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

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

MO · Nursing Home

Marymount Manor 313 Augustine Rd, Po Box 600, Eureka, MO 63025
Parkdale Manor Care Center 814 West South Avenue, Maryville, MO 64468
Stonecrest Healthcare 2 Highway Y, Po Box 707, Viburnum, MO 65566
Madison Medical Center 611 West Main Street, Po Box 431, Fredericktown, MO 63645
Hill Crest Manor 801 South Colby, Hamilton, MO 64644
New Madrid Living Center 1050 Dawson Road, New Madrid, MO 63869
Baisch Nursing Center 3260 Baisch Drive, De Soto, MO 63020
Buffalo Prairie Center for Rehab and Healthcare 631 West Main Street, Buffalo, MO 65622
West Vue Nursing and Rehabilitation Center 210 Davis Drive, West Plains, MO 65775
Cotton Point Living Center 609 South Railroad Street, Matthews, MO 63867
Brooking Park 307 South Woods Mill Road, Chesterfield, MO 63017
Heartland Care and Rehabilitation Center 2525 Boutin Drive, Cape Girardeau, MO 63701
Maranatha Village, Inc 233 East Norton Road, Springfield, MO 65803
Ridgeview Living Community 500 Barrett Drive, Malden, MO 63863
Bentleys Extended Care 3060 Ashby Road, Overland, MO 63114
Sonshine Manor 300 South Cottonwood Avenue, Republic, MO 65738
Lacoba Homes Inc 850 Highway 60, Po Box 885, Monett, MO 65708
St Johns Place 3333 Brown Road, Saint Louis, MO 63114
Clearview Nursing Center 430 Salcedo Road, Po Box 707, Sikeston, MO 63801
Mcknight Place Extended Care Two Mcknight Place, Saint Louis, MO 63124
La Verna Village Nursing Home 904 Hall Avenue, Po Box 279, Savannah, MO 64485
Seville Care Center 35625 Highway 72, Po Box 746, Salem, MO 65560
Lebanon North Nursing & Rehab 596 Morton Road, Lebanon, MO 65536
Redwood of Carmel Hills 810 East Walnut, Independence, MO 64050
Independence Manor Care Center 1600 South Kingshighway, Independence, MO 64055
Bellefontaine Gardens Nursing & Rehab 9500 Bellefontaine Road, Saint Louis, MO 63137
Luther Manor Retirement & Nursing Center 3170 Highway 61 North, Hannibal, MO 63401
Westfield Nursing Center, Inc 3144 State Highway Ff, Po Box 489, Sikeston, MO 63801
Festus Manor 627 Westwood Drive South, Festus, MO 63028
Brooke Haven Healthcare 1410 North Kentucky Avenue, West Plains, MO 65775
Timberlake Care Center 12110 Holmes Road, Kansas City, MO 64145
Surrey Place St Lukes Hosp Skilled Nursing and Rcf 14701 Olive Blvd, Chesterfield, MO 63017
Southbrook-skilled Nursing By Americare 1108 West Liberty, Farmington, MO 63640
Salem Memorial District Hospital Po Box 774, 35629 Highway 72, Salem, MO 65560
Moniteau Care Center 200 South Gerhart, California, MO 65018
Brunswick Nursing Home 721 West Harrison, Brunswick, MO 65236
Manor, The 2071 Barron Rd, Poplar Bluff, MO 63901
Heritage Nursing Center-skilled Nurs By Americare 1802 St Francis, Po Box 827, Kennett, MO 63857
Excelsior Springs Hospital 1700 Rainbow Boulevard, Excelsior Springs, MO 64024
Westview Nursing Home 301 West Dunlop Street, Center, MO 63436