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

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

MO · Nursing Home

Fulton Manor Care Center 520 Manor Drive, Fulton, MO 65251
Truman Medical Center Lakewood Care Center 7900 Lee's Summit Road, Kansas City, MO 64139
Clarence Care Center 111 East Street, Clarence, MO 63437
Forsyth Care Center 477 Coy Blvd, Po Box 640, Forsyth, MO 65653
Beauvais Manor Healthcare & Rehab Center 3625 Magnolia Avenue, Saint Louis, MO 63110
Carriage Square Living & Rehab Center 4009 Gene Field Road, Saint Joseph, MO 64506
Living Center, The 2506 Linden Tree Parkway, Po Box 370, Marshall, MO 65340
Ridgeview Living Community 500 Barrett Drive, Malden, MO 63863
Truman Healthcare & Rehabilitation Center 206 West First Street, Lamar, MO 64759
Country Aire Retirement Center 18540 State Highway 16, Lewistown, MO 63452
Westridge Gardens Rehab & Health Care Center 11901 Jessica Lane, Raytown, MO 64138
Stonebridge Maryland Heights 2963 Doddridge Avenue, Maryland Heights, MO 63043
Serenity Rehabilitation and Nursing Kansas City 12942 Wornall Road, Kansas City, MO 64145
Sunset Health Care Center 400 West Park Avenue, Union, MO 63084
Heritage Nursing Center-skilled Nurs By Americare 1802 St Francis, Po Box 827, Kennett, MO 63857
St James Living Center 415 Sidney Street, Po Box 69, Saint James, MO 65559
Houston House 1000 North Industrial Drive, Po Box 199, Houston, MO 65483
Carondelet Manor 621 Carondelet Drive, Kansas City, MO 64114
Gasconade Manor Nursing Home 1910 Nursing Home Road, Po Box 520, Owensville, MO 65066
Abc Health Care 307 East South Street, Harrisonville, MO 64701
Crystal Creek Health and Rehabilitation Center 250 New Florissant Road South, Florissant, MO 63031
Surrey Place St Lukes Hosp Skilled Nursing and Rcf 14701 Olive Blvd, Chesterfield, MO 63017
Mark Twain Caring Center 3001 May Street, Poplar Bluff, MO 63901
Ackert Park Skilled Nursing & Rehabilitation Cente 894 Leland Avenue, University City, MO 63130
Apple Ridge Care Center 100 West Thomas Avenue, Po Box 188, Waverly, MO 64096
Heart of The Ozarks Healthcare Center 2004 Crestview Street, Po Box 727, Ava, MO 65608
Luther Manor Retirement & Nursing Center 3170 Highway 61 North, Hannibal, MO 63401
Salem Care Center 1203 N Jackson, Po Box 29, Salem, MO 65560
New Florence Nursing and Care Center 515 Picnic Street, New Florence, MO 63363
Fountainbleau Lodge 2001 North Kingshighway, Cape Girardeau, MO 63701
Redwood of Blue River 10425 Chestnut Dr, Kansas City, MO 64137
Lutheran Home, The 2825 Bloomfield Road, Cape Girardeau, MO 63703
Madison Medical Center 611 West Main Street, Po Box 431, Fredericktown, MO 63645
Webb City Health and Rehabilitation Center 2077 Stadium Drive, Webb City, MO 64870
Wilson's Creek Nursing & Rehab 3403 West Mt Vernon, Springfield, MO 65802
Republic Nursing & Rehab 901 East Hwy 174, Republic, MO 65738
Gideon Care Center 300 Lunbeck, Po Box 197, Gideon, MO 63848
Osage Beach Rehabilitation and Health Care Center 844 Passover Road, Osage Beach, MO 65065
Warsaw Health and Rehabilitation Center 1609 Sunchase Drive, Warsaw, MO 65355
St Peters Manor Care Center 230 Spencer Road, Saint Peters, MO 63376