Nursing homeFAID #6983
Four Seasons Living Center
2800 HIGHWAY TT, SEDALIA, MO, 65301
(660) 826-8803
239 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
239
State license
053746
CMS facility ID
265149
Care type
Nursing home
Facility name
Four Seasons Living Center
Street address
2800 HIGHWAY TT
City / state / ZIP
Sedalia, MO 65301
Phone
(660) 826-8803
State license #
053746
About this facility — Four Seasons Living Center
Four Seasons Living Center is a Medicare/Medicaid-certified skilled nursing facility in Sedalia, Missouri. It is licensed for 239 beds — well above the median for skilled nursing facilities in Missouri (97 beds).
It is one of 16 senior care facilities in Sedalia and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Four Seasons Living Center 92 times across 20 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $25,605 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Operator / owner
Four Seasons Snf Opco Llc
Parent company
Reliant Care Management
Ownership type
For profit - Corporation
Administrator
Samantha Phegley
Registered owners & officers
Destefane, Richard
Officer — since 2008
Parker, Brandy
Managing employee — since 2021
Reliant Care Management Company Llc
Operational control — since 1996
Regulatory standing
Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1980-10-01
License expires
2026-08-31
CMS overall rating
1 of 5 stars
Health deficiencies
26 at the last standard inspection
Federal fines
$25,605 total
Last standard inspection
2025-12-08
Nurse staffing
1.6 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$217 per day (≈ $6,600/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
95% Medicaid · 1% Medicare · 4% private/other
Occupancy
97% (fiscal year 2023)
Vs. state median
16% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
239
Licensed as
SNF
Memory care
Yes — dedicated memory care
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-12Health inspectionComplaint-triggered1 citation
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
2026-05-26Health inspectionComplaint-triggered2 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-22
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-06-22
16 earlier / fire-safety inspections (89 citations)
2026-04-03Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-05-07
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-05-07
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-05-07
2026-02-18Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-03-06
2025-12-08Health inspectionComplaint-triggered15 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-22
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-01-22
F-0584
E · No harm found
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.
Corrected 2026-01-22
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-22
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-22
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-22
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-22
F-0728
E · No harm found
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.
Corrected 2026-01-22
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2026-01-22
F-0741
E · No harm foundFrom a complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2026-01-22
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-22
F-0761
E · No harm found
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.
Corrected 2026-01-22
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-01-22
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-22
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-01-22
2025-08-01Health inspectionComplaint-triggered4 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-29
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-29
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-29
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-29
2025-07-23Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-29
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-29
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-29
2025-02-06Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-07
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-07
2024-10-25Health inspectionComplaint-triggered8 citations
F-0568
E · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-11-22
F-0569
E · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-11-22
F-0584
E · No harm found
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.
Corrected 2024-11-22
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-11-22
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-22
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-11-22
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-22
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-22
2024-09-25Health inspectionComplaint-triggered2 citations
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-15
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-15
2024-08-29Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-20
2024-04-23Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-20
2024-03-15Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-26
2023-09-18Health inspectionComplaint-triggered2 citations
F-0576
E · No harm foundFrom a complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-10-20
F-0586
E · No harm foundFrom a complaint
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Corrected 2023-10-20
2023-07-28Health inspection15 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-11
F-0576
E · No harm found
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-10-20
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-09-11
F-0584
E · No harm found
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.
Corrected 2023-09-11
F-0586
E · No harm found
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Corrected 2023-10-20
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-09-11
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-11
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-09-11
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-09-11
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-11
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-09-11
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-11
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-09-11
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-11
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-09-11
2025-12-08Fire-safety inspection11 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2026-01-22
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-01-22
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2026-01-22
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-22
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-22
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-22
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-01-22
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-01-22
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-22
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-01-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-22
2024-10-25Fire-safety inspection6 citations
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-11-22
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-11-22
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-22
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-11-22
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-11-22
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2024-11-22
2023-07-28Fire-safety inspection14 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2023-09-11
K-0100
F · No harm found
Meet other general requirements.
Corrected 2023-09-11
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-09-11
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-09-11
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-11
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-11
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-09-11
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-11
K-0374
F · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-09-11
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-09-11
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-09-11
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-11
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-09-11
Federal penalties
2025-12-08Fine$8,550
2025-07-23Fine$17,055
Total fines$25,605
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265149.
Visitor reviews
What people say on Google.
2.6★★★★★36 ratings on Google
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 92 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered