Nursing HomeInspections

Country Aire Retirement Center

Nursing home in Lewistown, MO

Medicare & Medicaid certified1★ overall (CMS)

Call (573) 215-2216Send a messageMap ↗

Public-record details

Address
18540 State Highway 16, Lewistown, MO 63452
Phone
(573) 215-2216
Listed under
For-profit
Medicare CCN
265474
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
60
Average residents per day
39
Ownership
For-profit, limited Liability company
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 14, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265474. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 11, 2024. CMS lists 66 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 18, 2023 to Nov 17, 2025): 15 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 17, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 17, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 17, 2025Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 17, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 19, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 19, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 19, 2025Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 19, 2025Implement a program that monitors antibiotic use.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 19, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 19, 2025Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Mar 19, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 66. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 0 fines totalling $0 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 19, 2025Payment denial for 3 days from Jun 6, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.97 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
2.67 hours
Nursing staff turnover (yearly)
61%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.