Lewis County Nursing Home District
17528 State Highway 81, Canton, MO, 63435
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - County
- Certified beds
- 118 · avg 47 residents/day
- Total nursing staff turnover
- 43.2% — lower than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $7,342 total
Medicare certification
- CMS Certification Number
- 265360
- Certified beds
- 118 beds · avg 47 residents/day
- Ownership type
- Government - County
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Lewis County Nursing Home District
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (9 on record)
- Lewis County Nursing Home District
Adp of The Snf · since 2024
- (unnamed Owner)
Adp of The Snf · since 2024
- Michelle Nichols
Operational/managerial Control · since 2021
- Vicki Stiffey
Corporate Director · since 2020
- Karen Lasswell
Corporate Director · since 2019
- Naydene Berhorst
Corporate Officer · 100% · since 2015
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 43)
- E0947·Nov 17, 2025
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F0880·Nov 17, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0868·Nov 17, 2025
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F0812·Nov 17, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0805·Nov 17, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E0804·Nov 17, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0803·Nov 17, 2025
Nutrition and Dietary Deficiencies
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.
- E0761·Nov 17, 2025
Pharmacy Service Deficiencies
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.
Federal penalties
By year
- 20231 fine · $7,342
Most recent events
- Jul 17, 2023Fine · $7,342
Fire-safety citations
25 Life-Safety-Code citations on file. Most recent: Nov 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Lewis County Nursing Home Districtinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.