F

LEWIS COUNTY NURSING HOME DISTRICT

17528 STATE HIGHWAY 81, CANTON, MO 63435
Score: 27 / 100

Lewis County Nursing Home District has received an F grade based on CMS data, with a score of 27/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Canton facility should carefully review its inspection history and quality metrics.

Staffing at Lewis County Nursing Home District is near the national average, with 3.51 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 43 deficiencies at Lewis County Nursing Home District. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.51 3.8 Average
Registered Nurses (RN) 0.47 0.7 Below Average
Licensed Practical Nurses (LPN) 0.81 0.7 Above Average
Certified Nursing Assistants (CNA) 2.23 2.4 Average
Weekend Total Nursing 3.06 3.8 Below Average
Weekend RN Hours 0.28 0.7 Below Average

🔍 Inspection & Deficiency History

43
Total Deficiencies
Nov 16, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 42 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Nov 16, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Nov 16, 2025 · Infection Control Deficiencies
  • Tag 0688 Severity 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 medic
    Nov 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Nov 16, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.1% 4.5% Average
Falls with major injury 13.8% 3.0% Worse
On antipsychotic medication 11.5% 14.5% Better
Urinary tract infections 2.5% 2.5% Average
ADL decline (daily activities) 13.2% 14.0% Average
Excessive weight loss 6.5% 7.5% Better
New/worsened incontinence 6.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $19,991

How This Grade Was Calculated

This facility's grade of F is based on a score of 27 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - County
Certified Beds
118
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 16, 2025
Deficiencies (Cycle 1)
15