Quick answers
- Where is Lewis County Nursing Home District?
- 17528 State Highway 81, Canton, MO 63435, in Lewis County, Missouri.
- What is the phone number of Lewis County Nursing Home District?
- (573) 288-4454, as listed by Medicare (CMS).
- What is the Medicare star rating of Lewis County Nursing Home District?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Lewis County Nursing Home District been fined?
- Medicare lists no fines for Lewis County Nursing Home District.
- What did inspectors find at Lewis County Nursing Home District?
- In its last three inspection cycles (May 21, 2021 to November 17, 2025), Medicare lists 42 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 21, 2021 to November 17, 2025), Lewis County Nursing Home District had 42 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.60 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: November 17, 2025 — 15 health citations
Inspections in this cycle: November 17, 2025 (standard health inspection).
Show 15 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0688 Level E
“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.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“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.”
F0803 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0947 Level E
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
F0868 Level D
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0582 Level B
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
Previous cycle: November 17, 2023 — 16 health citations
Inspections in this cycle: November 17, 2023 (standard health inspection).
Show 16 citations (levels A to F, no actual harm)
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0728 Level D
“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.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0758 Level D
“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.”
Earlier cycle: May 21, 2021 — 11 health citations
Inspections in this cycle: May 21, 2021 (standard health inspection); January 5, 2024 (complaint investigation).
Show 11 citations (levels A to F, no actual harm)
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level E
“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.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0809 Level E
“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.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0728 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (25)
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0024 Level F
“Establish policies and procedures for volunteers.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
E0020 Level E
“Establish policies and procedures including evacuation.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0291 Level E
“Install emergency lighting that can last at least 1 1/2 hours.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0926 Level F
“Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
E0004 Level E
“Develop and maintain an Emergency Preparedness Program (EP).”
E0013 Level E
“Develop Emergency Preparedness policies and procedures.”
E0015 Level E
“Address subsistence needs for staff and patients.”
E0020 Level E
“Establish policies and procedures including evacuation.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0324 Level D
“Provide properly protected cooking facilities.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.46 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.65 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.50 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.60 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.33 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.25 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 45.8% | 56.9% | 45.3% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Lewis County Nursing Home District | Management company (operational or managerial control) | NOT APPLICABLE | April 18, 1989 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 118 |
| Average residents per day | 49.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – county |
| First approved by Medicare/Medicaid | 1989-04-18 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 17528 State Highway 81, Canton, MO 63435 |
| County | Lewis County |
| State | Missouri |
| Phone | (573) 288‑4454 |
| CMS Certification Number | 265360 |
| Name in Medicare records | LEWIS COUNTY NURSING HOME DISTRICT |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Country Aire Retirement Center14 mi · Lewistown, MO · 1 of 5 stars
- Quincy Healthcare & SR Living15 mi · Quincy, IL · 2 of 5 stars
- Sunset Home17 mi · Quincy, IL · 1 of 5 stars
- Blessing Hospital Snu17 mi · Quincy, IL · 5 of 5 stars
- Good Samaritan Home18 mi · Quincy, IL · 4 of 5 stars
Nearest hospital emergency rooms
- Blessing Hospital16 mi · Quincy, IL · Acute Care Hospital
- Memorial Hospital29 mi · Carthage, IL · Critical Access Hospital
- Hannibal Regional Hospital31 mi · Hannibal, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13