Nursing homes › Missouri › Sedalia › Four Seasons Living Center
2800 Highway Tt, Sedalia, MO 65301 · (660) 826-8803 · 239 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 479 providers with a published value in the same state and provider category: 2/5.
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Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 34 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $5,105,230 in federal fines. This facility rates below its group average (1.2/5).
Total nurse staffing: 1.57 (Missouri median: 3.36). RN hours: 0.07. Weekend total: 1.42. Nursing staff turnover: 71%.
In the downloaded CMS dataset: 61 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-12 | Ensure that residents are free from significant medication errors. | G | complaint | Past Non-Compliance |
| 2026-05-26 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2026-06-22 |
| 2026-05-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-06-22 |
| 2026-04-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-05-07 |
| 2026-04-03 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-05-07 |
| 2026-04-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2026-05-07 |
| 2026-02-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-03-06 |
| 2025-12-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-01-22 |
| 2025-12-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-01-22 |
| 2025-12-08 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-01-22 |
| 2025-12-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | 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. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | 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. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | complaint | corrected 2026-01-22 |
| 2025-12-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | 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. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-01-22 |
| 2025-12-08 | Post nurse staffing information every day. | C | Health | corrected 2026-01-22 |
| 2025-08-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-08-29 |
| 2025-08-01 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-08-29 |
| 2025-08-01 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-08-29 |
| 2025-08-01 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-08-29 |
| 2025-07-23 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-08-29 |
| 2025-07-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-08-29 |
| 2025-07-23 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-08-29 |
| 2025-02-06 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2025-03-07 |
| 2025-02-06 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-03-07 |
| 2024-10-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-11-22 |
| 2024-10-25 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Health | corrected 2024-11-22 |
| 2024-10-25 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Health | corrected 2024-11-22 |
| 2024-10-25 | 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. | E | Health | corrected 2024-11-22 |
| 2024-10-25 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-11-22 |
| 2024-10-25 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2024-11-22 |
| 2024-10-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2024-11-22 |
| 2024-10-25 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-11-22 |
| 2024-09-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-10-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-12-08 | Fine | $8,550 |
| 2025-07-23 | Fine | $17,055 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DESTEFANE, RICHARD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2008 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/30/1996 |
How to cite this page: CareRecords, “Four Seasons Living Center — compliance, penalty and ownership record” (CCN 265149), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/four-seasons-living-center-sedalia-mo/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265149. Corrections: data@carerecords.org.