LEWIS COUNTY NURSING HOME DISTRICT — Nursing Home in CANTON, MO
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 118 |
|---|---|
| Average Residents/Day | 43.8 |
| CMS Certification Number | 265360 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 3.58 HPRD |
|---|---|
| RN Staffing | 0.50 HPRD |
Health Inspection Findings & Deficiencies
LEWIS COUNTY NURSING HOME DISTRICT had 15 health inspection deficiencies on its most recent inspection (November 17, 2025).
Inspection Findings — November 17, 2025
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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. (Level E)Corrected — January 30, 2026
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Level B)Corrected — December 31, 2025
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Ensure services provided by the nursing facility meet professional standards of quality. (Level D)Corrected — December 31, 2025
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Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Level D)Corrected — December 31, 2025
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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. (Level E)Corrected — December 31, 2025
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level E)Corrected — December 31, 2025
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Level D)Corrected — December 31, 2025
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Level E)Corrected — January 30, 2026
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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. (Level E)Corrected — January 30, 2026
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Level E)Corrected — December 31, 2025
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Level E)Corrected — December 31, 2025
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level F)Corrected — January 30, 2026
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Level D)Corrected — December 31, 2025
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Provide and implement an infection prevention and control program. (Level F)Corrected — December 31, 2025
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Level E)Corrected — December 31, 2025
Lewis County Nursing Home District is a 118-bed nursing home in Canton, Missouri. It holds a 2-star CMS overall rating. Total nurse staffing is 3.6 hours per resident day, above the Missouri average of 3.5. Its most recent inspection, in November 2025, cited 15 deficiencies, none of them severe. CMS has flagged this facility with an abuse icon.
A clear strength is that nursing coverage is somewhat higher than the state average, which can help with routine care and oversight. However, the facility carries an abuse flag and was cited for multiple care and safety-related deficiencies at its last inspection, so you should ask the facility to explain the abuse finding and what specific steps they have taken to address those citations.
Frequently Asked Questions
Is LEWIS COUNTY NURSING HOME DISTRICT Medicare and Medicaid certified?
LEWIS COUNTY NURSING HOME DISTRICT is Medicare certified and Medicaid certified according to CMS data.
What is LEWIS COUNTY NURSING HOME DISTRICT's CMS star rating?
LEWIS COUNTY NURSING HOME DISTRICT has an overall CMS rating of 2 out of 5 stars.
How is staffing at LEWIS COUNTY NURSING HOME DISTRICT?
LEWIS COUNTY NURSING HOME DISTRICT reports 3.58024 total nurse hours per resident day.
Has LEWIS COUNTY NURSING HOME DISTRICT had health inspection deficiencies?
On its most recent inspection, LEWIS COUNTY NURSING HOME DISTRICT had 15 total deficiencies, including 0 classified as severe.
How many beds does LEWIS COUNTY NURSING HOME DISTRICT have?
LEWIS COUNTY NURSING HOME DISTRICT has 118 certified beds.
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.