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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.
Lower than the Missouri average: 66.6%Four Seasons Assisted Living is legally operated by Four Seasons Care Corporation, and administrated by Barbara Howard.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 35 | This facility has 91% fewer total deficiencies than a typical Missouri assisted living residence (3 vs. MO avg 35).↓ 91% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 0.6 | 7 | This facility has 91% fewer deficiencies per year than a typical Missouri assisted living residence (0.6 vs. MO avg 7).↓ 91% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.5 | 5 | This facility has 70% fewer deficiencies per inspection than a typical Missouri assisted living residence (1.5 vs. MO avg 5).↓ 70% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 2 | 7 | This facility has 71% fewer total inspections than a typical Missouri assisted living residence (2 vs. MO avg 7).↓ 71% better |
79.4 miles from city center
Estimated distance in miles from Moscow Mills's city center to Four Seasons Assisted Living's address, calculated via Google Maps.
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Four Seasons Assisted Living is located in MOSCOW MILLS, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Sunrise of Des Peres |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 | Yes |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | - | Sjv 1 Des Peres Opco, LLC | 18
Facility
18
MO AVG
11
Rank
#54 / 209 | A+ |
| The Manor at Elfindale |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Springfield (Fassnight) | 100
Facility
100
MO AVG
97
Rank
#177 / 454 | No |
51
Facility
51
MO AVG
45
Rank
#241 / 563 | Private Rooms | Vsl Springfield Manor, LLC | 35
Facility
35
MO AVG
11
Rank
#17 / 209 | A+ |
| Brookdale West County |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Ballwin | 98
Facility
98
MO AVG
97
Rank
#189 / 454 | No |
56
Facility
56
MO AVG
45
Rank
#181 / 563 | - | Vb Ballwin Sh, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 209 | A+ |
| The Madison Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Kansas City (Martin City) | 66
Facility
66
MO AVG
97
Rank
#320 / 454 | Yes |
32
Facility
32
MO AVG
45
Rank
#376 / 563 | - | Swkc Senior Community LLC | 6
Facility
6
MO AVG
11
Rank
#89 / 209 | A+ |
| Four Seasons Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Moscow Mills | 53
Facility
53
MO AVG
97
Rank
#382 / 454 | No |
41
Facility
41
MO AVG
45
Rank
#322 / 563 | Residential Care Facility (23), Assisted Living Facility (30) | Four Seasons Care Corporation | 1
Facility
1
MO AVG
11
Rank
#98 / 209 | - |
The legal owner and operator of Four Seasons Assisted Living is Four Seasons Care Corporation.
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.
According to MO state health department records, Four Seasons Assisted Living's license number is 052457, 052458.
According to MO state health department records, Four Seasons Assisted Living's license expires on January 30, 2027.
Four Seasons Assisted Living's occupancy is 30%.
Barbara Howard is the administrator of Four Seasons Assisted Living.
Four Seasons Assisted Living has 53 beds.
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