Home›Missouri›Lewis County›LEWIS COUNTY NURSING HOME DISTRICT
C
Below Standard

LEWIS COUNTY NURSING HOME DISTRICT

17528 STATE HIGHWAY 81 · CANTON, MO 63435

5732884454 · Government - County

118 beds44.3 residents72 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LEWIS COUNTY NURSING HOME DISTRICT receives an overall staffing grade of C (Below Standard). With 3.5066 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4721 HPRD, below the recommended 0.75. It is 0.39 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.69% compared to weekdays. The facility uses a moderate level of agency staff (11.94% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.4721 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.5066hrs/resident/day▼ 0.39
CMS benchmark: 3.48
RN HPRD
0.4721hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
16.69%
3.6802 weekday → 3.0661 weekend
Agency Staff
11.94%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.6526hrs/resident/day
Direct care aides
LPN HPRD
0.8079hrs/resident/day
Licensed practical nurses
Consistency
0.4301std 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-0.25 HPRD
3.76
03.51 HPRD
vs. Missouri State Average+0.03 HPRD
3.48
03.51 HPRD
vs. National Average-0.39 HPRD
3.90
03.51 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
LEWIS COUNTY NURSING HOME DISTRICT ★
CANTON · This facility
—
C
3.50660.4721★★☆☆☆
COUNTRY AIRE RETIREMENT CENTER
LEWISTOWN
13.8 mi
D
3.53130.3379★☆☆☆☆
CLARK COUNTY NURSING HOME
KAHOKA
22.3 mi
C
3.5510.4834★★☆☆☆
MAPLE LAWN NURSING HOME
PALMYRA
24.7 mi
C
4.46210.4448★★☆☆☆
BELOVED HEALTH AND REHABILITATION CENTER
HANNIBAL
30.1 mi
F
2.17280.1649★☆☆☆☆
BETH HAVEN NURSING HOME
HANNIBAL
30.7 mi
F
4.86660.2333★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
30
Total Deficiencies
$19,991
Fines Assessed
Jan 5, 2024Health
6 deficiencies cited
▼
Nov 17, 2023Health
16 deficiencies cited
▼
Jun 13, 2023Health
1 deficiency cited· Includes actual harm
▼
Feb 9, 2023Health
1 deficiency cited
▼
May 21, 2021Health
5 deficiencies cited
▼
Apr 11, 2019Health
1 deficiency cited
▼

Penalty History

Jul 17, 2023Fine
$7,342
Jun 13, 2023Fine
$12,649
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.