Home›Missouri›Lewis County›COUNTRY AIRE RETIREMENT CENTER
D
Poor

COUNTRY AIRE RETIREMENT CENTER

18540 STATE HIGHWAY 16 · LEWISTOWN, MO 63452

5732152216 · For profit - Limited Liability company

60 beds34.6 residents52 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

COUNTRY AIRE RETIREMENT CENTER receives an overall staffing grade of D (Poor). With 3.5313 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3379 HPRD, below the recommended 0.75. It is 0.36 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.66% compared to weekdays. The facility has low agency staff usage (4% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Had 5 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.3379 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (4%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5313hrs/resident/day▼ 0.36
CMS benchmark: 3.48
RN HPRD
0.3379hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
20.66%
3.7502 weekday → 2.9754 weekend
⚠ Significant weekend reduction
Agency Staff
4%
30.91% of RN hours from contractors
Days with Zero RN
5days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.7092hrs/resident/day
Direct care aides
LPN HPRD
0.7147hrs/resident/day
Licensed practical nurses
Consistency
0.5427std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lewis County Average-0.23 HPRD
3.76
03.53 HPRD
vs. Missouri State Average+0.05 HPRD
3.48
03.53 HPRD
vs. National Average-0.37 HPRD
3.90
03.53 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
COUNTRY AIRE RETIREMENT CENTER ★
LEWISTOWN · This facility
—
D
3.53130.3379★☆☆☆☆
LEWIS COUNTY NURSING HOME DISTRICT
CANTON
13.8 mi
C
3.50660.4721★★☆☆☆
CLARK COUNTY NURSING HOME
KAHOKA
24.4 mi
C
3.5510.4834★★☆☆☆
MAPLE LAWN NURSING HOME
PALMYRA
25.1 mi
C
4.46210.4448★★☆☆☆
BELOVED HEALTH AND REHABILITATION CENTER
HANNIBAL
32.7 mi
F
2.17280.1649★☆☆☆☆
BETH HAVEN NURSING HOME
HANNIBAL
33.6 mi
F
4.86660.2333★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
66
Total Deficiencies
$0
Fines Assessed
Nov 17, 2025Health
4 deficiencies cited
▼
Mar 19, 2025Health
8 deficiencies cited
▼
Jan 8, 2025Health
1 deficiency cited
▼
Sep 9, 2024Health
1 deficiency cited
▼
Jul 11, 2024Health
10 deficiencies cited
▼
Oct 5, 2023Health
1 deficiency cited
▼
Jan 18, 2023Health
41 deficiencies cited
▼

Penalty History

Mar 19, 2025Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.