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Nursing home report

FOUR SEASONS LIVING CENTER

SEDALIA, MO · Medicare-certified · 239 beds

Needs attention
Abuse citationFor-profitChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

1.2405 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. PENALTY

    A federal fine of $8,550 was recorded.

  4. INSPECTION

    Health inspection found 15 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  6. 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.