Nursing Care Index

Rest Haven Health Care Center

Sedalia, Pettis County, Missouri · CCN 265854 · For-profit (Corporation) · part of Reliant Care Management (34 facilities, chain average 1.2 stars)

CMS rates Rest Haven Health Care Center 1 of 5 overall as of August 2026. 86 certified beds, 61 residents a day on average. 37 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $39,230.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / 1 of 5

Staffing

Total nurse staffing1.71591 hours per resident per day
Registered nurses0.26377 hours per resident per day
Weekend total1.33019 hours per resident per day
Nursing staff turnover68.5% (registered nurses 50%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-12
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2026-05-12
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2026-01-06
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2026-01-06
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-16
2025-03-06 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-04-11
2025-03-06 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-04-11
2025-03-06 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06 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.
Administration Deficiencies · tag F0838
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-11
2025-03-06 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-11
2025-03-06
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0728
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-11
2025-03-06 Implement a program that monitors antibiotic use.
Infection Control Deficiencies · tag F0881
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-04-11
2024-04-25
complaint survey
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-05-30
2024-04-25 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.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-05-30
2024-04-25 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-05-30
2024-04-25
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-30
2024-04-25 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-30
2024-04-25 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-30
2024-04-25 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.
Resident Rights Deficiencies · tag F0585
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-30
2024-04-25
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-30
2024-04-25 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.
Nutrition and Dietary Deficiencies · tag F0803
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-30
2024-04-25 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-30
2024-04-25 Maintain 15 months of resident assessments in the resident's active clinical record.
Resident Assessment and Care Planning Deficiencies · tag F0639
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-05-30
2024-04-25 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-05-30
2022-12-09 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-01-20
2022-12-09 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-20
2022-12-09 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-20
2022-12-09 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.
Quality of Life and Care Deficiencies · tag F0700
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-20
2022-12-09 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.
Pharmacy Service Deficiencies · tag F0758
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-20
2022-12-09 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-01-20
2022-12-09 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-01-20
2022-12-09 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-01-20

Fines and payment denials

DatePenaltyAmount
2026-05-12Fine$14,380
2026-01-06Fine$24,850

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Brunswick Park Associates Inc.
Organization
adp of the snf2024-11-14
Rcg Inc.
Organization
adp of the snf2024-11-14
Reliant Care Group LLC
Organization
adp of the snf2024-06-01
Reliant Care Group Of Webster Inc.
Organization
adp of the snf2024-11-14
Reliant Care Management Company LLC
Organization
adp of the snf2024-11-14
Rest Haven Associates I LLC
Organization
adp of the snf2024-11-14
Tlg II LLP
Organization
adp of the snf2024-06-01
Reliant Care Management Company LLC
Organization
operational/managerial control2024-06-01
Reliant Care Group LLC
Organization
trustee of the snf2024-06-01
Richard J. Destefane Revocable Living Trust
Organization
trustee of the snf2024-06-01
Destefane, Richard
Individual
corporate officer2024-06-01
Arshad, Abdullah
Individual
operational/managerial control2024-09-16
Foster, Georgann
Individual
operational/managerial control2024-06-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pettis County.