FOUR SEASONS LIVING CENTER (Sedalia, MO) has a 1 out of 5 overall rating, with 1-star scores for health inspections, staffing, and quality measures. Reported nurse staffing is 1.24 hours per resident per day versus the 4.1 federal benchmark, and the facility has $25,605 in fines in the last 24 months plus a recent abuse citation.
Last inspection: February 18, 2026Penalties, last 24 months: $25,605recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.2405.
Staffing detail
Registered nurses
0.06
Licensed practical nurses
0.16
Nurse aides
1.02
Weekend nursing
1.16
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Residents with a fall causing major injury
2.2%2.6%No change
Residents with pressure ulcers (bedsores)
3.4%5.9%Worsening
Residents with a urinary tract infection
0.4%0.4%No change
Residents who lost too much weight
6%6.4%No change
Residents who were physically restrained
0.9%0.4%No change
Residents needing more help with daily activities
73.1%33.3%Improving
Residents whose ability to walk got worse
87.7%2.5%Improving
Long-stay residents on antianxiety or sleep medication
41%32.6%Improving
Residents with a long-term catheter
0%0.5%No change
Residents with new or worsening incontinence
9.6%5.1%Improving
Residents with depressive symptoms
0.5%69.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—90.2%—
Long-stay residents given the pneumonia vaccine
83.5%71.2%Worsening
Short-stay residents given the seasonal flu vaccine
—30.8%—
Short-stay residents given the pneumonia vaccine
28%7.1%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $8,550 was recorded.
INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $17,055 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $25,605 in total fines.
Federal fine
Dec 8, 2025
$8,550
Federal fine
Jul 23, 2025
$17,055
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of RELIANT CARE MANAGEMENT · 32 homes · 1.2 stars avg
Occupancy
231 residents on an average day (97% of 239 beds)
Medicare history
Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.