The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
LEWIS COUNTY NURSING HOME DISTRICT
CANTON, MO · Medicare-certified · 118 beds
Needs attention
Government-run
1 of 5 overall
Lewis County Nursing Home District in Canton, MO has a 1-star overall rating, with a 1-star health inspection rating and the lowest overall rating flag. Staffing is rated 4 stars, but reported nurse staffing is 3.63 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.6268 hrs/resident/day
Quality measures
Last inspection: November 17, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6268.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.42
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 43%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.3%18.8%Worsening
Residents with a fall causing major injury
19%9.1%Improving
Residents with pressure ulcers (bedsores)
0%12.2%Worsening
Residents with a urinary tract infection
2.8%2.4%No change
Residents who lost too much weight
5.6%5.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.6%16.7%Improving
Residents whose ability to walk got worse
16.3%12.4%Improving
Long-stay residents on antianxiety or sleep medication
23.8%14.6%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%6.9%Worsening
Residents with new or worsening incontinence
5.2%10.1%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—83.3%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to monitor antibiotic use properly. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $19,991 in total fines.
- $7,342
Federal fine
Jul 17, 2023
- $12,649
Federal fine
Jun 13, 2023
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 47.2 residents on an average day (40% of 118 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.