Missouri › Lewis County › Canton
Lewis County Nursing Home District
17528 State Highway 81, Canton, MO 63435
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.
Certified for 118 beds, Lewis County Nursing Home District serves Canton in Lewis County, Missouri and has taken Medicare and Medicaid residents since 1989.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (15, 16, 11 by cycle, most recent first), none at the actual-harm level. That is 35.6 per 100 beds, about the same as the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 40.9%.
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 | 42 | 42 | 31 | 28.7 |
| Citations per 100 beds | 35.6 | 35.6 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 40.9% | 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: 17 Nov 2025, 17 Nov 2023.
Severity mix: D ×21 E ×15 F ×5 B ×1
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 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Jan 2026 |
| 17 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0688 | 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 | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 30 Jan 2026 |
| 17 Nov 2025 | 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 Jan 2026 |
| 17 Nov 2025 | 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 | 30 Jan 2026 |
| 17 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 31 Dec 2025 |
| 17 Nov 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 31 Dec 2025 |
| 5 Jan 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 8 Feb 2024 |
| 5 Jan 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 8 Feb 2024 |
| 5 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 8 Feb 2024 |
| 5 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Feb 2024 |
| 5 Jan 2024 | F0728 | 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 | Complaint investigation | 8 Feb 2024 |
| 5 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Feb 2024 |
| 17 Nov 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Feb 2024 |
| 17 Nov 2023 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 8 Feb 2024 |
| 17 Nov 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 17 Nov 2023 |
| 17 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Feb 2024 |
| 17 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 8 Feb 2024 |
| 17 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Jan 2024 |
| 17 Nov 2023 | F0728 | 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 | Standard survey | 8 Feb 2024 |
| 17 Nov 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. | D | Standard survey | 1 Jan 2024 |
| 17 Nov 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 | 1 Jan 2024 |
| 21 May 2021 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 23 Jun 2021 |
| 21 May 2021 | 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. | E | Standard survey | 23 Jun 2021 |
| 21 May 2021 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 23 Jun 2021 |
| 21 May 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 23 Jun 2021 |
| 21 May 2021 | 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 | 23 Jun 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 40.9%, RNs —; 0 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 | 13.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.1% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.8% | 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 | 5.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.9% | 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: government, county.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lewis County Nursing Home District | Operational/managerial control | NOT APPLICABLE | 04/18/1989 |
| Lewis County Nursing Home District | Adp of the snf | NOT APPLICABLE | 12/04/2024 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Country Aire Retirement Center | Lewistown | 60 | 1 | 1 | 1 | 66 | 110.0 | — | 17 Nov 2025 |
| La Belle Manor Care Center | La Belle | 94 | 1 | 2 | 1 | 21 | 22.3 | — | 30 May 2025 |
All 3 facilities in Lewis County
Questions and answers
How many deficiencies has Lewis County Nursing Home District been cited for?
42 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 Lewis County Nursing Home District been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Lewis County Nursing Home District compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Lewis County Nursing Home District?
Ownership type is government, county. Organisations in the CMS ownership record include Lewis County Nursing Home District. Individual owners and managers are not listed on this site.
When was Lewis County Nursing Home District last inspected?
The most recent survey or investigation in the CMS record is dated 17 Nov 2025; the most recent standard health survey was 17 Nov 2025.
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.