Four Seasons Living Center
2800 Highway Tt · Sedalia, MO · 65301 · 6608268803
239 certified beds For profit - Corporation Chain: Reliant Care Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.06 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
1.24 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 1.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.06 | 0.55–0.75 |
| Weekend hours / resident-day | 1.16 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 2 · $25,605 |
Inspection citations (58 in the current record)
-
Potential for harm · D April 3, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 3, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 7, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 3, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 7, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 18, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J December 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 22, 2026 · Quality of Life and Care
-
Potential for harm · E December 8, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · E December 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · E December 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.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · E December 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 22, 2026 · Resident Rights
-
Potential for harm · E December 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.
Corrected January 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 8, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · E December 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.
Corrected January 22, 2026 · Nursing and Physician Services
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Potential for harm · E December 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 22, 2026 · Pharmacy Service
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Potential for harm · E December 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.
Corrected January 22, 2026 · Pharmacy Service
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Potential for harm · E December 8, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 22, 2026 · Nutrition and Dietary
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Potential for harm · F December 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 22, 2026 · Nutrition and Dietary
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Potential for harm · F December 8, 2025
Provide and implement an infection prevention and control program.
Corrected January 22, 2026 · Infection Control
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Potential for harm · E December 8, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected January 22, 2026 · Quality of Life and Care
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No harm found · C December 8, 2025
Post nurse staffing information every day.
Corrected January 22, 2026 · Nursing and Physician Services
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Actual harm · G August 1, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 1, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · D August 1, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 29, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 1, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 29, 2025 · Resident Rights
-
Potential for harm · D July 23, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 29, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 8, 2025 | Fine | $8,550 |
| July 23, 2025 | Fine | $17,055 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265149 · certified since October 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.