Deficiency Index

Country Aire Retirement Center

Lewistown, Missouri · CCN 265474

20 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
114
Surveys
20
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file12/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
Independent
County
Lewis · rural
Medicare-certified since
1991

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 82 for-profit facilities with fewer than 66 beds in Missouri.

Last survey on record

Jul 9, 2026

123 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.973.20
Registered-nurse hours per resident day0.25—
Annual nurse turnover61.3%57.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2029.9%E2943.3%F1217.9%
No harm, potential for minimalA—B23.0%C46.0%
CMS’s current file: 67 of the 114 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6583×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6232×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F6362×

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

In the surveyor’s words

From the most serious findings on record at Country Aire Retirement Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF725Mar 19, 2025

    Based on interview and record review, the facility failed to ensure there was an adequate number of licensed nurses on duty to meet resident needs. The Social Service Director (SSD)/Licensed Practical Nurse (LPN) A was pulled from his/her duties as the Social Services Director, and unable to follow up on resident concerns, to work the floor as the charge nurse on multiple occasions. SSD/LPN A worked a total of 36 consecutive hours due to having no licensed nurse coverage. SSD/LPN A slept in a recliner at the nurse's station while on duty during his/her 36 hour shift. Registered Nurse (RN) B said he/she was leaving employment 3/19/25; he/she was unable to measure wounds weekly per policy, complete routine skin assessments, or complete necessary documentation due to staffing. […]

  • No harm, potential for more than minimal, widespreadF727Mar 19, 2025

    Based on interview and record review, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, and failed to ensure the facility had a RN designated as the Director of Nursing (DON) on a full-time basis. The facility census was 37. Review of the Facility Assessment, dated 7/8/24, showed the following: -The administrative staff should include a DON; -The facility desired five full time RNs. Review of the facility's Director of Nursing Staffing policy, dated 2025, showed the following: -The facility must employ a full-time DON; -The DON must be a Licensed Registered Nurse; -The DON was responsible for overseeing operations, quality of care, staff recruitment, retention and education. […]

  • No harm, potential for more than minimal, widespreadF835Mar 19, 2025

    Based on observation, interview, and record review, the facility administration failed to ensure operations including staffing and required regulatory systems necessary for the care and safety of residents were provided. The facility failed to have a full time Director of Nursing (DON), Assistant Director of Nursing (ADON), and an adequate number of licensed nurses to meet the residents' needs. The facility also failed to have an Infectionist Preventionist (IP) or antibiotic stewardship program in place,which included tracking of antibiotic use and infections. Vendors were not paid for supplies or services timely. […]

  • No harm, potential for more than minimal, widespreadF727Jan 8, 2025

    Based on interview and record review the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, and failed to ensure the facility had a RN designated as the Director of Nursing (DON) on a full time basis. The facility census was 44. Review of the Facility Assessment, dated 7/8/24, showed the following: -The administrative staff should include a DON; -The facility desired two full time RNs. Review of the facility's undated Director of Nursing Services policy showed the following: -The nursing services department is under the direct supervision of a registered nurse; -The nursing services department is managed by the Director of Nursing Services. […]

  • No harm, potential for more than minimal, widespreadF812Jul 11, 2024

    Based on observation, interview, and record review, the facility failed to maintain the range hood free of a buildup of grease and debris; failed to maintain the air conditioner and microwave free of a buildup of debris; failed to ensure food items were labeled, dated, covered and discarded when expired; failed to ensure a water dispenser and a water dispensing unit was free of a buildup of debris; failed to ensure staff utilized safe food handling practices when preparing ready to eat food items; failed to ensure staff handled ready to eat foods safely; failed to ensure staff wore hair restraints properly; and failed to ensure the ice machine was equipped with an appropriate air gap to prevent back siphonage. The facility census was 43. 1. […]

Read 20 findings in full →The most serious and the most recent: 20 of 114 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 25, 2026Complaint1 finding
  • Jul 9, 2026Complaint1 finding
  • Nov 17, 2025Complaint4 findings
  • Mar 19, 2025Complaint8 findings
  • Jan 8, 2025Complaint1 finding
  • Sep 9, 2024Complaint1 finding
  • Jul 11, 2024Standard10 findings
  • Oct 5, 2023Complaint1 finding
Show the 12 earlier surveys
  • Jan 18, 2023Standard42 findings
  • Aug 31, 2022Complaint2 findings
  • Jan 6, 2020Complaint1 finding
  • Jun 15, 2018Standard1 finding
  • Aug 15, 2017Complaint1 finding
  • Apr 19, 2017Standard6 findings
  • Jun 2, 2016Standard7 findings
  • Jun 24, 2015Standard7 findings
  • Jun 2, 2015Complaint2 findings
  • Apr 25, 2013—12 findings
  • May 31, 2012—5 findings
  • Jun 8, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction