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LAWRENCE COUNTY NURSING HOME DISTRICT
NPI 1104887561
Skilled Nursing Facility in Mount Vernon, MO

Active since March 28, 2006CLIA 26D0652433 · Waiver
2/5
Overall Rating
915 CARL ALLEN ST, MOUNT VERNON, MO 65712(417) 466-2183(417) 466-3003 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lawrence County Nursing Home District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE COUNTY NURSING HOME DISTRICT (NPI 1104887561) is a healthcare organization registered as a skilled nursing facility in Mount Vernon, Missouri and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lorena Beth Hill, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104887561
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAWRENCE COUNTY NURSING HOME DISTRICT
Location Address915 CARL ALLEN STMount Vernon, MO 65712-1612
Mailing Address915 Carl Allen StMount Vernon, MO 65712-1612 · (417) 466-2183 · Fax (417) 466-3003
Phone(417) 466-2183
Fax(417) 466-3003
Organization SubpartNo
Authorized OfficialLorena Beth HillAdministrator · (417) 466-2183
Enumeration DateMarch 28, 2006
Last NPPES UpdateDecember 2, 2011
✔ NPI 1104887561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Licenses✔ Licensed in MO · 039010✔ Licensed in MO · 031083
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 030910 (MO)
915 CARL ALLEN ST, Mount Vernon, MO 65712
Open in Google Maps ↗

Other Identifiers 2

Medicaid101489300MO
Medicare OSCAR/certification265752MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0652433

Lawrence County Nursing Home District D/B/A Lawrence County Manor · Mount Vernon, MO
Active · expires Aug 31, 2026
CLIA Number26D0652433
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLorena Hill
Laboratory Phone(417) 466-2183
Laboratory LocationLawrence County Nursing Home District D/B/A Lawrence County Manor915 Carl Allen Street, Mount Vernon, MO 65712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Lawrence County Manor (CMS certification number 265752), from CMS Care Compare.

Lawrence County Manor

Nursing home · Mount Vernon, MO
2/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number265752
Certified Beds90 beds69 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 2003
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
68.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 0.23 · LPN 0.04 · RN 0
0.27 hrs per resident per day
Weekend Nurse Staffing
0.51 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
6
Substantiated Complaints
6
Infection-Control Citations
2
Fines
12 totaling $55,634.09
Medicare Payment Denials
0
Total Penalties
12
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MELZER DPT
Physical Therapist
915 CARL ALLEN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 522-5282
KELSEY LOUISE LOCK PTA
Physical Therapy Assistant
915 CARL ALLEN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-2183
PHYLLIS FAY CAUDILL-JAMES COTA/L
Occupational Therapy Assistant
915 CARL ALLEN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 461-7018
MICHELLE RAUTIO PTA
Physical Therapy Assistant
915 CARL ALLEN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 461-7018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence County Nursing Home District's NPI number?

The NPI number for Lawrence County Nursing Home District is 1104887561. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Lawrence County Nursing Home District located?

Lawrence County Nursing Home District is located at 915 Carl Allen St, Mount Vernon, MO 65712. The listed phone number is (417) 466-2183.

What is Lawrence County Nursing Home District's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lawrence County Nursing Home District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0652433) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lawrence County Nursing Home District a Medicare-certified nursing home?

Yes. Lawrence County Manor is a Medicare-certified nursing home with 90 certified beds.

What quality rating does Lawrence County Nursing Home District have?

CMS rates Lawrence County Manor 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Lawrence County Nursing Home District accept?

Health plans from Anthem Blue Cross and Blue Shield list Lawrence County Nursing Home District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence County Nursing Home District was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.