Four Seasons Assisted Living
Nursing Home · Missouri, MO

Four Seasons Assisted Living

Nursing Home · Missouri, MO
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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.

(636) 366-4231
Bed community size
53-bed community Rank #384 / 454Bed count — State benchmarkedThis home is ranked 384th out of 454 homes in Missouri. Shows this facility's certified or reported bed count compared to other Missouri SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.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 #95 / 200Years in operation — State benchmarkedThis home is ranked 95th out of 200 homes in Missouri. Shows how long this facility has been in operation compared to other Missouri SNFs. Longer operating histories may benefit residents, families, and staff.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 #322 / 563Walk Score — State benchmarkedThis home is ranked 322nd out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.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

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 administrated 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

1 service
24-Hour Staffing

Additional Policies & Features

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

Amenities & Lifestyle

Licensed Rn On Call 24/7
Activities
Specific ProgramsLife at Four Seasons

Dining & Nutrition

Food Description3 nutritious meals a day, plus snacks, drinks, and a hydration cart.

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.

Inspection Scorecard Info 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.

Overall vs. MO average 0 Worse No metrics in this bucket. 1 Better Metrics better than Missouri average:
• Total inspections (100% below)

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 routine and focused inspections. Excludes complaint investigations. 07 This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better

Places of interest near Four Seasons Assisted Living

Address 79.4 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.

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Financial Assistance for
Nursing Home in Missouri

Four Seasons Assisted Living is located in MOSCOW MILLS, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Compare Nursing Home around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

4 facilities compared · CMS & MO Dept. of Health data

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Frequently Asked Questions about Four Seasons Assisted Living

Who is the owner of Four Seasons Assisted Living?

The legal owner and operator of Four Seasons Assisted Living is Four Seasons Care Corporation.

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.

Who is the administrator of Four Seasons Assisted Living?

Barbara Howard is the administrator of Four Seasons Assisted Living.

How many beds does Four Seasons Assisted Living have?

Four Seasons Assisted Living has 53 beds.

Are there photos of Four Seasons Assisted Living?

Yes — there are 2 photos of Four Seasons Assisted Living in the photo gallery on this page.

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