Lewis County Nursing Home District
17528 State Highway 81 · Canton, MO · 63435 · 5732884454
118 certified beds Government - County
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.31 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $7,342 |
Inspection citations (43 in the current record)
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Potential for harm · D November 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 31, 2025 · Quality of Life and Care
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Potential for harm · E November 17, 2025
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.
Corrected December 31, 2025 · Quality of Life and Care
-
Potential for harm · E November 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 31, 2025 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 31, 2025 · Quality of Life and Care
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Potential for harm · E November 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 30, 2026 · Pharmacy Service
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Potential for harm · E November 17, 2025
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.
Corrected January 30, 2026 · Pharmacy Service
-
Potential for harm · E November 17, 2025
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.
Corrected January 30, 2026 · Nutrition and Dietary
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Potential for harm · E November 17, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 31, 2025 · Nutrition and Dietary
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Potential for harm · E November 17, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 31, 2025 · Nutrition and Dietary
-
Potential for harm · F November 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 30, 2026 · Nutrition and Dietary
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Potential for harm · D November 17, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected December 31, 2025 · Administration
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Potential for harm · F November 17, 2025
Provide and implement an infection prevention and control program.
Corrected December 31, 2025 · Infection Control
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Potential for harm · E November 17, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 31, 2025 · Nursing and Physician Services
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No harm found · B November 17, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 31, 2025 · Resident Rights
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Potential for harm · D January 5, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected February 8, 2024 · Resident Rights
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Potential for harm · D January 5, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 5, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 5, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 8, 2024 · Quality of Life and Care
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Potential for harm · D January 5, 2024 · found via complaint
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.
Corrected February 8, 2024 · Nursing and Physician Services
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Potential for harm · D January 5, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 8, 2024 · Infection Control
-
Potential for harm · D November 17, 2023
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected February 8, 2024 · Resident Rights
-
Potential for harm · D November 17, 2023
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2023
Assess the resident when there is a significant change in condition
Corrected January 1, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 17, 2023 | Fine | $7,342 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265360 · certified since April 18, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.