Missouri › Pettis County › Sedalia
Four Seasons Living Center
2800 Highway Tt, Sedalia, MO 65301
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Four Seasons Living Center is a For-profit, corporation nursing home in Sedalia, Missouri, certified for 239 beds and caring for about 228 residents a day.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 1.
Inspectors recorded 61 health deficiencies across the three most recent survey cycles (26, 16, 19 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 25.5 per 100 beds, fewer than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $26K.
Reported nurse staffing is 1.6 hours per resident per day (0.1 RN), below the Missouri median of 3.4; nursing staff turnover is 71.1%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Pettis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 61 | 37 | 31 | 28.7 |
| Citations per 100 beds | 25.5 | 25.5 | 32.1 | 26.8 |
| Total nurse hours per resident day | 1.6 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.1 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 71.1% | 68.5% | 56.1% | 45.8% |
| Fines listed | $25,605 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Dec 2025, 25 Oct 2024.
Severity mix: J ×1 G ×3 D ×18 E ×32 F ×5 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | Past Non-Compliance |
| 26 May 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 22 Jun 2026 |
| 26 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 Jun 2026 |
| 3 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 May 2026 |
| 3 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 7 May 2026 |
| 3 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 7 May 2026 |
| 18 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Mar 2026 |
| 8 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Jan 2026 |
| 8 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0584 | 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 | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0728 | 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. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | Complaint investigation | 22 Jan 2026 |
| 8 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0761 | 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. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 Jan 2026 |
| 8 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 22 Jan 2026 |
| 1 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 29 Aug 2025 |
| 1 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Aug 2025 |
| 1 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 29 Aug 2025 |
| 1 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 29 Aug 2025 |
| 23 Jul 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Aug 2025 |
| 23 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 29 Aug 2025 |
| 23 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 29 Aug 2025 |
| 6 Feb 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 7 Mar 2025 |
| 6 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 7 Mar 2025 |
| 25 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Nov 2024 |
| 25 Oct 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 22 Nov 2024 |
| 25 Oct 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Standard survey | 22 Nov 2024 |
| 25 Oct 2024 | F0584 | 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 | Standard survey | 22 Nov 2024 |
| 25 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 22 Nov 2024 |
| 25 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 22 Nov 2024 |
| 25 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 22 Nov 2024 |
| 25 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Nov 2024 |
| 25 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Oct 2024 |
| 25 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 15 Oct 2024 |
| 29 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 20 Sep 2024 |
| 23 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 May 2024 |
| 15 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Apr 2024 |
| 18 Sep 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 20 Oct 2023 |
| 18 Sep 2023 | F0586 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | E | Complaint investigation | 20 Oct 2023 |
| 28 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 20 Oct 2023 |
| 28 Jul 2023 | F0584 | 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 | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0586 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | E | Standard survey | 20 Oct 2023 |
| 28 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Sep 2023 |
| 28 Jul 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 11 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Dec 2025 | Fine | $8,550 | |
| 23 Jul 2025 | Fine | $17,055 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 71.1%, RNs 60.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.1% | 4.2% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Four Seasons Living Center, Llc. Chain: Reliant Care Management (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Reliant Care Management Company LLC | Operational/managerial control | NOT APPLICABLE | 06/30/1996 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pettis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| E W Thompson Health & Rehabilitation Center | Sedalia | 66 | 3 | 3 | 4 | 15 | 22.7 | — | 9 Mar 2026 |
| Fair View Health Care Center | Sedalia | 75 | 1 | 2 | 1 | 37 | 49.3 | — | 22 Apr 2026 |
| Rest Haven Health Care Centerabuse icon | Sedalia | 86 | 1 | 2 | 1 | 37 | 43.0 | $39K | 12 May 2026 |
| Sylvia G Thompson Residence Center, Inc | Sedalia | 120 | 1 | 2 | 3 | 30 | 25.0 | — | 29 Apr 2026 |
All 5 facilities in Pettis County
Questions and answers
How many deficiencies has Four Seasons Living Center been cited for?
61 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Four Seasons Living Center been fined?
Yes. CMS lists fines totalling $26K in the period covered.
How does staffing at Four Seasons Living Center compare?
Reported total nurse staffing is 1.6 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Four Seasons Living Center?
It is part of the Reliant Care Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Reliant Care Management Company LLC. Individual owners and managers are not listed on this site.
When was Four Seasons Living Center last inspected?
The most recent survey or investigation in the CMS record is dated 12 Jun 2026; the most recent standard health survey was 8 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.