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Four Seasons Assisted Living
Assisted Living & Respite Care · Moscow Mills, MO
Exterior view of Four Seasons Assisted Living Center Cozy interior of a resident's room with bed and TV

Four Seasons Assisted Living

Assisted Living & Respite Care · Moscow Mills, MO
230 Railroad St, Moscow Mills, MO 63362-1600 View map Calculator: See prices in your area
Four Seasons Assisted Living accepts Medicaid.
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Four Seasons Assisted Living accepts Medicaid.

Overview of Four Seasons Assisted Living

Four Seasons Assisted Living is a 30-bed assisted living facility at 230 Railroad Street, Moscow Mills, Missouri, operated by Four Seasons Care Corporation and administrated by Ms. Barbara Howard. The facility provides long-term, short-term, and respite care with emphasis on individualized attention and personalized care within a supportive community setting.

Operational strengths are present but limited in detail. Twenty-four-hour staffing is available, with a licensed RN on call 24/7, indicating on-site clinical oversight capability. Rehabilitation services and respite care are programmed components. Dietary services provide three meals daily plus snacks, drinks, and a hydration cart.

Medicaid is accepted. Pre-screen assessment is required for apartment placement, and pets are not allowed. The requirement for pre-screen assessment warrants inquiry into admission criteria and care level determinations.

The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri assisted living facilities. Without access to the complete inspection record and detailed staffing breakdown, families cannot assess regulatory history or identify any substantive compliance issues. The zero-inspection finding requires clarification regarding the facility’s age, licensure status, and operational standing before consideration for placement.

The walk score of 41 reflects somewhat walkable surroundings; a few services are reachable on foot, though most trips require transportation. The facility is located 79.4 miles from Moscow Mills’s city center, placing it in a rural or semi-rural setting. Proximity to regional healthcare resources and available transportation options are relevant considerations for families evaluating placement.

Families should ask about RN on-call duties, weekend details, rehabilitation programming details, Medicare acceptance, occupancy, licensing, and inspections from Four Seasons Assisted Living.

Facility Direct Line (636) 366-4231
Facility Direct Line (636) 366-4231

Capacity and availability

Residents per day
16
Bed community size
53-bed community Rank #378 / 450Bed count — State benchmarkedThis home is ranked 378th out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #115 / 226Years in operation — State benchmarkedThis home is ranked 115th out of 226 homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 41 / 100 Rank #319 / 545Walk Score — State benchmarkedThis home is ranked 319th out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
30%
Rank #396 / 407Occupancy rate — State benchmarkedThis home is ranked 396th out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Missouri average: 66.6%
Occupied beds
16 / 53
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeResidential Care Facility, Assisted Living Facility
StatusActive
IssuanceJanuary 31, 2025
ExpirationJanuary 30, 2027
CountyLincoln
License Number052457, 052458

Ownership & Operating Entity

Four Seasons Assisted Living is legally operated by Four Seasons Care Corporation, and administered by Barbara Howard.

Corporate EntityFOUR SEASONS CARE CORP
Owner NameFour Seasons Care Corp

Type Of Units

Residential Care Facility
23 units
Assisted Living Facility
30 units
Total beds
53 units

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Licensed Nurses/CNAs
24-Hour Staffing

Additional Policies & Features

Pets not allowed
Admission CriteriaPre-screen assessment required for apartment placement.

Amenities & Lifestyle

Activities
Specific ProgramsLife at Four Seasons

Contact Four Seasons Assisted Living

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2021 · 5 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 3 deficiencies 2 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Missouri state average
Overall vs. MO average 0 Worse No metrics in this bucket. 2 Better Metrics better than Missouri average:
• Total deficiencies (91% below)
• Deficiencies per inspection (48% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 335 This facility has 91% fewer total deficiencies than a typical Missouri assisted living residence (3 vs. MO avg 35).↓ 91% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.52.9 This facility has 48% fewer deficiencies per inspection than a typical Missouri assisted living residence (1.5 vs. MO avg 2.9).↓ 48% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 212 This facility has had 83% fewer total inspections than the Missouri average (2 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 83% fewer

Places of interest near Four Seasons Assisted Living

Address 0.0 miles from city center Info Estimated distance in miles from Moscow Mills's city center to Four Seasons Assisted Living's address, calculated via Google Maps.

Calculate Travel Distance to Four Seasons Assisted Living

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Address

Compare Assisted Living around the area

Info below is compiled from the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Laclede Groves
AL
IL
MC
NH
SNF
St. Louis
251
Facility 251
MO AVG 96
Rank #3 / 450
No
35
Facility 35
MO AVG 46
Rank #353 / 545
----
Aberdeen Heights
AL
HOS
IL
MC
NH
SNF
Kirkwood
91
Facility 91
MO AVG 96
Rank #219 / 450
Yes
89
Facility 89
MO AVG 46
Rank #29 / 545
Skilled Nursing Facility (38), ICF (17), ALF** (36)Ashfield Active Living & Wellness Communities, Inc--
Farmington Presbyterian Manor
AL
IL
MC
NH
SNF
Farmington
90
Facility 90
MO AVG 96
Rank #225 / 450
Yes
66
Facility 66
MO AVG 46
Rank #113 / 545
-Presbyterian Manors, Inc
11
Facility 11
MO AVG 10
Rank #74 / 226
A+
Four Seasons Assisted Living
AL
RC
Moscow Mills
53
Facility 53
MO AVG 96
Rank #378 / 450
No
41
Facility 41
MO AVG 46
Rank #319 / 545
Residential Care Facility (23), Assisted Living Facility (30)Four Seasons Care Corporation
1
Facility 1
MO AVG 10
Rank #115 / 226
-
Linden Woods Village
AL
IL
NH
SNF
Gladstone
40
Facility 40
MO AVG 96
Rank #415 / 450
Yes
53
Facility 53
MO AVG 46
Rank #216 / 545
-Ccrc Of Gladstone LLC--
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Frequently Asked Questions about Four Seasons Assisted Living

Who is the owner of Four Seasons Assisted Living?

Four Seasons Assisted Living is legally operated by Four Seasons Care Corporation, and administered by Barbara Howard.

Is Four Seasons Assisted Living in a walkable area?

Four Seasons Assisted Living has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Four Seasons Assisted Living?

According to MO state health department records, Four Seasons Assisted Living's license number is 052457, 052458.

When does Four Seasons Assisted Living's license expire?

According to MO state health department records, Four Seasons Assisted Living's license expires on January 30, 2027.

What is the occupancy rate at Four Seasons Assisted Living?

Four Seasons Assisted Living's occupancy is 30%.

How long has Four Seasons Assisted Living been in business?

Four Seasons Assisted Living has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Four Seasons Assisted Living?

No, Four Seasons Assisted Living has a no-pet policy.

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