Senior Care Records.

Lewis County Nursing Home District

17528 STATE HIGHWAY 81, Canton, MO, 63435

Nursing home118 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 15 deficiencies against Lewis County Nursing Home District in Canton, Missouri at its most recent standard inspection on 2025-11-17. Medicare has fined it 1 time, totalling $7,342. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
118certified beds
15deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $7,342
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.41
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

F

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.

Quality of Life and Care Deficiencies · F0688 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Nutrition and Dietary Deficiencies · F0803 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies · F0804 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies · F0805 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies · F0947 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · F0658 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies · F0744 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

D

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies · F0868 · 2025-11-17 · standard survey · No actual harm, potential for more than minimal harm

D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · F0582 · 2025-11-17 · standard survey · No actual harm, potential for minimal harm

B

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Resident Rights Deficiencies · F0557 · 2024-01-05 · from a complaint · No actual harm, potential for more than minimal harm

D

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2024-01-05 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · F0658 · 2024-01-05 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2024-01-05 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Nursing and Physician Services Deficiencies · F0728 · 2024-01-05 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.71232
Nursing staff turnoverShare of nursing staff who left in a year40.9%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$7,342
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Lewis County Nursing Home District

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
COLLIER, GREGORYIndividualNOT APPLICABLEsince 07/31/2007
LASSWELL, KARENIndividualNOT APPLICABLEsince 07/15/2019
SPRATT, FRANCESIndividualNOT APPLICABLEsince 07/31/2007
STIFFEY, VICKIIndividualNOT APPLICABLEsince 04/22/2020
BERHORST, NAYDENEIndividualNOT APPLICABLEsince 08/01/2015
LONG, SUSANIndividualNOT APPLICABLEsince 05/18/2015
LEWIS COUNTY NURSING HOME DISTRICTOrganizationNOT APPLICABLEsince 04/18/1989
NICHOLS, MICHELLEIndividualNOT APPLICABLEsince 05/18/2021
LEWIS COUNTY NURSING HOME DISTRICTOrganizationNOT APPLICABLEsince 12/04/2024
Contact

Ask Lewis County Nursing Home District a question

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 265360.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction