NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriFour Seasons Living Center

Four Seasons Living Center

2800 Highway Tt, Sedalia, MO 653016608268803
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
1/5
Beds
239
certified
This facility has been flagged for abuse.
2 fine(s) totaling $25,294

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 239 certified beds with an average of 233.3 residents per day (98% occupancy)

• Last health inspection found 19 deficiencies (inspected Oct 25, 2024)

• Has been fined a total of $25,294 across 2 fine(s)

• Total nursing staff: 1.36 hours per resident per day

• Staff turnover rate: 62.9% (high)

• Part of the Reliant Care Management chain (30 facilities)

Four Seasons Living Center is a 1-star Medicare and Medicaid certified nursing home in Sedalia, Missouri with 239 certified beds. It has been operating since 1980. The facility scored below average compared to Missouri facilities.

Beds
239
Avg Residents/Day
233.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 1, 1980
Sprinklers
Yes
Council
Resident
County
Pettis
Last Inspection
Oct 25, 2024
Deficiencies (Cycle 1)
19
Weighted Score
216.8
Infection Citations
0

Deficiency Citations (57)

F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 8, 2025Corrected: NoCycle: 1
F0741Potential for Harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Survey: Dec 8, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jul 23, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 23, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jul 23, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0569Potential for Harm

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 25, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Aug 29, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 28, 2023Corrected: NoCycle: 2
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Jul 28, 2023Corrected: NoCycle: 2
F0577Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Jul 28, 2023Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jul 28, 2023Corrected: NoCycle: 2
F0586Potential for Harm

Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

Survey: Jul 28, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 28, 2023Corrected: NoCycle: 2

+ 27 more deficiencies

Total Fines
$25,294
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineDec 8, 2025
$8,550
FineJul 23, 2025
$16,744

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.06 hrs
National avg: 2.35 hrs
LPN0.22 hrs
National avg: 0.86 hrs
RN0.08 hrs
National avg: 0.68 hrs
Total Nursing1.36 hrs
National avg: 3.89 hrs
Weekend Total1.00 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
62.9%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
RELIANT CARE GROUP LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 30, 1996
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMar 1, 2018
DESTEFANE, RICHARD5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AJun 30, 1996
RELIANT CARE MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 30, 1996
DESTEFANE, RICHARDCORPORATE OFFICERIndividualN/AJan 1, 2008
PARKER, BRANDYW-2 MANAGING EMPLOYEEIndividualN/AOct 14, 2021

Nearby Nursing Homes

All Missouri facilities

Rest Haven Health Care Center

Sedalia, MO · 86 beds

For profit
Health
Staffing
Quality
3.8 mi

Fair View Health Care Center

Sedalia, MO · 75 beds

For profit
Health
Staffing
Quality
5.3 mi

Sylvia G Thompson Residence Center, INC

Sedalia, MO · 120 beds

Non profit
Health
Staffing
Quality
6.5 mi

E W Thompson Health & Rehabilitation Center

Sedalia, MO · 66 beds

Non profit
Health
Staffing
Quality
6.8 mi

Frequently Asked Questions

What is the CMS rating for Four Seasons Living Center?▾
Four Seasons Living Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
Has Four Seasons Living Center had any health inspection violations?▾
Four Seasons Living Center had 19 deficiency citations in its most recent health inspection (Oct 25, 2024). The facility has been fined a total of $25,294 across 2 fine(s).
What are the staffing levels at Four Seasons Living Center?▾
Four Seasons Living Center provides 1.36 total nursing staff hours per resident per day, including 0.08 RN hours, 0.22 LPN hours, and 1.06 nurse aide hours. The total staff turnover rate is 62.9%.
How many beds does Four Seasons Living Center have?▾
Four Seasons Living Center has 239 certified beds with an average of 233.3 residents per day, resulting in approximately 98% occupancy. The facility is For profit - Corporation owned and is part of the Reliant Care Management chain.
Are there other nursing homes near Four Seasons Living Center?▾
Yes, there are 4 other nursing homes in Sedalia, Missouri with an average rating of 1.4/5. You can compare all facilities on the Sedalia nursing homes page.

Part of Reliant Care Management

This chain operates 30 facilities. View all →