Lewis County Nursing Home District
17528 State Highway 81, Canton, MO 63435 · (573) 288-4454
Government - County · 118 certified beds
Lewis County Nursing Home District has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2025, found 15 citations (the Missouri average is 11.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 17, 2025 found 15 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 17, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.November 17, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.November 17, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 17, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 17, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.November 17, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.November 17, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.November 17, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.November 17, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.November 17, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.November 17, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 17, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.November 17, 2025 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyNovember 17, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.November 17, 2025 · F0582 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.January 5, 2024 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.January 5, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.January 5, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.January 5, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 5, 2024 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 5, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.71 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.48 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.79 | 0.68 | 0.86 |
| Nurse aides | 2.44 | 2.29 | 2.32 |
| Total nursing staff turnover | 40.9% | 56% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 118 |
| Average residents per day | 46.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- La Belle Manor Care Center La Belle · ★★★★★ 1 out of 5 stars
- Country Aire Retirement Center Lewistown · ★★★★★ 1 out of 5 stars
- Westview Nursing Home Center · ★★★★★ 1 out of 5 stars
- Clarence Care Center Clarence · ★★★★★ 3 out of 5 stars
- Luther Manor Retirement & Nursing Center Hannibal · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Lewis County Nursing Home District on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.