# Four Seasons Living Center

Four Seasons Living Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Sedalia, MO, CMS Certification Number 265149, with 239 certified beds and about 228 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 1/5, quality measures 1/5).

## Key facts
- Status: Active CMS certification
- Address: 2800 Highway Tt, Sedalia, MO 65301 (Pettis County)
- Ownership type: For profit - Corporation
- State license: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation; license 054035 (facility ID 00836), active, 239 licensed beds, licensee FOUR SEASONS SNF OPCO LLC, as of 2026-11-04

- Operator (legal business name): [Four Seasons Living Center, LLC](https://carefield.site/operator/op-four-seasons-living-center-llc)
- CMS chain: [Reliant Care Management](https://carefield.site/chain/cms-chain-446) — 35 facilities

- CMS abuse icon: yes (cited for abuse in the recent window)

- Phone: 6608268803
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/265149

## Inspection record
18 inspections in the CMS window (latest 2026-08-04); 93 citations (62 health, 31 fire safety); 3 at actual harm and 1 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2025-12-08 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2026-06-12 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity G (Actual harm (not immediate jeopardy)); Past non-compliance; complaint survey
- 2025-08-01 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-09-25 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-08-04 — [F-0584](https://carefield.site/deficiency/cms-f0584) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-08-04 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-08-04 — [F-0921](https://carefield.site/deficiency/cms-f0921) Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-26 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-05-26 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-04-03 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-04-03 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-04-03 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-02-18 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-12-08 — [K-0161](https://carefield.site/deficiency/cms-k0161) Use approved construction type or materials. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-08 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-08 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-08 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-08 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-08 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-12-08 — [K-0374](https://carefield.site/deficiency/cms-k0374) Install smoke barrier doors that can resist smoke for at least 20 minutes. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- …and 73 more on the source page.

## Penalties
- 2026-05-26 — Civil money penalty (fine): $17,155
- 2025-12-08 — Civil money penalty (fine): $27,750
- 2025-07-23 — Civil money penalty (fine): $17,055

## Staffing (PBJ, hours per resident per day)
- Total nurse: 0.86677 (state avg 3.39922, US 3.90085)
- RN: 0.07053
- Nursing staff turnover: n/a%

## Owners and managers of record (CMS disclosures)
- [Reliant Care Management Company LLC](https://carefield.site/owner/org-reliant-care-management-company-llc) — Operational / managerial control, since 1996-06-30

## Nearby nursing homes
- [Rest Haven Health Care Center](https://carefield.site/facility/cms-265854) — 6.2 km, CMS overall 1/5
- [Fair View Health Care Center](https://carefield.site/facility/cms-265856) — 8.5 km, CMS overall 1/5
- [Sylvia G Thompson Residence Center, Inc](https://carefield.site/facility/cms-26a378) — 10.5 km, CMS overall 1/5
- [E W Thompson Health & Rehabilitation Center](https://carefield.site/facility/cms-265858) — 11 km, CMS overall 4/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265149&conditions%5B0%5D%5Boperator%5D=%3D

---
Source page: https://carefield.site/facility/cms-265149 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.