E W Thompson Health & Rehabilitation Center
975 Mitchell Road, Sedalia, MO 65301 · Pettis County · 66 certified beds · avg 58 residents/day · certified since Oct 3, 2016
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 9, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Mar 9, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 22, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 22, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 22, 2025 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Oct 13, 2023 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Oct 13, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 13, 2023 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Oct 13, 2023 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 13, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 13, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 14, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 14, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 14, 2022 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | F |
| 2023 | 6 | 0 | F |
| 2025 | 4 | 0 | F |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.60 | 3.66 | 3.95 | top 2% in Missouri; top 2% in the U.S. |
| Registered Nurse hours | 0.43 | 0.49 | 0.69 | top 47% in Missouri; bottom 27% in the U.S. |
| Weekend total nurse staffing | 6.01 | 3.22 | 3.50 | top 1% in Missouri; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.33 | 0.48 | bottom 30% in Missouri; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 37.6 | 56.0 | 45.8 | top 9% in Missouri; top 30% in the U.S. |
| RN turnover (%) | 16.7 | 47.8 | 42.9 | top 8% in Missouri; top 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.85, RN 0.38, weekend 5.33. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Sylvia G. Thompson Residence Center, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2016 |
| Epperson, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/26/2024 |
| Epperson, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 03/26/2024 |
| Fischer, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Fischer, Joyce | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2016 |
| Fischer, Joyce | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Residential Health Management, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/03/2016 |
| Residential Health Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Shumake, William J. | Individual | Corporate Director | NOT APPLICABLE | 08/01/2016 |
| Shumake, William J. | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2016 |
| Simon, Dianne | Individual | Corporate Director | NOT APPLICABLE | 12/01/2021 |
| Simon, Dianne | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Simon, Dianne | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2016 |
| Sylvia G. Thompson Charitable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/26/2015 |
| Sylvia G. Thompson Residence Center, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| West, Kristen | Individual | Corporate Director | NOT APPLICABLE | 08/01/2023 |
| West, Kristen | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2023 |
| Williams, Audrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/23/2025 |
| Williams, Audrea | Individual | ADP of the SNF | NOT APPLICABLE | 07/17/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sylvia G Thompson Residence Center, INC | 0.3 mi | Sedalia, MO | ★☆☆☆☆ | 2/5 | |
| Fair View Health Care Center | 1.6 mi | Sedalia, MO | ★☆☆☆☆ | 2/5 | |
| Rest Haven Health Care Center | 3.0 mi | Sedalia, MO | ★☆☆☆☆ | 2/5 | abuse |
| Four Seasons Living Center | 6.8 mi | Sedalia, MO | ★☆☆☆☆ | 1/5 | abuse |
| Good Samaritan Care Center | 17.4 mi | Cole Camp, MO | ★★★★★ | 5/5 | |
| Windsor Rehabilitation & Health Care Center | 17.9 mi | Windsor, MO | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265858.