Nursing home · Canton, MO
Lewis County Nursing Home District
17528 State Highway 81, Canton, MO 63435 · 118 certified beds · government 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 Nov 17, 2025, when they cited 15 problems. The most common area was nutrition and dietary (4 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 15 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) 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 3.71 hours per resident per day here, 8% more than the Missouri average (3.43) and 4% less than the U.S. average (3.86). Registered nurses account for 0.48 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 41% over the past year, 15 points lower than Missouri (56%) and 5 points lower than the U.S. (46%).
How Lewis County Nursing Home District 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 | 3.71 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.48 | 0.34 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.38 | 3.16 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 41% | 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 42 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 17, 2025 | 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 |
| Nov 17, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Nov 17, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | B | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | 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 | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | 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 | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | 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 | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | 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 | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | 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 | E | Deficient, Provider has date of correction |
| Jan 5, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jan 5, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Jan 5, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 5, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 5, 2024 | 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 · complaint | D | Deficient, Provider has date of correction |
| Jan 5, 2024 | Provide and implement an infection prevention and control program. Infection control · complaint | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | 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 | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation | D | Past Non-Compliance |
| Nov 17, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Assess the resident when there is a significant change in condition Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Nov 17, 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 |
| Nov 17, 2023 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident rights | D | Deficient, Provider has date of correction |
| Nov 17, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Nov 17, 2023 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Nov 17, 2023 | Implement a program that monitors antibiotic use. Infection control | F | Deficient, Provider has date of correction |
| Nov 17, 2023 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Nov 17, 2023 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | F | Deficient, Provider has date of correction |
| May 21, 2021 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| May 21, 2021 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| May 21, 2021 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
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Questions about Lewis County Nursing Home District
Answers computed from CMS data for this facility.
What is Lewis County Nursing Home District's Medicare rating?
Medicare rates Lewis County Nursing Home District 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 Lewis County Nursing Home District do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 15 problems. The most common area was nutrition and dietary (4 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 15 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 15 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.
Has Lewis County Nursing Home District been fined?
CMS reports no federal fines for this facility in the past three years.
Does Lewis County Nursing Home District accept Medicaid?
Lewis County Nursing Home District is certified for both Medicare and Medicaid. Call (573) 288-4454 to ask whether a Medicaid bed is open.
Other nursing homes near Canton
- 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.