{"schema_version":"1.0.0","facility":{"id":"cms-265149","ccn":"265149","name":"Four Seasons Living Center","source_name":"FOUR SEASONS LIVING CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"MO","address":{"line1":"2800 Highway Tt","city":"Sedalia","state":"MO","zip":"65301","county_name":"Pettis County","county_fips":"29159","county_method":"name_match","ssa_county_code":"790","urban":false},"location":{"lat":38.6852,"lon":-93.153,"method":"cms_published_coordinates"},"phone":"6608268803","certification":{"authority":"CMS","ccn":"265149","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1980-10-01","certified_beds":239,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265149"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"054035","state_facility_id":"00836","license_type":"Skilled nursing facility","status":"active","licensed_beds":239,"capacity_unit":"beds","effective_date":"2026-06-01","expiration_date":"2027-09-17","licensee":"FOUR SEASONS SNF OPCO LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Medicare/Medicaid","ccn":"265149","as_of":"2026-11-04","evidence_class":"VERIFIED","source_id":"mo_dhss_ltc_directory","source_url":"https://data.mo.gov/d/fenu-sipv","link_method":"exact_ccn"}],"capacity":{"certified_beds":239,"licensed_beds":239,"avg_residents_per_day":228.1},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"FOUR SEASONS LIVING CENTER, LLC","flags":{"ccrc":false,"abuse_icon":true,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"None","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":1,"footnote":"20"},"long_stay_qm":{"value":1,"footnote":"20"},"short_stay_qm":{"footnote":"20"},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":0.66153,"lpn_hprd":0.13471,"rn_hprd":0.07053,"licensed_hprd":0.20524,"total_nurse_hprd":0.86677,"weekend_total_nurse_hprd":0.77624,"weekend_rn_hprd":0.04208,"pt_hprd":0.01149,"nursing_turnover_footnote":"26","rn_turnover_footnote":"27","administrators_left":1,"case_mix_index":1.65147,"case_mix_index_ratio":1.17105,"case_mix_total_nurse_hprd":4.56808,"adjusted_total_nurse_hprd":0.73436,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-12-08","cycle1_deficiencies":25,"cycle1_score":279,"cycle2_date":"2024-10-25","cycle23_deficiencies":22,"cycle23_score":164,"total_weighted_score":250.25},"cms_penalty_counts":{"fines":3,"fine_total":61960,"payment_denials":0,"total":3},"chain":{"id":"cms-chain-446","cms_chain_id":"446","name":"RELIANT CARE MANAGEMENT"},"operator_id":"op-four-seasons-living-center-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/265149","provenance":[{"source_id":"cms_provider_info","source_record_id":"265149","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"265149","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"mo_dhss_ltc_directory","source_record_id":"00836","url":"https://data.mo.gov/d/fenu-sipv","retrieved_at":"2026-11-07T14:53:42.852Z","source_updated_at":"2026-11-04","effective_date":"2026-11-04","jurisdiction":"MO","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":18,"health_count":15,"fire_count":3,"complaint_count":14,"latest_date":"2026-08-04","latest_standard_health":"2025-12-08","earliest_date":"2023-07-28","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":93,"health_count":62,"fire_count":31,"open_count":0,"actual_harm_count":3,"immediate_jeopardy_count":1,"serious_count":4,"complaint_count":27,"by_severity":{"potential":87,"actual_harm":3,"immediate_jeopardy":1,"minimal":2},"by_scope_severity":{"F":29,"E":39,"D":19,"G":3,"J":1,"C":2},"by_concept":{"environment_life_safety":31,"resident_rights":21,"medication":3,"staffing":4,"clinical_care":25,"food_nutrition":5,"infection_prevention":3,"emergency_preparedness":1},"type_ids":["cms-f0921","cms-f0600","cms-f0584","cms-f0760","cms-f0725","cms-f0657","cms-f0609","cms-f0641","cms-k0324","cms-k0345","cms-k0353","cms-k0712","cms-k0761","cms-k0918","cms-k0161","cms-k0211","cms-k0372","cms-k0374","cms-k0741","cms-f0689","cms-f0812","cms-f0880","cms-f0550","cms-f0558","cms-f0628","cms-f0677","cms-f0728","cms-f0741","cms-f0755","cms-f0761","cms-f0804","cms-f0732","cms-f0580","cms-f0658","cms-k0511","cms-k0521","cms-k0926","cms-k0363","cms-f0568","cms-f0569","cms-f0679","cms-f0607","cms-e0037","cms-k0100","cms-k0321","cms-k0222","cms-f0576","cms-f0586","cms-f0656","cms-f0676","cms-f0692","cms-f0577"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":3,"fines":3,"fine_total":61960,"payment_denials":0,"latest_date":"2026-05-26"},"ownership_summary":{"disclosures":3,"organizations":1,"individuals":2,"not_available":false}},"row":{"id":"cms-265149","ccn":"265149","name":"Four Seasons Living Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Sedalia","zip":"65301","county_fips":"29159","county_name":"Pettis County","address":"2800 Highway Tt","beds":239,"residents":228.1,"ownership":"for_profit","operator_id":"op-four-seasons-living-center-llc","operator_name":"Four Seasons Living Center, LLC","chain_id":"cms-chain-446","chain_name":"Reliant Care Management","lat":38.6852,"lon":-93.153,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":1,"nurse_hprd":0.87,"abuse":true,"inspections":18,"last_inspection":"2026-08-04","deficiencies":93,"serious":4,"ij":1,"open":0,"penalties":3,"fines_total":61960,"deficiency_type_ids":["cms-f0921","cms-f0600","cms-f0584","cms-f0760","cms-f0725","cms-f0657","cms-f0609","cms-f0641","cms-k0324","cms-k0345","cms-k0353","cms-k0712","cms-k0761","cms-k0918","cms-k0161","cms-k0211","cms-k0372","cms-k0374","cms-k0741","cms-f0689","cms-f0812","cms-f0880","cms-f0550","cms-f0558","cms-f0628","cms-f0677","cms-f0728","cms-f0741","cms-f0755","cms-f0761","cms-f0804","cms-f0732","cms-f0580","cms-f0658","cms-k0511","cms-k0521","cms-k0926","cms-k0363","cms-f0568","cms-f0569","cms-f0679","cms-f0607","cms-e0037","cms-k0100","cms-k0321","cms-k0222","cms-f0576","cms-f0586","cms-f0656","cms-f0676","cms-f0692","cms-f0577"],"universe":"cms","licensed_beds":239,"state_license":"MO 054035","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-four-seasons-living-center-llc","name":"Four Seasons Living Center, LLC","legal_name":"FOUR SEASONS LIVING CENTER, LLC","facility_count":1,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-446","name":"Reliant Care Management","cms_chain_id":"446","facility_count":35,"states":["KS","MO"],"cms_reported":{"facility_count":35,"avg_overall_rating":1.3,"avg_health_inspection_rating":1.7,"avg_staffing_rating":1,"avg_qm_rating":3.3}},"ownership":[{"owner_id":"org-reliant-care-management-company-llc","owner_type":"organization","owner_name":"Reliant Care Management Company LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1996-06-30"},{"owner_type":"individual","owner_name":"Richard Destefane","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2008-01-01","owner_name_raw":"DESTEFANE, RICHARD"},{"owner_type":"individual","owner_name":"Brandy Parker","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-10-14","owner_name_raw":"PARKER, BRANDY"}],"inspections":[{"id":"cms-265149-20260804-health","ccn":"265149","date":"2026-08-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-01","cmp":1},{"t":"cms-f0600","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-01","cmp":1},{"t":"cms-f0921","ss":"F","sl":2,"cs":"corrected","cd":"2026-09-01","cmp":1}]},{"id":"cms-265149-20260612-health","ccn":"265149","date":"2026-06-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0760","ss":"G","sl":3,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-265149-20260526-health","ccn":"265149","date":"2026-05-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-22","cmp":1},{"t":"cms-f0725","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-22","cmp":1}]},{"id":"cms-265149-20260403-health","ccn":"265149","date":"2026-04-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-07","cmp":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-07","cmp":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-07","cmp":1}]},{"id":"cms-265149-20260218-health","ccn":"265149","date":"2026-02-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-06","cmp":1}]},{"id":"cms-265149-20251208-fire","ccn":"265149","date":"2025-12-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0161","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1,"tv":"New"}]},{"id":"cms-265149-20251208-health","ccn":"265149","date":"2025-12-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":15,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2026-01-22","cmp":1,"std":1},{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0628","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0728","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0741","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","cmp":1,"std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-22","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"corrected","cd":"2026-01-22","std":1}]},{"id":"cms-265149-20250801-health","ccn":"265149","date":"2025-08-01","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2025-08-29","cmp":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-29","cmp":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-29","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-29","cmp":1}]},{"id":"cms-265149-20250723-health","ccn":"265149","date":"2025-07-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-29","cmp":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-29","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-29","cmp":1}]},{"id":"cms-265149-20250206-health","ccn":"265149","date":"2025-02-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-07","cmp":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-07","cmp":1}]},{"id":"cms-265149-20241025-fire","ccn":"265149","date":"2024-10-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-22","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-22","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-22","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-22","std":1,"tv":"New"},{"t":"cms-k0741","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-22","std":1,"tv":"New"},{"t":"cms-k0926","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-22","std":1,"tv":"New"}]},{"id":"cms-265149-20241025-health","ccn":"265149","date":"2024-10-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0568","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-22","std":1},{"t":"cms-f0569","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-22","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-22","std":1},{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-22","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-22","std":1},{"t":"cms-f0679","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-22","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-22","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-22","std":1}]},{"id":"cms-265149-20240925-health","ccn":"265149","date":"2024-09-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-15","cmp":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-15","cmp":1}]},{"id":"cms-265149-20240829-health","ccn":"265149","date":"2024-08-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-20","cmp":1}]},{"id":"cms-265149-20240423-health","ccn":"265149","date":"2024-04-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-20","cmp":1}]},{"id":"cms-265149-20240315-health","ccn":"265149","date":"2024-03-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-26","cmp":1}]},{"id":"cms-265149-20230728-fire","ccn":"265149","date":"2023-07-28","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0037","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0100","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0363","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0372","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0374","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"},{"t":"cms-k0926","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1,"tv":"New"}]},{"id":"cms-265149-20230728-health","ccn":"265149","date":"2023-07-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":15,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0576","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-20","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0586","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-20","std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0676","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0679","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-09-11","std":1},{"t":"cms-f0577","ss":"C","sl":1,"cs":"corrected","cd":"2023-09-11","std":1}]}],"deficiency_types":{"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0728":{"code":"F-0728","title":"Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0741":{"code":"F-0741","title":"Ensure that the facility has sufficient staff members who possess the  competencies and skills to meet the behavioral health needs of residents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0926":{"code":"K-0926","title":"Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0568":{"code":"F-0568","title":"Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0569":{"code":"F-0569","title":"Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-e0037":{"code":"E-0037","title":"Establish staff and initial training requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0576":{"code":"F-0576","title":"Ensure residents have reasonable access to and privacy in their use of communication methods.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0586":{"code":"F-0586","title":"Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0676":{"code":"F-0676","title":"Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0577":{"code":"F-0577","title":"Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"}},"penalties":[{"id":"cms-265149-pen-f143596","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-05-26","amount":17155,"fine_id":"143596","evidence_class":"VERIFIED","source_record_id":"265149|Fine|143596"},{"id":"cms-265149-pen-f136654","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-12-08","amount":27750,"fine_id":"136654","evidence_class":"VERIFIED","source_record_id":"265149|Fine|136654"},{"id":"cms-265149-pen-f134884","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-07-23","amount":17055,"fine_id":"134884","evidence_class":"VERIFIED","source_record_id":"265149|Fine|134884"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MO","overall_rating":2.6,"health_inspection_rating":2.8,"qm_rating":2.9,"staffing_rating":2.2,"avg_residents_per_day":73.1,"cycle1_health_deficiencies":11.4,"cycle1_fire_deficiencies":6,"nurse_aide_hprd":2.26,"lpn_hprd":0.68,"rn_hprd":0.46019,"licensed_hprd":1.14,"total_nurse_hprd":3.39922,"weekend_total_nurse_hprd":2.96333,"weekend_rn_hprd":0.32,"pt_hprd":0.04,"nursing_turnover_pct":56.9,"rn_turnover_pct":50,"administrators_left":0.7,"case_mix_index":1.34706,"fines":0.8,"fine_amount":36774,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MO","name":"Missouri"},"county":{"fips":"29159","name":"Pettis County"},"zip":"65301","city":"Sedalia"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-265205","ccn":"265205","name":"Cedargate Health Care Center","address":"2350 Kanell Blvd","city":"Poplar Bluff","state":"MO","zip":"63901","beds":108,"overall":2,"inspections":7,"last_inspection":"2026-05-07","deficiencies":48,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":108,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265238","ccn":"265238","name":"Milan Health Care Center","address":"52435 Infirmary Road","city":"Milan","state":"MO","zip":"63556","beds":100,"overall":1,"inspections":15,"last_inspection":"2025-10-30","deficiencies":60,"serious":3,"ij":2,"open":0,"fines_total":49897,"abuse":true,"status":"active","universe":"cms","licensed_beds":100,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265330","ccn":"265330","name":"North Village Park","address":"2041 Silva Lane","city":"Moberly","state":"MO","zip":"65270","beds":183,"overall":1,"inspections":27,"last_inspection":"2026-07-22","deficiencies":183,"serious":25,"ij":10,"open":2,"fines_total":462677,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","licensed_beds":184,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265398","ccn":"265398","name":"Wellsville Health Care Center","address":"250 E Locust","city":"Wellsville","state":"MO","zip":"63384","beds":112,"overall":1,"inspections":11,"last_inspection":"2025-11-18","deficiencies":104,"serious":1,"ij":0,"open":1,"fines_total":20642,"status":"active","universe":"cms","licensed_beds":112,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265423","ccn":"265423","name":"Westview Nursing Home","address":"301 West Dunlop Street","city":"Center","state":"MO","zip":"63436","beds":60,"overall":1,"inspections":9,"last_inspection":"2025-07-17","deficiencies":77,"serious":6,"ij":0,"open":0,"fines_total":27742,"status":"active","universe":"cms","licensed_beds":60,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265425","ccn":"265425","name":"Edgewood Manor Health Care Center","address":"11900 Jessica Lane","city":"Raytown","state":"MO","zip":"64138","beds":91,"overall":2,"inspections":18,"last_inspection":"2026-05-19","deficiencies":109,"serious":6,"ij":1,"open":0,"fines_total":135307,"abuse":true,"status":"active","universe":"cms","licensed_beds":91,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265460","ccn":"265460","name":"Cassville Health Care Center","address":"1300 County Farm Road","city":"Cassville","state":"MO","zip":"65625","beds":60,"inspections":14,"last_inspection":"2026-08-19","deficiencies":106,"serious":4,"ij":2,"open":0,"fines_total":80552,"sff":"SFF","status":"active","universe":"cms","licensed_beds":60,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265500","ccn":"265500","name":"Bernard Care Center","address":"4335 West Pine Blvd","city":"Saint Louis","state":"MO","zip":"63108","beds":141,"overall":1,"inspections":12,"last_inspection":"2026-08-31","deficiencies":102,"serious":4,"ij":3,"open":4,"fines_total":37388,"abuse":true,"status":"active","universe":"cms","licensed_beds":141,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":34,"same_site_review":[],"nearby":[{"id":"cms-265854","ccn":"265854","name":"Rest Haven Health Care Center","address":"1800 South Ingram","city":"Sedalia","state":"MO","zip":"65301","beds":86,"overall":1,"inspections":8,"last_inspection":"2026-05-12","deficiencies":77,"serious":2,"ij":1,"open":0,"fines_total":30533,"abuse":true,"status":"active","universe":"cms","licensed_beds":86,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.2},{"id":"cms-265856","ccn":"265856","name":"Fair View Health Care Center","address":"1714 W 16th Street","city":"Sedalia","state":"MO","zip":"65301","beds":75,"overall":1,"inspections":11,"last_inspection":"2026-07-06","deficiencies":69,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":75,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.5},{"id":"cms-26a378","ccn":"26A378","name":"Sylvia G Thompson Residence Center, Inc","address":"3333 W Tenth Street","city":"Sedalia","state":"MO","zip":"65301","beds":120,"overall":1,"inspections":10,"last_inspection":"2026-04-29","deficiencies":35,"serious":2,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["nursing_home"],"distance_km":10.5},{"id":"cms-265858","ccn":"265858","name":"E W Thompson Health & Rehabilitation Center","address":"975 Mitchell Road","city":"Sedalia","state":"MO","zip":"65301","beds":68,"overall":4,"inspections":8,"last_inspection":"2026-03-09","deficiencies":30,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":68,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11}]}}