-05 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  19. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-01-05 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  20. DF0728Ensure 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.2024-01-05 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  21. DF0880Provide and implement an infection prevention and control program.2024-01-05 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  22. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-11-17 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  23. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-11-17 · Health · corrected 2023-11-17

    Potential for more than minimal harm

  24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  25. DF0637Assess the resident when there is a significant change in condition2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  26. EF0641Ensure each resident receives an accurate assessment.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  27. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-17 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  28. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-17 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  30. DF0692Provide enough food/fluids to maintain a resident's health.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  31. DF0728Ensure 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.2023-11-17 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  32. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  33. DF0758Implement 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.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  34. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  35. FF0880Provide and implement an infection prevention and control program.2023-11-17 · Health · corrected 2024-02-08

    Potential for more than minimal harm

  36. FF0881Implement a program that monitors antibiotic use.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  37. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-11-17 · Health · corrected 2024-01-01

    Potential for more than minimal harm

  38. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-13 · Health · corrected 2023-07-14

    Actual harm

  39. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-05-21 · Health · corrected 2021-06-23

    Potential for more than minimal harm

  40. EF0625Notify 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.2021-05-21 · Health · corrected 2021-06-23

    Potential for more than minimal harm

  41. EF0679Provide activities to meet all resident's needs.2021-05-21 · Health · corrected 2021-06-23

    Potential for more than minimal harm

  42. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-05-21 · Health · corrected 2021-06-23

    Potential for more than minimal harm

  43. EF0809Ensure 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.2021-05-21 · Health · corrected 2021-06-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LEWIS COUNTY NURSING HOME DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL1989-04-18
NICHOLS, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-18
COLLIER, GREGORYIndividualCORPORATE DIRECTOR2007-07-31
LASSWELL, KARENIndividualCORPORATE DIRECTOR2019-07-15
SPRATT, FRANCESIndividualCORPORATE DIRECTOR2007-07-31
STIFFEY, VICKIIndividualCORPORATE DIRECTOR2020-04-22
BERHORST, NAYDENEIndividualCORPORATE OFFICER2015-08-01
LONG, SUSANIndividualCORPORATE OFFICER2015-05-18

Other facilities in CANTON

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.