Assisted Living
Tessland Residential Care Facility
24583 Highway 5, Milan, MO 63556 · Map
Licensed for 9 residents · TESSLAND RESIDENTIAL CARE FACILITY LLC
Tessland Residential Care Facility is a state-licensed assisted living community in Milan, Missouri. It is licensed for 9 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last inspection: Aug 18, 2026. See the record
License
Active, 9 residents
Residential Care Facility 053647, current license dated Jun 6, 2026. Licensee TESSLAND RESIDENTIAL CARE FACILITY LLC.
Nearest emergency room
2.0 miles
Sullivan County Memorial Hospital.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Tessland Residential Care Facility this community | 9 | Not published | Active | 5 requirements not met in 3 years | |
| Stover's Residential Care Facility | 2.1 mi | 20 | Not published | Active | 31 requirements not met in 3 years |
| Bristol Manor of Unionville | 22.4 mi | 12 | Not published | Active | 1 requirement not met in 3 years |
| Bristol Manor of Trenton | 25.2 mi | 12 | Not published | Active | 1 requirement not met in 3 years |
| Sunnyview Nursing Home & Apartments (Assisted Living) | 25.3 mi | 28 | Not published | Active | 3 requirements not met in 3 years |
State inspection record5 requirements not met in 3 years
- Last inspection
- August 18, 2026
- Inspections in three years
- 5
- Complaint investigations in three years
- 0
- Requirements not met (all visits)
- 5
- No deficiencies cited at the last 2 visits (October 2025 to August 2026)
- Every deficiency from the February 19, 2025 visit was corrected by May 22, 2025
Visits (newest first)
- August 18, 2026: State Licensure, no requirements listed as not met · state results
- October 15, 2025: State Licensure, no requirements listed as not met · state results
- February 19, 2025: State Licensure, 2 requirements not met · state results
- General Requirements. (D) The department shall have the right of inspection of any portion of a building in which a licensed facility is located unless the unlicensed portion is separated by two- (2-) hour fire-resistant construction. No section of the building shall present a fire hazard. rule class I/II; corrected May 22, 2025
- In newly licensed facilities or if a new heating system is installed in an existing licensed facility, the heating of the building shall be restricted to steam, hot water, permanently installed electric heating devices or a warm air system employing central heating plants with installation such as to safeguard the inherent fire hazard, or approved installation of outside wall heaters which bear the approved label of the American Gas Association or National Board of Fire Underwriters. The foregoing requirements are applicable to residential care facilities. In assisted living facilities, the heating of the building shall be restricted to steam, hot water, permanently installed electric heating devices or a warm air system employing central heating plants with installation such as to safeguard the inherent fire hazard, or approved installation of outside wall heaters which bear the approved label of the American Gas Association or National Board of Fire Underwriters. For all facilities, oil or gas heating appliances shall be properly vented to the outside and the use of portable heaters of any kind is prohibited. If approved wall heaters are used, adequate guards shall be provided to safeguard residents. rule class I/II; corrected May 22, 2025
- October 29, 2024: State Licensure, no requirements listed as not met · state results
- February 28, 2024: State Licensure, 3 requirements not met · state results
- Exit Signs. (A) Signs bearing the word EXIT in plain, legible letters shall be placed at each required exit, except at doors directly from rooms to exit passageways or corridors. Letters of all exit signs shall be at least six inches (6") high and principle strokes three-fourths of an inch (3/4") wide, except that letters of internally illuminated exit signs shall not be less than four inches (4") high. rule class II; corrected May 30, 2024
- Trash and Rubbish Disposal. (A) Only metal or UL- or FM-fire-resistant rated wastebaskets shall be used for trash. rule class II; corrected May 30, 2024
- In facilities that are constructed or have plans approved after July 1, 2005, electrical wiring shall be installed and maintained in accordance with the requirements of the National Electrical Code, 1999 edition, National Fire Protection Association, Inc., incorporated by reference, in this rule and available by mail at One Batterymarch Park, Quincy, MA 02269, and local codes. This rule does not incorporate any subsequent amendments or additions to the materials incorporated by reference. Facilities built between September 28, 1979 and July 1, 2005 shall be maintained in accordance with the requirements of the National Electrical Code, which was in effect at the time of the original plan approval and local codes. This rule does not incorporate any subsequent amendments or additions. In facilities built prior to September 28, 1979, electrical wiring shall be maintained in good repair and shall not present a safety hazard. All facilities shall have wiring inspected every two (2) years by a qualified electrician. rule class II/III; corrected May 30, 2024
Search Show Me Long Term Care → (TESSLAND RESIDENTIAL CARE FACILITY LLC, Residential Care Facility I)
What these terms mean
DHSS: the results page shows “the requirements the facility failed to meet, the corrected date, level of harm, and residents affected.” Facilities must keep the full statements of deficiencies and plans of correction on site for anyone to read.
Missouri law (RSMo 198.085) sorts every standard into three classes: “Class I standards are standards the violation of which would present either an imminent danger to the health, safety or welfare of any resident or a substantial probability that death or serious physical harm would result; Class II standards are standards which have a direct or immediate relationship to the health, safety or welfare of any resident, but which do not create imminent danger; Class III standards are standards which have an indirect or a potential impact on the health, safety or welfare of any resident.” The class shown is the one the rule carries; some rules carry two (for example II/III).
Show Me Long Term Care lists no license numbers; this record was matched to the community by name and address. This community is licensed for 9 residents; larger communities are inspected and cited more often, so read counts with size in mind. Source: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee TESSLAND RESIDENTIAL CARE FACILITY LLC
- License type
- Residential Care Facility
- License number
- 053647
- License status
- Active
- Current license dated
- 2026-06-06
- Licensed capacity
- 9
- Licensee
- TESSLAND RESIDENTIAL CARE FACILITY LLC
- County
- Sullivan County
- Administrator
- Teresa Couch
Source: Missouri state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Missouri licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Missouri, and other programs
How Medicaid pays for care in Missouri
- MO HealthNet Personal Care Program (state plan personal care). MO HealthNet (Missouri Medicaid) can pay for personal care services for eligible residents of licensed residential care facilities and assisted living facilities, if DHSS finds they need a nursing-home level of care. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 2.0 mi, nursing home 1.2 mi, pharmacy 25.1 mi
- Nearest hospital with an emergency room
- Sullivan County Memorial Hospital, Milan. 2.0 miles away, straight line.
- Nearest Medicare nursing home
- Milan Health Care Center, Milan. 1.2 miles away, straight line.
- Nearest home health agency office
- Serve Link Home Care, Inc, Trenton. 25.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hometown Pharmacy. 25.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63556 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 63556.
- Nearest geriatric medicine practice
- Lucas County Health Center, Chariton. 59.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in February 2025. What was it, and how was it fixed?
- The current license dates from 2026. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- Who is here at night? Are they awake, or asleep and on call?
- Who covers when the owner is sick, on vacation, or away for the day? Can we meet them?
- Is it one flat rate, or does it rise with care needs?
- Can you help someone who needs two people to move, or a mechanical lift?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
What we checked11 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Tessland Residential Care Facility provide?
Tessland Residential Care Facility is licensed by the state of Missouri for assisted living in Milan, Missouri. Its licensed capacity is 9 residents.
Does Lilisity rate Tessland Residential Care Facility?
No. We publish state licensing details for Tessland Residential Care Facility but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Tessland Residential Care Facility cost?
Assisted Living in Missouri typically starts at $4,100 to $5,100 a month. Based on 109 communities that publish prices. These are area figures, not this community's price. Tessland Residential Care Facility does not publish its prices.
How do I contact Tessland Residential Care Facility?
Visit Tessland Residential Care Facility at 24583 Highway 5, Milan, MO 63556.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid