Lewis County Nursing Home District
Po Box 266, 17528 State Highway 81, Canton, MO 63435


Lewis County Nursing Home District is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 265360. The address is Po Box 266, 17528 State Highway 81, Canton, MO 63435. The zip code is 63435. The phone number is 5732884454.


Lewis County Nursing Home District · Po Box 266, 17528 State Highway 81, Canton, MO 63435

Federal Provider Number 265360
Provider Name LEWIS COUNTY NURSING HOME DISTRICT
Address PO BOX 266, 17528 STATE HIGHWAY 81
CANTON, MO 63435
Phone Number 5732884454
SSA County Code 541
County Name Lewis
Ownership Type Government - County
Certified Beds 118
Certified Beds Residents 59
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LEWIS COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare Medicaid Services 04/18/1989
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.70085
Reported LPN Staffing Hours per Resident per Day 0.56441
Reported RN Staffing Hours per Resident per Day 0.67966
Reported Licensed Staffing Hours per Resident per Day 1.24407
Reported Total Nurse Staffing Hours per Resident per Day 3.94492
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03983
Expected CNA Staffing Hours per Resident per Day 2.04397
Expected LPN Staffing Hours per Resident per Day 0.5875
Expected RN Staffing Hours per Resident per Day 0.86895
Expected Total Nurse Staffing Hours per Resident per Day 3.50042
Adjusted CNA Staffing Hours per Resident per Day 3.24226
Adjusted LPN Staffing Hours per Resident per Day 0.79738
Adjusted RN Staffing Hours per Resident per Day 0.58443
Adjusted Total Nurse Staffing Hours per Resident per Day 4.54276
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 05/25/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 03/17/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Health Survey Date 04/23/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 52
Total Weighted Health Survey Score 28.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lewis County Nursing Home District

Owner Name Role Association Date
BERHORST, NAYDENE (Individual) OFFICER since 08/01/2015
CAMPBELL, DONNA (Individual) DIRECTOR since 04/25/2011
COLLIER, GREGORY (Individual) DIRECTOR since 07/31/2007
HUEBOTTER, MARK (Individual) DIRECTOR since 07/01/2015
HUEBOTTER, MARK (Individual) MANAGING EMPLOYEE since 07/01/2015
LEWIS COUNTY NURSING HOME DISTRICT (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/18/1989
LEWIS COUNTY NURSING HOME DISTRICT (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/18/1989
LONG, SUSAN (Individual) OFFICER since 05/18/2015
LOWE, CHERYL (Individual) DIRECTOR since 07/31/2007
NELSON, PATRICIA (Individual) OFFICER since 05/18/2015
SPRATT, FRANCES (Individual) DIRECTOR since 07/31/2007

Canton · Nursing Home

Canton Health Care Center 1223 Market Avenue N, Canton, OH 44714
Canton Christian Home 2550 Cleveland Avenue Nw, Canton, OH 44709
Altercare of Nobles Pond, Inc 7006 Fulton Drive, Nw, Canton, OH 44718
Brian Center Health & Rehabilitation/canton 150 Hospital Circle N.w., Canton, GA 30114
Regency At Canton 45900 Geddes Road, Canton, MI 48188
Bethany Nursing Home, Inc 626 34th Street, Nw, Canton, OH 44709
Lodge At New Dawn The 3660 Greentree Avenue Sw, Canton, OH 44706
Sunset Rehabilitation & Hlth C 129 South 1st Avenue, Canton, IL 61520
Stone Crossing Care Ctr By Lamplight Communities 836 West 34th Street Nw, Canton, OH 44709
Heartland Health Care Center-canton 7025 Lilley Road, Canton, MI 48187
Graham Hospital 210 West Walnut Street, Canton, IL 61520
Manorcare Health Svcs-belden Village 5005 Higbee Avenue Nw, Canton, OH 44718
Canton Oaks 1901 S Trade Days Blvd, Canton, TX 75103
Silver Bluff Inc 100 Silver Bluff Drive, Canton, NC 28716
Canton Nursing Center 321 Hospital Road, Canton, GA 30114
Kindred Nursing and Rehabilitation-tower Hill One Meadowbrook Way, Canton, MA 02021
Madison Co Nh 1421-a East Peace Street/p. O. Box 488, Canton, MS 39046
Good Samaritan Society Canton 1022 North Dakota Avenue, Canton, SD 57013
Heartland of Canton 2081 North Main Street, Canton, IL 61520
Aultman Transitional Care Center 2821 Woodlawn Avenue Nw, Canton, OH 44708
Mckinley Health Care Ctr LLC 800 Market Avenue North, Canton, OH 44702
Pinnacle Health and Rehab 26 Pleasant St, Canton, ME 04221
Canton Healthcare Center 1661 S Buffalo, Canton, TX 75103
Maplewood Health Care and Rehabilitation Center 205 State Street Road, Canton, NY 13617
Hellenic Nursing & Rehabilitation Center 601 Sherman Street, Canton, MA 02021
Laurels of Canton, The 2714 13th Street Nw, Canton, OH 44708
Astoria Skilled Nursing and Rehabilitation 3537 12th Street, Nw, Canton, OH 44708
Pines, The 3015 17th Street Nw, Canton, OH 44708
Renaissance Care Center 1675 East Ash Street, Canton, IL 61520
Commons Residence At Orchard Cove 1 Del Pond Drive, Canton, MA 02021

MO · Nursing Home

Bentwood Nursing & Rehab 1501 Charbonier Road, Florissant, MO 63031
Salem Care Center 1203 N Jackson, Po Box 29, Salem, MO 65560
Highland Rehabilitation & Health Care Center 904 East 68th Street, Kansas City, MO 64131
Jeanne Jugan Center 8745 James A Reed Rd, Kansas City, MO 64138
Moniteau Care Center 200 South Gerhart, California, MO 65018
Sunset Home 1201 S. Polk, Maysville, MO 64469
Carrie Elligson Gietner Home 5000 South Broadway, Saint Louis, MO 63111
Bentleys Extended Care 3060 Ashby Road, Overland, MO 63114
St Francois Manor 1180 Old Jackson Road, Farmington, MO 63640
Seasons Care Center 15600 Woods Chapel Road, Kansas City, MO 64139
Troy Manor 200 Thompson Drive, Troy, MO 63379
Cypress Point-skilled Nursing By Americare 801 Baliff Drive, Dexter, MO 63841
Brunswick Nursing Home 721 West Harrison, Brunswick, MO 65236
Paul L & Martha Barone Care Center 2101 North Ash Street, Nevada, MO 64772
Knox County Nursing Home District 55774 State Highway 6, Edina, MO 63537
Lawrence County Manor 915 Carl Allen Street, Mount Vernon, MO 65712
Village Care Center Inc 810 East Edwards Street, Maryville, MO 64468
Eldon Nursing & Rehab 1001 East North Street, Eldon, MO 65026
Nhc Healthcare, Kennett 1120 Falcon, Po Box 696, Kennett, MO 63857
Timberlake Care Center 12110 Holmes Road, Kansas City, MO 64145
Presbyterian Manor of Rolla 1200 Homelife Plaza, Rolla, MO 65401
Good Shepherd Care Center 1101 West Clay Road, Versailles, MO 65084
Ashley Manor Care Center 1630 Radio Hill Road, Boonville, MO 65233
Willow Care Rehabilitation & Health Care Center 328 Munger Lane, Hannibal, MO 63401
Redwood of Cameron 801 Euclid, Po Box 438, Cameron, MO 64429
South Hampton Place 4700 Brandon Woods, Columbia, MO 65203
Bothwell Regional Health Center 601 East 14th Street, Po Box 1706, Sedalia, MO 65301
Foxwood Springs Living Center 1500 West Foxwood Drive, Raymore, MO 64083
St Joseph's Bluffs 1306 West Main Street, Jefferson City, MO 65109
Macon Health Care Center 29612 Kellogg Avenue, Po Box 465, Macon, MO 63552
Belleview Valley Nursing Home 23144 Highway 32, Belleview, MO 63623
St Andrew's At Francis Place 300 Forby Road, Eureka, MO 63025
Warrenton Manor 65 State Hwy Aa, Wright City, MO 63390
New Florence Nursing and Care Center 515 Picnic Street, New Florence, MO 63363
Gregory Ridge Health Care Center 7001 Cleveland Avenue, Kansas City, MO 64132
Westphalia Hills-a Stonebridge Community 1899 Highway 63, Westphalia, MO 65085
Redwood of Raymore 600 E Sunrise Drive, Raymore, MO 64083
Heritage Hall Nursing Center 750 E Highway 22, Centralia, MO 65240
Delmar Gardens On The Green 15197 Clayton Road, Chesterfield, MO 63017
Kabul Nursing Homes Inc 1000 Main Street, Cabool, MO 65689