Four Seasons Living Center
Nursing home in Sedalia, MO
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 2800 Highway Tt, Sedalia, MO 65301
- Phone
- (660) 826-8803
- Listed under
- For-profit
- Medicare CCN
- 265149
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 239
- Average residents per day
- 228
- Ownership
- For-profit, corporation
- Legal business name
- Four Seasons Living Center, LLC
- Chain
- Reliant Care Management (34 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Oct 1, 1980
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Dec 8, 2025. CMS lists 61 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 28, 2023 to Jun 12, 2026): 26 from complaint inspections, 4 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 12, 2026 | Ensure that residents are free from significant medication errors. | G |
| 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. | D |
| 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. | F |
| Apr 3, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Apr 3, 2026 | Ensure each resident receives an accurate assessment. | D |
| 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. | D |
| Feb 18, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Dec 8, 2025 | Post nurse staffing information every day. | C |
| Dec 8, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| Dec 8, 2025 | Reasonably accommodate the needs and preferences of each resident. | E |
| 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. | E |
| Dec 8, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
Fines and payment denials
CMS records 2 fines totalling $25,605 in the last three years.
| Dec 8, 2025 | Fine: $8,550 |
| Jul 23, 2025 | Fine: $17,055 |
Staffing
- Total nurse staffing per resident per day
- 1.57 hours
- Registered nurse (RN) time per resident per day
- 0.07 hours
- Nurse aide time per resident per day
- 1.23 hours
- Total nurse staffing on weekends
- 1.42 hours
- Nursing staff turnover (yearly)
- 71%
- RN turnover (yearly)
- 60%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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