Country Aire Retirement Center
18540 State Highway 16 · Lewistown, MO · 63452 · 5732152216
60 certified beds For profit - Limited Liability company Chain: Prime Healthcare Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (66 in the current record)
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Potential for harm · E November 17, 2025 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected December 26, 2025 · Resident Rights
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Potential for harm · D November 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 26, 2025 · Resident Rights
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Potential for harm · E November 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 26, 2025 · Pharmacy Service
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Potential for harm · E March 19, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · E March 19, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · F March 19, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 2, 2025 · Nursing and Physician Services
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Potential for harm · F March 19, 2025 · found via complaint
Have 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.
Corrected June 9, 2025 · Nursing and Physician Services
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Potential for harm · F March 19, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 2, 2025 · Administration
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Potential for harm · E March 19, 2025 · found via complaint
Implement a program that monitors antibiotic use.
Corrected May 2, 2025 · Infection Control
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Potential for harm · F January 8, 2025 · found via complaint
Have 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.
Corrected February 21, 2025 · Nursing and Physician Services
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Potential for harm · D September 9, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 24, 2024 · Resident Rights
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Potential for harm · E July 11, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected August 24, 2024 · Resident Rights
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Potential for harm · E July 11, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · F July 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 24, 2024 · Nutrition and Dietary
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Potential for harm · E July 11, 2024
Provide and implement an infection prevention and control program.
Corrected August 24, 2024 · Infection Control
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Potential for harm · E July 11, 2024
Keep all essential equipment working safely.
Corrected August 24, 2024 · Environmental
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Potential for harm · E July 11, 2024
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected August 24, 2024 · Environmental
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No harm found · C July 11, 2024
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected August 24, 2024 · Resident Rights
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No harm found · C July 11, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 24, 2024 · Resident Rights
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No harm found · C July 11, 2024
Post nurse staffing information every day.
Corrected August 24, 2024 · Nursing and Physician Services
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Potential for harm · D October 5, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 14, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2025 | Payment Denial | 3 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265474 · certified since November 14, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.