Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

E W THOMPSON HEALTH & REHABILITATION CENTER

SEDALIA, MO · 66 certified beds · Last Life Safety survey January 22, 2025

CMS Certification Number 265858 · first certified October 2016

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

15
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within MO

15 citations — more than 41% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 5. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: March 2026 to October 2026. This facility’s last Life Safety survey was January 2025. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 15 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility15MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
52022-0442023-1062025-0162025-01
Citations at each Life Safety survey
Survey dateCitations
April 14, 20225
October 13, 20234
January 22, 20256
January 22, 20256

Most-cited tags

Most-cited tags at this facility
K-03532K-03452K-07812K-02911K-03741E-00261K-07531K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-01-22
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22023-10-13
K-0781Have restrictions on the use of portable space heaters.22025-01-22
K-0291Install emergency lighting that can last at least 1 1/2 hours.12025-01-22
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-01-22
E-0026Establish roles under a Waiver declared by secretary.12022-04-14
K-0753Have restrictions on the use of highly flammable decorations.12022-04-14
K-0712Have simulated fire drills held at unexpected times.12022-04-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 5
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Miscellaneous Deficiencies5
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 22, 2025 — 6 citations

Citations issued on January 22, 2025
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (February 1, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 6, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 6, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 1, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (March 7, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 10, 2025)

October 13, 2023 — 4 citations

Citations issued on October 13, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 31, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 13, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (October 13, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 23, 2023)

April 14, 2022 — 5 citations

Citations issued on April 14, 2022
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (May 2, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 2, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 2, 2022)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (May 2, 2022)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (May 2, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.