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Four Seasons Living Center

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About Four Seasons Living Center

General Information

Legal Business NameFour Seasons Living Center, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 1, 1980 (36 years)
Capacity239
Residents229
Percent Occupied96%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Four Seasons Living Center

Four Seasons Living Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Missouri Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 21, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
BSomePotential for Minimal HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

July 31, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

April 30, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Four Seasons Living Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
1hr 40min
ReportedExpected
CNA
30min
30min
ReportedExpected
LPN
15min
35min
ReportedExpected
RN
2hr 35min
2hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

85.8%
85.1%
85.1%
85.1%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
21.8%
36.9%
49.1%
37.1%
89.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
9.0%
5.4%
7.0%
8.3%
33.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of low risk long-stay residents who lose control of their bowels or bladder
36.2%
35.8%
32.9%
32.6%
27.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
10.8%
6.2%
7.8%
8.9%
15.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose ability to move independently worsened
45.7%
39.6%
47.3%
40.2%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who received an antipsychotic medication
9.9%
11.4%
13.6%
13.1%
14.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents whose need for help with daily activities has increased
4.8%
5.9%
1.9%
3.6%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who self-report moderate to severe pain
5.8%
6.7%
4.0%
5.0%
6.9%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who lose too much weight
13.5%
17.4%
4.4%
5.6%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of high risk long-stay residents with pressure ulcers
2.6%
2.3%
2.3%
1.9%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who have depressive symptoms
1.3%
1.3%
0.0%
0.4%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a urinary tract infection
1.7%
1.3%
1.8%
2.2%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents experiencing one or more falls with major injury
4.9%
5.4%
2.7%
3.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.6%
0.0%
3.9%
4.0%
0.3%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

3.2%
3.2%
11.8%
4.7%
74.8%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
1.9%
4.8%
4.8%
4.8%
74.7%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
66.5%
Q4 2015Q1 2016Q2 2016Q3 2016MO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
3.6%
0.0%
6.9%
2.0%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents who self-report moderate to severe pain
10.0%
4.3%
0.0%
-
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
3.8%
3.3%
3.6%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016MO
Percentage of short-stay residents with pressure ulcers that are new or worsened