LEWIS COUNTY NURSING HOME DISTRICT

The information listed below provides an in-depth look into the type and quality of care offered at Lewis County Nursing Home District. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

LEWIS COUNTY NURSING HOME DISTRICT
PO BOX 266, 17528 STATE HIGHWAY 81
CANTON, MO 63435
(573) 288-4454

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

67%

Number of Residents and Certified Beds

  • Residents: 79
  • Certified Beds: 118

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - County
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Lewistown | La Belle | Kahoka

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Lewis County Nursing Home District. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.9%
ADL Index Range: 6-101.1%
ADL Index Range: 0-521.1%
Total Percent:25.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-166.7%
ADL Index Range: 6-1010.7%
ADL Index Range: 0-525.0%
Total Percent:42.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.9%
ADL Index Range: 6-10
- No Signs of depression
7.3%
ADL Index Range: 2-5
- No Signs of depression
13.2%
Total Percent:21.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
2.9%
ADL Index Range: 6-10
- No Signs of depression
2.2%
ADL Index Range: 2-5
- No Signs of depression
2.2%
ADL Index Range: 0-1
- No Signs of depression
0.5%
Total Percent:7.8%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
3.3%
Total Percent:3.3%
 

Rating Details For Lewis County Nursing Home District

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours26 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours30 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 12 Minutes2 Hours and 11 Minutes
Total Licensed Nurse Hours56 Minutes1 Hour and 37 Minutes
Total Nurse Hours3 Hours and 8 Minutes3 Hours and 48 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight9%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder44%38%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%11%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain11%20%
Percent of Short-Stay Residents Who Have Pressure Sores6%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/05/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/15/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/07/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Lewis County Nursing Home District had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/05/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/25/2009
  • Correction Date: 07/06/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/15/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/04/2010
  • Correction Date: 07/15/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/05/2011
  • Correction Date: 06/17/2011
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011