Nursing home report
SEDALIA, MO · Medicare-certified · 239 beds
FOUR SEASONS LIVING CENTER has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. It reported 1.57 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had $61,960 in fines in the last 24 months, including a recent federal penalty.
Health inspections
Staffing
1.5653 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.5653.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited June 2026 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2026 — widespread issue, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: F
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.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $17,155 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $27,750 was recorded.
A federal fine of $8,550 was recorded.
Health inspection found 15 health deficiencies.
Health inspection found 4 health deficiencies.
A federal fine of $17,055 was recorded.
On record with Medicare: 3 fines · $61,960 in total fines.
Federal fine
May 26, 2026
Federal fine
Dec 8, 2025
Federal fine
Jul 23, 2025
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.
