Federal inspection record · CMS data as of October 1, 2026

E W Thompson Health & Rehabilitation Center

975 Mitchell Road, Sedalia, MO · (660) 851-0668

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
68
Residents per day
62
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 3, 2016

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Missouri homes

E W Thompson Health & Rehabilitation Center carries 53 inspection points. That is fewer than 67% of Missouri's 479 rated homes.

5★4★3★2★1★+15 homes above 391.2505102550100200inspection points → fewer is better on the leftThis home · 53 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–20 pts
  • 4★ 20–54 pts
  • 3★ 54–93.75 pts
  • 2★ 93.75–159 pts
  • 1★ over 159 pts

Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

15 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 3 4 pts
E 7 8 pts
F 5 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary4F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 22, 2025 · Standard · F812 · Corrected January 24, 2025

  2. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    October 13, 2023 · Standard · F801 · Corrected November 7, 2023

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 13, 2023 · Standard · F812 · Corrected November 13, 2023

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 14, 2022 · Standard · F812 · Corrected May 2, 2022

Quality of Life and Care3E
  1. D

    Provide enough food/fluids to maintain a resident's health.

    March 9, 2026 · Complaint · F692 · Corrected April 6, 2026

  2. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 14, 2022 · Standard · F689 · Corrected May 2, 2022

  3. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    April 14, 2022 · Standard · F700 · Corrected May 2, 2022

Resident Assessment and Care Planning2E
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 9, 2026 · Complaint · F658 · Corrected April 6, 2026

  2. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    October 13, 2023 · Standard · F658 · Corrected November 2, 2023

Pharmacy Service2E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    January 22, 2025 · Standard · F759 · Corrected February 14, 2025

  2. E

    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.

    October 13, 2023 · Standard · F761 · Corrected November 2, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    May 1, 2025 · Complaint · F600 · Corrected April 28, 2025

Administration1F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    January 22, 2025 · Standard · F851 · Corrected February 1, 2025

Resident Rights1E
  1. E

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    October 13, 2023 · Standard · F625 · Corrected November 2, 2023

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    October 13, 2023 · Standard · F880 · Corrected November 13, 2023

Inspection history

  1. 2025-01-22

    5 health deficiencies · 6 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

  2. 2023-10-13

    7 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2022-04-14

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 28 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

5 h 28 min

Missouri average

3 h 24 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 17% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse2.52.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.9 pts better94.9%84.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.4 pts better98.2%90.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse6.1%4.0%3.2%
Percentage of long-stay residents who have depressive symptoms19.4 pts better0.6%20.0%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts better4.4%5.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts worse27.1%25.6%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.7 pts better14.8%23.5%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5 pts worse20.8%15.8%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.8 pts worse25.2%17.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse3.6%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection5.2 pts worse7.4%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts better15.2%17.1%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts worse6.7%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts better81.5%65.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse16.0%13.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better1.0%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17 pts better78.4%61.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse25.8%25.7%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sylvia G. Thompson Residence Center, Inc.5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Epperson, KarenOperational/Managerial Control · Individual0%2 facilities
Epperson, KarenAdp Of The SNF · Individual0%2 facilities
Fischer, AdamAdp Of The SNF · Individual0%1 facilities
Fischer, JoyceOperational/Managerial Control · Individual0%1 facilities
Fischer, JoyceAdp Of The SNF · Individual0%1 facilities
Residential Health Management, Inc.Operational/Managerial Control · Organization0%1 facilities
Residential Health Management, Inc.Adp Of The SNF · Organization0%1 facilities
Shumake, William J.Corporate Director · Individual0%1 facilities
Shumake, William J.Corporate Officer · Individual0%1 facilities
Simon, DianneCorporate Director · Individual0%1 facilities
Simon, DianneCorporate Officer · Individual0%1 facilities
Simon, DianneAdp Of The SNF · Individual0%1 facilities
Sylvia G. Thompson Charitable TrustAdp Of The SNF · Organization0%1 facilities
Sylvia G. Thompson Residence Center, Inc.Operational/Managerial Control · Organization0%1 facilities
West, KristenCorporate Director · Individual0%1 facilities
West, KristenCorporate Officer · Individual0%1 facilities
Williams, AudreaOperational/Managerial Control · Individual0%1 facilities
Williams, AudreaAdp Of The SNF · Individual0%1 facilities

·

Fire safety

15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 22, 2025 · K353 · Corrected February 6, 2025

  2. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    January 22, 2025 · K374 · Corrected February 1, 2025

  3. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    October 13, 2023 · K345 · Corrected October 31, 2023

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 13, 2023 · K353 · Corrected October 13, 2023

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 14, 2022 · K345 · Corrected May 2, 2022

Miscellaneous5F
  1. F

    Have restrictions on the use of portable space heaters.

    January 22, 2025 · K781 · Corrected March 7, 2025

  2. F

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    October 13, 2023 · K741 · Corrected October 13, 2023

  3. F

    Have simulated fire drills held at unexpected times.

    April 14, 2022 · K712 · Corrected May 2, 2022

  4. F

    Have restrictions on the use of portable space heaters.

    April 14, 2022 · K781 · Corrected May 2, 2022

  5. E

    Have restrictions on the use of highly flammable decorations.

    April 14, 2022 · K753 · Corrected May 2, 2022

Egress2F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    January 22, 2025 · K291 · Corrected February 6, 2025

  2. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    January 22, 2025 · K222 · Corrected February 1, 2025

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have proper medical gas storage and administration areas.

    January 22, 2025 · K923 · Corrected February 10, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    October 13, 2023 · K918 · Corrected October 23, 2023

Emergency Preparedness1F
  1. F

    Establish roles under a Waiver declared by secretary.

    April 14, 2022 · E26 · Corrected May 2, 2022

·

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