Nursing home · Lewistown, MO
Country Aire Retirement Center
18540 State Highway 16, Lewistown, MO 63452 · 60 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jul 9, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 11, 2024) it had 15 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.97 hours per resident per day here, 13% less than the Missouri average (3.43) and 23% less than the U.S. average (3.86). Registered nurses account for 0.25 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 61% over the past year, 5 points higher than Missouri (56%) and 15 points higher than the U.S. (46%).
How Country Aire Retirement Center compares
This home's latest CMS figures next to the averages for Hannibal-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Hannibal area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.97 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.25 | 0.34 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.67 | 3.16 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 61% | 55% | 56% | 46% |
| Registered nurse turnover (past year) | — | 52% | 48% | 43% |
| Citations at the most recent standard inspection | 15 | 16.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 67 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 9, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Mar 19, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and physician services · complaint | F | Deficient, Provider has date of correction |
| Mar 19, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Mar 19, 2025 | Implement a program that monitors antibiotic use. Infection control · complaint | E | Deficient, Provider has date of correction |
| Mar 19, 2025 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care · complaint | E | Deficient, Provider has date of correction |
| Mar 19, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | E | Deficient, Provider has date of correction |
| Mar 19, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Mar 19, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration · complaint | F | Deficient, Provider has date of correction |
| Mar 19, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services · complaint | F | Deficient, Provider has date of correction |
| Jan 8, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services · complaint | F | Deficient, Provider has date of correction |
| Sep 9, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Past Non-Compliance |
| Jul 11, 2024 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Jul 11, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | C | Deficient, Provider has date of correction |
| Jul 11, 2024 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental | E | Deficient, Provider has date of correction |
| Jul 11, 2024 | Keep all essential equipment working safely. Environmental | E | Deficient, Provider has date of correction |
| Jul 11, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Jul 11, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Jul 11, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| Jul 11, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Jul 11, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jul 11, 2024 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident rights | C | Deficient, Provider has date of correction |
| Oct 5, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jan 18, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Jan 18, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 18, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Mar 19, 2025 | Payment Denial | 3 days |
Location
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Reviews
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Questions about Country Aire Retirement Center
Answers computed from CMS data for this facility.
What is Country Aire Retirement Center's Medicare rating?
Medicare rates Country Aire Retirement Center 1 out of 5 stars overall (much below average). The average for Hannibal-area nursing homes is 1.5, for Missouri 2.51 and for the U.S. 2.99.
How did Country Aire Retirement Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 9, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 11, 2024) it had 15 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Has Country Aire Retirement Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Country Aire Retirement Center accept Medicaid?
Country Aire Retirement Center is certified for both Medicare and Medicaid. Call (573) 215-2216 to ask whether a Medicaid bed is open.
Other nursing homes near Lewistown
- 4/5Elsberry Missouri Health Care CenterElsberry · 56 beds
- 4/5Monroe City Manor Care CenterMonroe City · 60 beds
- 2/5Clark County Nursing HomeKahoka · 99 beds
- 1/5Avenir at Maple GroveLouisiana · 90 beds
- 1/5Baptist Homes, Tri-CountyVandalia · 90 beds
- 1/5Beloved Health and Rehabilitation CenterHannibal · 111 beds
Compare all 15 Hannibal-area nursing homes · · Hannibal guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.