nursing home in Sedalia, MO
Four Seasons Living Center
2800 Highway Tt, Sedalia, MO 65301 · (660) 826-8803
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Four Seasons Living Center at a glance
Four Seasons Living Center is a 239-bed for-profit nursing home in Sedalia, Missouri (Pettis County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 1.6 hours of nursing care per day (0.1 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 8, 2025) found 22 health citations. The Missouri average is 11.4.
Federal regulators fined it 3 times in the past three years, totaling $61,960.
Nursing staff turnover is 71.1% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 239
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Reliant Care Management
- Medicare-certified since
- October 1, 1980
- Resident/family council
- None
- County
- Pettis County
- CMS Certification Number
- 265149
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 1.57 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.07 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.23 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.42 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 71.1% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 22 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 9 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 233.3 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $61,960 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 239 | 103 | 107 | |
| Average residents per day | 228 | 73 | 86 | |
| Occupancy | 95.6% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.2% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 4.5% | 4.6% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.8% | 1.1% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 20.4% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.7% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 65.1% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0.3% | 0% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 34.7% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 7% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 90.2% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 74.2% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 30.8% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 11.6% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 61 health deficiencies and 31 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 12, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Past Non-Compliance |
| May 26, 2026 Complaint | 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 | F Potential harm, widespread | Corrected June 22, 2026 |
| May 26, 2026 Complaint | 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 | D Potential harm, isolated | Corrected June 22, 2026 |
| April 3, 2026 Complaint | 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 Potential harm, isolated | Corrected May 7, 2026 |
| April 3, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 7, 2026 |
| April 3, 2026 Complaint | 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 | D Potential harm, isolated | Corrected May 7, 2026 |
| February 18, 2026 Complaint | 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 Potential harm, isolated | Corrected March 6, 2026 |
| December 8, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Complaint | 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 | J Immediate jeopardy, isolated | Corrected January 22, 2026 |
| December 8, 2025 Standard | 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 Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected January 22, 2026 |
| December 8, 2025 Standard | 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 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | 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 Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Complaint | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of Life and Care Deficiencies · Tag F0741 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | 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 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | 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 Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | 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 Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected January 22, 2026 |
| December 8, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected January 22, 2026 |
| August 1, 2025 Complaint | 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 | G Actual harm, isolated | Corrected August 29, 2025 |
| August 1, 2025 Complaint | 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 | D Potential harm, isolated | Corrected August 29, 2025 |
| August 1, 2025 Complaint | 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 | D Potential harm, isolated | Corrected August 29, 2025 |
| August 1, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 23, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 23, 2025 Complaint | 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 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 23, 2025 Complaint | 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 | D Potential harm, isolated | Corrected August 29, 2025 |
| February 6, 2025 Complaint | 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 Potential harm, pattern | Corrected March 7, 2025 |
| February 6, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 7, 2025 |
| October 25, 2024 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected November 22, 2024 |
| October 25, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected November 22, 2024 |
| October 25, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected November 22, 2024 |
| October 25, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected November 22, 2024 |
| October 25, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected November 22, 2024 |
| October 25, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 25, 2024 Standard | 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 Potential harm, widespread | Corrected November 22, 2024 |
| October 25, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 25, 2024 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 25, 2024 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 25, 2024 Standard | 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 Potential harm, pattern | Corrected November 22, 2024 |
| October 25, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 25, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 25, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 22, 2024 |
| September 25, 2024 Complaint | 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, isolated | Corrected October 15, 2024 |
| September 25, 2024 Complaint | 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 | E Potential harm, pattern | Corrected October 15, 2024 |
| August 29, 2024 Complaint | 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 | D Potential harm, isolated | Corrected September 20, 2024 |
| April 23, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 20, 2024 |
| March 15, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 26, 2024 |
| September 18, 2023 Complaint | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected October 20, 2023 |
| September 18, 2023 Complaint | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. Resident Rights Deficiencies · Tag F0586 | E Potential harm, pattern | Corrected October 20, 2023 |
| July 28, 2023 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | F Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Fire safety | Add 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | 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 Potential harm, widespread | Corrected September 11, 2023 |
| July 28, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | 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 Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected October 20, 2023 |
| July 28, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | 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 Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. Resident Rights Deficiencies · Tag F0586 | E Potential harm, pattern | Corrected October 20, 2023 |
| July 28, 2023 Standard | 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 Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | 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 Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | 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 | E Potential harm, pattern | Corrected September 11, 2023 |
| July 28, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected September 11, 2023 |
| July 28, 2023 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected September 11, 2023 |
| July 28, 2023 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected September 11, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $61,960 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 26, 2026 | Fine | $17,155 |
| December 8, 2025 | Fine | $27,750 |
| July 23, 2025 | Fine | $17,055 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DESTEFANE, RICHARD Individual | corporate officer | NOT APPLICABLE | 01/01/2008 |
| RELIANT CARE MANAGEMENT COMPANY LLC Organization | operational/managerial control | NOT APPLICABLE | 06/30/1996 |
| PARKER, BRANDY Individual | w-2 managing employee | NOT APPLICABLE | 10/14/2021 |
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Frequently asked questions
What is Four Seasons Living Center's rating?
Four Seasons Living Center has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Four Seasons Living Center receive?
Its most recent standard health inspection found 22 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Four Seasons Living Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Four Seasons Living Center?
It is for profit - corporation and part of Reliant Care Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Four Seasons Living Center and how do I contact it?
Four Seasons Living Center is at 2800 Highway Tt, Sedalia, MO 65301. Phone: (660) 826-8803.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.