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Complaint Investigation

Country Aire Retirement Center

November 17, 2025 · Lewistown, MO · 18540 State Highway 16
Citations 4
CMS Rating 1/5
Beds 60
Provider ID 265474
Healthcare Facility
Country Aire Retirement Center
Lewistown, MO  ·  View full profile →
Inspection Summary

COUNTRY AIRE RETIREMENT CENTER in LEWISTOWN, MO — inspection on November 17, 2025.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0563
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 9/24/25 at 3:30 P.M and 9/29/25 at 2:15 P.M. the Administrator said the following:-Visitors could come and visit residents anytime.

The facility did not have a policy regarding visitation rights.-Resident #2 had a guardian and the guardian had provided a list of family members that he/she did not want visiting Resident #2.

The facility staff did not know why the guardian restricted those visitors, but staff would honor the guardian's wishes.

Staff had not discussed the rationale for the restricted visitors with the guardian;-On 9/20/25 the ADON called her at home and was concerned about a visitor (Family Member G) who was at the facility visiting Resident #2.

She directed the ADON to call the police to assure everyone was safe as she was not at the facility; -The facility was not allowing anyone to visit Resident #2 that was on the list provided by the guardian;-The SSD had put a list in the chart at admission on visitor restrictions for resident #2.

Intake 2625783

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Country Aire Retirement Center

18540 State Highway 16 Lewistown, MO 63452

SUMMARY STATEMENT OF DEFICIENCIES

medication if they were not a legal POA.

Intake 2612003

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Country Aire Retirement Center

18540 State Highway 16 Lewistown, MO 63452

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 9/29/25 at 2:15 P.M. the Administrator said the facility should follow the facility's policy on medication pass and insulin administration.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Country Aire Retirement Center

18540 State Highway 16 Lewistown, MO 63452

SUMMARY STATEMENT OF DEFICIENCIES

Review of drugs.com showed inform patients that glipizide ER tablets should be swallowed whole.

Inform residents that they should not chew, divide or crush tablets.

Review of drugs.com showed Metoprolol ER tablets were not to be crushed or chewed. 1 Review of Resident #4's undated, face sheet showed the following:-The resident was admitted to the facility on [DATE];-Diagnoses included diabetes and hypertension (high blood pressure).

Review of the resident's physician orders, dated September 2025, showed the following:-Glipizide ER 5 milligrams (mg) extended release 24-hour tablet one tablet one time a day for diabetes;-Metoprolol ER extended release 24 hour/25 mg, one tablet one time daily for hypertension.

Observation on 9/29/25 at 11:55 A.M. showed the following:-Certified Medication Technician (CMT) C removed a medication cup from the medication cart which contained two tablets. CMT C said one tablet was glipizide and the other tablet was metoprolol;-CMT crushed both tablets and placed the medication in yogurt and administered the medication to the resident.

Review of the resident's Medication Administration Record (MAR), dated September 2025, showed the following:-On 9/29/25 CMT C documented he/she administered the resident's glipizide ER 5 mg in the morning;-On 9/29/25 CMT C documented he/she administered metoprolol 25 mg ER in the morning.

During an interview on 9/29/25 at 1:40 P.M. CMT C said the following:-He/She was not aware the resident's glipizide and metoprolol was extended release medications;-Extended-release medications should not be crushed because it would be absorbed all at once instead of over 24 hours.

During an interview on 9/29/25 at 2:00 P.M. and 3:00 P.M. the Director of Nursing said glipizide extended release and metoprolol extended release should not be crushed because the resident would get too much medication at once instead of over 24 hours, which could affect blood sugar and blood pressure.

During an interview on 9/29/25 at 2:15 P.M. the Administrator said staff should follow the medication policy for crushed medications.

Intake 2612003

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LEWISTOWN, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COUNTRY AIRE RETIREMENT CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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