Federal inspection record · CMS data as of October 1, 2026
Rest Haven Health Care Center
1800 South Ingram, Sedalia, MO · (660) 827-0845
- Cited for abuse (CMS abuse icon)
- Certified beds
- 86
- Residents per day
- 57
- Ownership
- For-Profit
- Chain
- Reliant Care Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 4, 2016
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Missouri homes
Rest Haven Health Care Center carries 145 inspection points. That is fewer than 22% of Missouri's 479 rated homes.
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
37 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (2)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Assessment and Care Planning8F
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- F
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- C
Maintain 15 months of resident assessments in the resident's active clinical record.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Infection Control6F
- F
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- C
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- C
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Quality of Life and Care5E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
Resident Rights4E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nursing and Physician Services4F
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Pharmacy Service4E
- E
Ensure medication error rates are not 5 percent or greater.
- 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.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Administration1E
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-03-06
17 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-04-25
12 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2022-12-09
8 health deficiencies · 17 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 1 h 49 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
1 h 49 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$30,533 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-12 | Fine | $14,380 |
| 2026-01-06 | Fine | $16,153 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts worse | 81.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine56.4 pts worse | 34.4% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 3.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms54.4 pts worse | 74.4% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.1 pts better | 0.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication22.4 pts worse | 48.0% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 21.8% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.9 pts worse | 26.7% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts worse | 25.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 1.1% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 19.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 3.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.1 pts worse | 40.6% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 9.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine58.2 pts worse | 3.2% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission16.6 pts better | 9.1% | 25.7% | 23.4% |
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Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Arshad, Abdullah | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Brunswick Park Associates Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Destefane, Richard | Corporate Officer · Individual | 0% | 35 facilities |
| Foster, Georgann | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rcg Inc | Adp Of The SNF · Organization | 0% | 23 facilities |
| Reliant Care Group LLC | Trustee Of The SNF · Organization | 0% | 21 facilities |
| Reliant Care Group LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Reliant Care Group Of Webster Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Reliant Care Management Company LLC | Operational/Managerial Control · Organization | 0% | 35 facilities |
| Reliant Care Management Company LLC | Adp Of The SNF · Organization | 0% | 35 facilities |
| Rest Haven Associates I LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Richard J. Destefane Revocable Living Trust | Trustee Of The SNF · Organization | 0% | 23 facilities |
| Tlg Ii Llp | Adp Of The SNF · Organization | 0% | 18 facilities |
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Fire safety
40 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems11F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- E
Have power receptacles that are properly grounded.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Smoke10F
- F
Have properly installed hallway dispensers for alcohol-based hand rub.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness7F
- F
Establish an Emergency Preparedness Program (EP).
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for volunteers.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Establish roles under a Waiver declared by secretary.
- F
Establish staff and initial training requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress3F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Services2E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction1F
- F
Meet other general requirements.
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Other homes nearby
-
Fair View Health Care Center
Sedalia, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 1 h 48 min
- Fines
- $0
-
Sylvia G Thompson Residence Center, Inc
Sedalia, MO
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0
-
E W Thompson Health & Rehabilitation Center
Sedalia, MO
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 28 min
- Fines
- $0