LEWIS COUNTY NURSING HOME DISTRICT
LEWIS COUNTY NURSING HOME DISTRICT, in CANTON, Missouri, holds 118 certified beds and has been certified for Medicare and Medicaid since 1989-04-18, averaging 46.7 residents a day.
Has LEWIS COUNTY NURSING HOME DISTRICT been cited for violations?
CMS lists 42 health-inspection deficiencies for LEWIS COUNTY NURSING HOME DISTRICT since 2021-05-21, 37 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-11-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-17 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2025-11-17 | F0688, F0689, F0755, F0761, F0803, F0804, F0805, F0947 | 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2025-11-17 | F0658, F0686, F0744, F0868 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
| 2025-11-17 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B |
| 2024-01-05 | F0557, F0602, F0658, F0677, F0728, F0880 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Protect each resident from the wrongful use of the resident's belongings or money. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide and implement an infection prevention and control program. | D |
| 2023-11-17 | F0865, F0880, F0881 | Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | F |
| 2023-11-17 | F0641, F0883 | Ensure each resident receives an accurate assessment. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2023-11-17 | F0557, F0602, F0609, F0637, F0658, F0677, F0686, F0692, F0728, F0756, F0758 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Assess the resident when there is a significant change in condition / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. | D |
| 2021-05-21 | F0623, F0625, F0679, F0689, F0809 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | E |
How is LEWIS COUNTY NURSING HOME DISTRICT staffed?
| Measure | This facility | MO average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.71232 | 3.43324 |
| Total nursing staff turnover (%) | 40.9 | 56.0 |
| Average number of residents per day | 46.7 | 73.0 |
Who owns LEWIS COUNTY NURSING HOME DISTRICT?
LEWIS COUNTY NURSING HOME DISTRICT is registered with CMS as Government - County, operates under the legal business name LEWIS COUNTY NURSING HOME DISTRICT.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | COLLIER, GREGORY, LASSWELL, KAREN, SPRATT, FRANCES, STIFFEY, VICKI | since 04/22/2020 |
| CORPORATE OFFICER | BERHORST, NAYDENE, LONG, SUSAN | since 05/18/2015 |
| OPERATIONAL/MANAGERIAL CONTROL | LEWIS COUNTY NURSING HOME DISTRICT, NICHOLS, MICHELLE | since 04/18/1989 |
| ADP OF THE SNF | LEWIS COUNTY NURSING HOME DISTRICT | since 12/04/2024 |
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