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.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-17 | 15 | 11.9 | 9.5 | +3.1 worse |
| 2 | 2023-11-17 | 16 | 13.0 | 9.8 | +3.0 worse |
| 3 | 2021-05-21 | 12 | 11.0 | 9.3 | +1.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 4 |
| Pharmacy service | 2 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.51 | 51.9% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2025-11-17 · Health · corrected 2025-12-31
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-01-05 · Health · corrected 2024-02-08
Potential for more than minimal harm
- 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
- 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
- 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
- DF0637Assess the resident when there is a significant change in condition2023-11-17 · Health · corrected 2024-01-01
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-11-17 · Health · corrected 2024-01-01
Potential for more than minimal harm
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2023-11-17 · Health · corrected 2024-01-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2023-11-17 · Health · corrected 2024-02-08
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2023-11-17 · Health · corrected 2024-01-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2021-05-21 · Health · corrected 2021-06-23
Potential for more than minimal harm
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LEWIS COUNTY NURSING HOME DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1989-04-18 |
| NICHOLS, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-18 |
| COLLIER, GREGORY | Individual | CORPORATE DIRECTOR | — | 2007-07-31 |
| LASSWELL, KAREN | Individual | CORPORATE DIRECTOR | — | 2019-07-15 |
| SPRATT, FRANCES | Individual | CORPORATE DIRECTOR | — | 2007-07-31 |
| STIFFEY, VICKI | Individual | CORPORATE DIRECTOR | — | 2020-04-22 |
| BERHORST, NAYDENE | Individual | CORPORATE OFFICER | — | 2015-08-01 |
| LONG, SUSAN | Individual | CORPORATE OFFICER | — | 2015-05-18 |
Other facilities in CANTON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.