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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D16 | E31 | F23 |
| Minimal | A· | B· | C1 |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 18, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 15, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Sep 12, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jun 12, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jun 12, 2025 | Health | Health Complaint, Health Standard | 24 | Actual harm | — | Open → |
| Mar 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 4, 2023 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Oct 4, 2023 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jan 30, 2020 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jan 30, 2020 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 23, 2026 | Civil money penalty (fine) | $27,378 | — | 265644|Fine|144220 |
| Mar 18, 2026 | Civil money penalty (fine) | $14,800 | — | 265644|Fine|142251 |
| Jun 12, 2025 | Denial of payment for new admissions | — | Sep 12, 2025 · 39 days | 265644|Payment Denial|2025-09-12 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D16 | E31 | F23 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 27, 2026 | Complaint |
| Mar 18, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 20, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
35 facilities in 2 states. CMS chain ID 446.
Chain average overall rating (CMS): 1.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Reliant Care Group LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 25, 2025 |
| Rcg Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 25, 2025 |
| Richard J. Destefane Revocable Living Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 25, 2025 |
| Richard Destefane | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 25, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Reliant Care Group LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 25, 2025 |
| Rcg Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 25, 2025 |
| Richard J. Destefane Revocable Living Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 25, 2025 |
| Richard Destefane | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Four Seasons Living Center 2800 Highway Tt, Sedalia, MO 65301 CCN 265149Abuse icon | 239 | Aug 4, 2026 | 931 IJ3 harm | $62k | |
| Cedargate Health Care Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Life Care Center of Brookfield 315 Hunt Street, Brookfield, MO 64628 CCN 265405 | 2 km | 120 | Feb 20, 2025 | 593 IJ5 harm | $45k | |
| Pioneer Skilled Nursing Center 1500 South Kansas Avenue, Marceline, MO 64658 CCN 265169 | 14.2 km | 96 | Mar 20, 2025 | 501 IJ | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265644 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265644 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 05220 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Oct 15, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 21, 2025 | Complaint |
| Sep 12, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 2, 2025 | Complaint |
| Sep 12, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 2, 2025 | Complaint |
| Jun 12, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 2, 2025 |
| Jun 12, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 20, 2025 |
| Jun 12, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 20, 2025 |
| Jun 12, 2025 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 20, 2025 |
| Jun 12, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 20, 2025 |
| Jun 12, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 2, 2025 |
| Jun 12, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 2, 2025 |
| Jun 12, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 20, 2025 | Complaint |
| Jun 12, 2025 | F-0727 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jul 20, 2025 | Complaint |
| Jun 12, 2025 | F-0728 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 2, 2025 |
| Jun 12, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 20, 2025 |
| Jun 12, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jul 20, 2025 |
| Mar 17, 2025 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 18, 2025 | Complaint |
| Oct 4, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 16, 2023 |
| Oct 4, 2023 | K-0932 | Meet other general requirements. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 |
| Oct 4, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 16, 2023 |
| Jan 30, 2020 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2020 |
| Jan 30, 2020 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 6, 2020 |
| Jan 30, 2020 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 6, 2020 |
| Jan 30, 2020 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 6, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 1.82 (case-mix index 1.54).
| Jan 25, 2025 |
| Reliant Care Management Company LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 25, 2025 |
| Abdullah Arshad | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 25, 2025 |
| Jo Olsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 25, 2025 |
| Richard Destefane | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 25, 2025 |
| Brookfield Re Associates, L.l.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 25, 2025 |
| Reliant Care Management Company LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 28, 2025 |
| Richard J. Destefane Revocable Living Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 25, 2025 |
| Tlg II LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 25, 2025 |
| Abdullah Arshad | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 25, 2025 |
| Richard Destefane | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 25, 2025 |
| Jo Olsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 25, 2025 |
| 108 |
| May 7, 2026 |
48 |
| — |
| Milan Health Care Center 52435 Infirmary Road, Milan, MO 63556 CCN 265238Abuse icon | 100 | Oct 30, 2025 | 602 IJ1 harm | $50k |
| North Village Park 2041 Silva Lane, Moberly, MO 65270 CCN 265330SFF CandidateAbuse icon | 183 | Jul 22, 2026 | 18310 IJ15 harm2 open | $463k |
| Wellsville Health Care Center 250 E Locust, Wellsville, MO 63384 CCN 265398 | 112 | Nov 18, 2025 | 1041 harm1 open | $21k |
| Westview Nursing Home 301 West Dunlop Street, Center, MO 63436 CCN 265423 | 60 | Jul 17, 2025 | 776 harm | $28k |
| Edgewood Manor Health Care Center 11900 Jessica Lane, Raytown, MO 64138 CCN 265425Abuse icon | 91 | May 19, 2026 | 1091 IJ5 harm | $135k |
| Cassville Health Care Center 1300 County Farm Road, Cassville, MO 65625 CCN 265460SFF | 60 | Not rated | Aug 19, 2026 | 1062 IJ2 harm | $81k |