Nursing Homes · Medicare certified
Lewis County Nursing Home District
17528 State Highway 81 · Canton, MO 63435 · 118 certified beds
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About Lewis County Nursing Home District
Lewis County Nursing Home District is a nursing home in Canton, Missouri. Its capacity is 118 beds, above the Missouri median of 97 for nursing homes. It is run by a government body. It is Medicare certified. Its public inspection record shows 43 citations, the most recent on November 17, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.60 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
4.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (43)
Records from May 2021 to November 2025.
January 5, 2024
Tag F0728Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
November 17, 2023
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.
November 17, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
November 17, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
November 17, 2023
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
November 17, 2023
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0728Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
November 17, 2023
Tag F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 2024.
November 17, 2023
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
November 17, 2023
Tag F0881Implement a program that monitors antibiotic use.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 1, 2024.
June 13, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected July 14, 2023.
May 21, 2021
Tag F0809Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 23, 2021.
May 21, 2021
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 23, 2021.
Penalties (1)
Total fines: $7,342
July 17, 2023 · Fine
CMS recorded a civil money penalty of $7,342 against this nursing home on July 17, 2023.
Staffing
3.60 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Government - County
- Parent company: Lewis County Nursing Home District
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
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