Four Seasons Assisted Living
Assisted Living & Respite Care · Moscow Mills, MO

Four Seasons Assisted Living

Assisted Living & Respite Care · Moscow Mills, MO
Four Seasons Assisted Living accepts Medicaid.
Four Seasons Assisted Living accepts Medicaid.

Overview of Four Seasons Assisted Living

Four Seasons Assisted Living provides assisted living and respite care in Moscow Mills, MO. Assisted living includes help with daily tasks such as dressing, bathing, and medication while a resident has a private room. Respite care provides a short stay for someone whose usual caregiver needs to travel or recover, and the combination of care types can suit a resident needing ongoing support or a family arranging temporary care.

The community has 53 beds and offers rehabilitation services that can support a resident working to regain or maintain daily function. Medicaid is accepted, giving families using that program a payment option for care.

Barbara Howard serves as administrator, and Four Seasons Care operates the community. A Walk Score of 41 places the area in a car-dependent band, meaning most errands require a car or a ride; a resident who no longer drives would need transportation for many routine trips.

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 53 Rank #159 / 217Bed count — State benchmarkedThis assisted living community is ranked 159th out of 217 assisted living communities 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 compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living 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.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management. Rank #52 / 93Years in operation — State benchmarkedThis assisted living community is ranked 52nd out of 93 assisted living communities 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 compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living 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.
1 year
Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #138 / 259Walk Score — State benchmarkedThis assisted living community is ranked 138th out of 259 assisted living communities 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 compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living 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.
41 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #177 / 187Occupancy rate — State benchmarkedThis assisted living community is ranked 177th out of 187 assisted living communities we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 187. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living 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.
30.2% This home usually has availability
Lower than the Missouri average: 64.3%
Occupied beds
16 / 53

About this community

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 Corporation

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 data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
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 (95% below)
• Deficiencies per inspection (70% 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. 364.0 This facility has 95% fewer total deficiencies than a typical Missouri assisted living residence (3 vs. MO avg 64).↓ 95% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.55.0 This facility has 70% fewer deficiencies per inspection than a typical Missouri assisted living residence (1.5 vs. MO avg 5).↓ 70% 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. 212.0 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

Add your location

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-ranked to lowest-ranked based on our 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. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Troy Manor
AL
MC
NH
SNF
Troy
150
Facility 150
MO AVG 88
Rank #22 / 217
No
68
Facility 68
MO AVG 42
Rank #35 / 259
Skilled Nursing Facility (130), Assisted Living Facility (20)N & R Of Troy, LLC
31
Facility 31
MO AVG 12
Rank #13 / 93
A+
Sunrise of Des Peres
AL
MC
Des Peres
102
Facility 102
MO AVG 88
Rank #55 / 217
Yes
50
Facility 50
MO AVG 42
Rank #107 / 259
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
18
Facility 18
MO AVG 12
Rank #29 / 93
A+
Brookdale West County
AL
CCRC
IL
MC
NH
SNF
Ballwin
98
Facility 98
MO AVG 88
Rank #61 / 217
Yes
56
Facility 56
MO AVG 42
Rank #76 / 259
Unit TypeVb Ballwin Sh, LLC
48
Facility 48
MO AVG 12
Rank #2 / 93
A+
Daybreak Nursing Center
AL
HOS
NH
PC
RC
SNF
Sikeston
70
Facility 70
MO AVG 88
Rank #124 / 217
No
73
Facility 73
MO AVG 42
Rank #26 / 259
Skilled Nursing Facility (70)Daybreak Nursing Center, LLC
4
Facility 4
MO AVG 12
Rank #45 / 93
A+
Four Seasons Assisted Living
AL
RC
Moscow Mills
53
Facility 53
MO AVG 88
Rank #159 / 217
No
41
Facility 41
MO AVG 42
Rank #138 / 259
Residential Care Facility (23), Assisted Living Facility (30)Four Seasons Care Corporation
1
Facility 1
MO AVG 12
Rank #52 / 93
-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other MO assisted living community we track that reports that metric, not just the 5 on this page. See how we rank facilities

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. Car-dependent. 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 30.2%.

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.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Assisted Living Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance