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Skilled nursing facility · CMS certified · CCN 265474

Country Aire Retirement Center

18540 State Highway 16, Lewistown, MO 63452 · Lewis County · one of 486 skilled nursing facilities in Missouri
Its Medicare cost report, line by line ↓
60
certified beds
1 / 5
overall CMS rating
For-profit
ownership type
64.8%
occupancy, Oct 2026: 39 residents a day · Missouri 72.3%
1.44
case mix, 1.02x the national average
2.97
nurse hours per resident day · Missouri 3.43
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How Country Aire Retirement Center compares

Lewis County has 2 other certified buildings, too few to compare, so this is against Missouri. 486 buildings.

Better than most of Missouri on 1 of 8 lines.

Occupancy, Oct 202664.8%Behind mostHigher than 158 of the 483 other buildings in Missouri, level with 2

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 74.4%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day2.97Behind mostHigher than 113 of the 470 other buildings in Missouri

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.37. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 145 of the 478 other buildings in Missouri; the other 333 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 89 of the 478 other buildings in Missouri; the other 389 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 192 of the 478 other buildings in Missouri; the other 286 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating3 / 5Mid-packHigher than 197 of the 476 other buildings in Missouri, level with 118

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.28Behind mostHigher than 112 of the 475 other buildings in Missouri, level with 3

Registered nurse hours for each resident, each day. The middle of the set: 0.40. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited10Better than mostFewer than 262 of the 485 other buildings in Missouri, the same as 26

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 11. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Missouri
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Country Aire Retirement Center
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Street View
18540 State Highway 16, Lewistown, MO
Map around Country Aire Retirement Center
Map · Lewis County
Lewis County, Missouri
3 skilled nursing facilities; average overall rating 1.0, Missouri 2.6.
See how Lewis County compares ›
Cost report, against Missouri
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Missouri. The rank counts from the top: 1st is the highest figure among Missouri's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2024 (the year ending 2024-12-31), against the middle Missouri building.

Line
This building
Rank in state
Missouri median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
72.6%
459
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
5.1%
462
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
69.6%
461
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$273
458
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$272
464
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$9
464
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
3.4%
458

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 2.6
Health inspection1 / 5 · state 2.8
Staffing1 / 5 · state 2.2
RN hours per resident per day0.28 · state 0.46
Overall rating, last 8 quarters
1 / 5for 8 straight quartersQ3’24 to Q2’26 · CMS Care Compare

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingMissourinationrecent quarters
Needed more help with daily activities18.7%worse than state17.4%13.5%2025Q2: 23.1%2025Q3: 26.1%2025Q4: 14.8%2026Q1: 18.5%2026Q2: 16.7%
23.1% → 16.7%
Q2’25 to Q2’26
Catheter inserted and left in0.8%better than state0.9%0.7%2025Q2: 2.2%2025Q3: 3.7%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
2.2% → 0.0%
Q2’25 to Q2’26
Urinary tract infection0.0%better than state2.2%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury3.4%better than state4.0%3.2%2025Q2: 6.7%2025Q3: 0.0%2025Q4: 3.3%2026Q1: 3.3%2026Q2: 5.9%
6.7% → 5.9%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)0.0%better than state2.1%1.5%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q4’25 to Q2’26
Ability to walk independently worsened12.0%better than state15.8%12.7%too few quarters to chart
Pressure ulcers2.1%better than state4.4%4.5%2025Q2: 19.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 4.0%2026Q2: 3.7%
19.0% → 3.7%
Q2’25 to Q2’26
Given an antipsychotic11.2%better than state23.5%15.4%2025Q4: 18.2%2026Q1: 4.8%2026Q2: 11.1%
18.2% → 11.1%
Q4’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jul 2024
last standard survey
10
deficiencies cited · Missouri avg 13.1
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Missouri
state rate files
$246
median daily rate across the Missouri buildings in our rate book, Jan 2026 file
Missouri rates and what changed ›
Lewis County
buildingbedsoverallCountry Aire Retirement Center601 / 5La Belle Manor Care Center941 / 5Lewis County Nursing Home District1181 / 5
All Missouri buildings in Lewis County ›
Missouri at a glance
486
buildings
49,938
licensed beds
71%
occupancy
80%
for-profit
Missouri market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyLa Belle Manor Care CenterLa Belle · 7.2 mi941 / 5under 70%Lewis County Nursing Home DistrictCanton · 13.8 mi1181 / 5under 70%Knox County Nursing Home DistrictEdina · 19.2 mi601 / 5under 70%Quincy Healthcare & Sr LivingQuincy · 22.9 mi892 / 5over 85%Sunset HomeQuincy · 23.2 mi1321 / 570-85%Blessing Hospital SnuQuincy · 24.3 mi205 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Country Aire Retirement Center?
Country Aire Retirement Center in Lewistown, MO carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Country Aire Retirement Center have?
Country Aire Retirement Center is certified for 60 beds in the Oct 2026 CMS file.
How full is Country Aire Retirement Center?
CMS's reported average residents put Country Aire Retirement Center's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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