Missouri › Lewis County › Lewistown
Country Aire Retirement Center
18540 State Highway 16, Lewistown, MO 63452
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Country Aire Retirement Center is a For-profit, limited liability company nursing home in Lewistown, Missouri, certified for 60 beds and caring for about 39 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 66 health deficiencies across the three most recent survey cycles (14, 51, 1 by cycle, most recent first), none at the actual-harm level. That is 110.0 per 100 beds, more than the state median of 32.1.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 61.3%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Lewis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 66 | 42 | 31 | 28.7 |
| Citations per 100 beds | 110.0 | 35.6 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 61.3% | 61.3% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Jul 2024, 18 Jan 2023.
Severity mix: D ×20 E ×28 F ×12 B ×2 C ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Nov 2025 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | E | Complaint investigation | 26 Dec 2025 |
| 17 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 26 Dec 2025 |
| 17 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 26 Dec 2025 |
| 17 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 26 Dec 2025 |
| 19 Mar 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 9 Jun 2025 |
| 19 Mar 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 2 May 2025 |
| 19 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 May 2025 |
| 8 Jan 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 21 Feb 2025 |
| 9 Sep 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 Sep 2024 |
| 11 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0575 | 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. | C | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | Standard survey | 24 Aug 2024 |
| 11 Jul 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 24 Aug 2024 |
| 5 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 14 Nov 2023 |
| 18 Jan 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0700 | 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. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0761 | 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. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0803 | 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 | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0809 | 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. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 Mar 2023 |
| 18 Jan 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0758 | 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. | D | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 30 Mar 2023 |
| 18 Jan 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 19 Apr 2023 |
| 18 Jan 2023 | F0625 | 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. | B | Standard survey | 19 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Mar 2025 | Payment denial | — | 3 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 61.3%, RNs —; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.2% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.1% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lewis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| La Belle Manor Care Center | La Belle | 94 | 1 | 2 | 1 | 21 | 22.3 | — | 30 May 2025 |
| Lewis County Nursing Home District | Canton | 118 | 1 | 1 | 4 | 42 | 35.6 | — | 17 Nov 2025 |
All 3 facilities in Lewis County
Questions and answers
How many deficiencies has Country Aire Retirement Center been cited for?
66 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Country Aire Retirement Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Country Aire Retirement Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Country Aire Retirement Center?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Country Aire Retirement Center last inspected?
The most recent survey or investigation in the CMS record is dated 17 Nov 2025; the most recent standard health survey was 11 Jul 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.