Lewis County Nursing Home District: Staffing, Turnover, and Inspection Record
Lewis County Nursing Home District is a 118-bed government-run nursing home in Canton, Missouri. In the CMS August 2026 release it reported 2.44 nurse aide hours per resident per day, 7% above the Missouri average of 2.29, and 40.9% nursing staff turnover (Missouri average 56.0%).
Lewis County Nursing Home District
17528 State Highway 81Canton, MO 63435
Lewis County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Lewis County Nursing Home District, nurse aides logged 2.44 hours per resident per day, 7% above the Missouri average. With about 47 residents a day, that works out to roughly 114 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.44 | 2.29 | 2.32 |
| Licensed practical nurses | 0.79 | 0.68 | 0.86 |
| Registered nurses | 0.48 | 0.46 | 0.69 |
| All nursing staff | 3.71 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.38 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
40.9% of nursing staff at Lewis County Nursing Home District left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Lewis County Nursing Home District holds 1 of 5 overall; the Missouri average is 2.5.
About Lewis County Nursing Home District
- Ownership: Government - County
- Medicare and Medicaid certified since: Apr 18, 1989
- Councils: resident council
- Area: rural
Nursing homes near Lewis County Nursing Home District
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Country Aire Retirement Center Lewistown · many days without an RN | 13.8 | 60 | 1.94 | 2.97 | 61.3% | 1 | None |
| Quincy Healthcare & Sr Living Quincy | 15.3 | 89 | 2.13 | 3.38 | 57.6% | 2 | $37,258 |
| Sunset Home Quincy · abuse citation | 16.7 | 132 | 1.84 | 3.05 | 49.1% | 1 | $248,577 |
| Blessing Hospital Snu Quincy | 16.8 | 20 | 1.92 | 6.69 | 33.3% | 5 | None |
| Good Samaritan Home Quincy | 17.9 | 203 | 3.05 | 5.01 | 44.4% | 5 | $26,640 |
| La Belle Manor Care Center La Belle · many days without an RN | 20.1 | 94 | 3.23 | 3.83 | 68.6% | 1 | None |
| Southeast Iowa Healthcare Center Keokuk | 20.6 | 55 | 1.60 | 2.94 | 35.9% | 4 | $25,495 |
| Mississippi Valley Keokuk | 20.9 | 83 | 3.39 | 5.67 | 36.8% | 3 | $19,663 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.