Nursing home · Sedalia, MO
Four Seasons Living Center
2800 Highway Tt, Sedalia, MO 65301 · 239 certified beds · for profit ownership · part of Reliant Care Management
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jun 12, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. All have been marked corrected. At its most recent standard inspection (Dec 8, 2025) it had 22 citations, compared with an average of 8.6 for Sedalia-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 1.57 hours per resident per day here, 54% less than the Missouri average (3.43) and 59% less than the U.S. average (3.86). Registered nurses account for 0.07 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 71% over the past year, 15 points higher than Missouri (56%) and 25 points higher than the U.S. (46%).
How Four Seasons Living Center compares
This home's latest CMS figures next to the averages for Sedalia-area homes (9), Missouri (487) and the U.S. (14,680).
| This home | Sedalia area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 1.57 | 3.51 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.07 | 0.32 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 1.42 | 3.05 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 71% | 46% | 56% | 46% |
| Registered nurse turnover (past year) | 60% | 27% | 48% | 43% |
| Citations at the most recent standard inspection | 22 | 8.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 61 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jun 12, 2026 | Ensure that residents are free from significant medication errors. Pharmacy service · complaint | G actual harm | Past Non-Compliance |
| May 26, 2026 | 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 · complaint | F | Deficient, Provider has date of correction |
| May 26, 2026 | 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 · complaint | D | Deficient, Provider has date of correction |
| Apr 3, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Apr 3, 2026 | Ensure each resident receives an accurate assessment. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 3, 2026 | 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 · complaint | D | Deficient, Provider has date of correction |
| Feb 18, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Dec 8, 2025 | Post nurse staffing information every day. Nursing and physician services | C | Deficient, Provider has date of correction |
| Dec 8, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | 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 | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | 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 · complaint | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | 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 | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | 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 | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | 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 | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | Reasonably accommodate the needs and preferences of each resident. Resident rights | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Dec 8, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Dec 8, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Dec 8, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Aug 1, 2025 | 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 · complaint | G actual harm | Deficient, Provider has date of correction |
| Aug 1, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Aug 1, 2025 | 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 · complaint | D | Deficient, Provider has date of correction |
| Aug 1, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Jul 23, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Jul 23, 2025 | 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 · complaint | D | Deficient, Provider has date of correction |
| Jul 23, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 6, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Feb 6, 2025 | 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 · complaint | E | Deficient, Provider has date of correction |
| Oct 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Oct 25, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| Oct 25, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident rights | E | Deficient, Provider has date of correction |
| Oct 25, 2024 | 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 | E | Deficient, Provider has date of correction |
| Oct 25, 2024 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
| Oct 25, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Oct 25, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Oct 25, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 25, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| May 26, 2026 | Fine | $17,155 |
| Dec 8, 2025 | Fine | $27,750 |
| Jul 23, 2025 | Fine | $17,055 |
Location
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Reviews
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Questions about Four Seasons Living Center
Answers computed from CMS data for this facility.
What is Four Seasons Living Center's Medicare rating?
Medicare rates Four Seasons Living Center 1 out of 5 stars overall (much below average). The average for Sedalia-area nursing homes is 2.3, for Missouri 2.51 and for the U.S. 2.99.
How did Four Seasons Living Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jun 12, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). 1 citation was rated as causing actual harm or immediate jeopardy to residents. All have been marked corrected. At its most recent standard inspection (Dec 8, 2025) it had 22 citations, compared with an average of 8.6 for Sedalia-area homes, 11.4 in Missouri and 9.2 nationally.
Has Four Seasons Living Center been fined?
Yes. CMS reports 3 fines totaling $61,960 in the past three years.
Does Four Seasons Living Center accept Medicaid?
Four Seasons Living Center is certified for both Medicare and Medicaid. Call (660) 826-8803 to ask whether a Medicaid bed is open.
Other nursing homes near Sedalia
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- 1/5Fair View Health Care CenterSedalia · 75 beds
- 1/5Rest Haven Health Care CenterSedalia · 86 beds
- 1/5Sylvia G Thompson Residence CenterSedalia · 120 beds
- 5/5Good Samaritan Care CenterCole Camp · 72 beds
- 4/5Lincoln Community Care CenterLincoln · 66 beds
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.