LEWIS COUNTY NURSING HOME DISTRICT

17528 STATE HIGHWAY 81, CANTON, MO 63435 · CCN 265360 · 118 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality2 of 5

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42 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

2.67

state median 2.42

Weekend staffing gap

+2%

more nursing hours on weekends · state median −11%

RN hours / resident / day

0.26

registered nurses only

Contract (agency) staff

19%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

41%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $7,342 in fines.

Date	Type	Amount
2023-07-17	Fine	$7,342

Ownership

Ownership type: Government - County.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 41

Survey date	Tag	Category	Severity	Corrected
2025-11-17	F0582	Resident Rights Deficiencies	B	not recorded
2025-11-17	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-11-17	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-11-17	F0688	Quality of Life and Care Deficiencies	E	not recorded
2025-11-17	F0689	Quality of Life and Care Deficiencies	E	not recorded
2025-11-17	F0744	Quality of Life and Care Deficiencies	D	not recorded
2025-11-17	F0755	Pharmacy Service Deficiencies	E	not recorded
2025-11-17	F0761	Pharmacy Service Deficiencies	E	not recorded
2025-11-17	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2025-11-17	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-11-17	F0805	Nutrition and Dietary Deficiencies	E	not recorded
2025-11-17	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-11-17	F0868	Administration Deficiencies	D	not recorded
2025-11-17	F0880	Infection Control Deficiencies	F	not recorded
2025-11-17	F0947	Nursing and Physician Services Deficiencies	E	not recorded
2024-01-05	F0557	Resident Rights Deficiencies	D	not recorded
2024-01-05	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-01-05	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-01-05	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-01-05	F0728	Nursing and Physician Services Deficiencies	D	not recorded
2024-01-05	F0880	Infection Control Deficiencies	D	not recorded
2023-11-17	F0557	Resident Rights Deficiencies	D	not recorded
2023-11-17	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-17	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-17	F0637	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-17	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-11-17	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-17	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-11-17	F0686	Quality of Life and Care Deficiencies	D	not recorded
2023-11-17	F0692	Quality of Life and Care Deficiencies	D	not recorded
2023-11-17	F0728	Nursing and Physician Services Deficiencies	D	not recorded
2023-11-17	F0756	Pharmacy Service Deficiencies	D	not recorded
2023-11-17	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-11-17	F0865	Administration Deficiencies	F	not recorded
2023-11-17	F0880	Infection Control Deficiencies	F	not recorded
2023-11-17	F0881	Infection Control Deficiencies	F	not recorded
2023-11-17	F0883	Infection Control Deficiencies	E	not recorded
2021-05-21	F0623	Resident Rights Deficiencies	E	not recorded
2021-05-21	F0625	Resident Rights Deficiencies	E	not recorded
2021-05-21	F0679	Quality of Life and Care Deficiencies	E	not recorded
2021-05-21	F0689	Quality of Life and Care Deficiencies	E	not recorded
2021-05-21	F0809	Nutrition and Dietary Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “LEWIS COUNTY NURSING HOME DISTRICT, CANTON” at medicare.gov/care-compare.