Starfile

Starfile / Missouri

FOUR SEASONS LIVING CENTER

2800 HIGHWAY TT, SEDALIA, MO 65301 · CCN 265149

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★☆☆☆☆ 1
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
239
Avg residents/day
233.3
Phone
6608268803

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMissouri avgNational avgvs state
12024-10-251711.99.5+5.1 worse
22023-07-282213.09.8+9.0 worse
32022-03-241811.09.3+7.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care3
Resident assessment and care planning5
Resident rights5
Nutrition and dietary2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)1.3662.9%
RN staffing (reported)0.08
Total nurse staffing (adjusted)1.16

Fines & penalties

Total fines
$25,605
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
RELIANT CARE MANAGEMENT
Facilities in chain
29
Chain avg overall
1.10 / 5

Inspection citations (57)1 immediate jeopardy2 actual harm

  1. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-08 · Health · corrected 2026-01-22

    Immediate jeopardy

  2. EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-12-08 · Health · corrected 2026-01-22

    Potential for more than minimal harm

  3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-01 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  4. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-01 · Health · corrected 2025-08-29

    Actual harm

  5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-01 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-01 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  7. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-23 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  8. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-23 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  9. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-23 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  10. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-06 · Health · corrected 2025-03-07

    Potential for more than minimal harm

  11. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-06 · Health · corrected 2025-03-07

    Potential for more than minimal harm

  12. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  13. EF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  14. EF0584Honor 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.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  15. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  16. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  17. EF0679Provide activities to meet all resident's needs.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  18. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  19. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-25 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  20. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-25 · Health · corrected 2024-10-15

    Potential for more than minimal harm

  21. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-25 · Health · corrected 2024-10-15

    Actual harm

  22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-29 · Health · corrected 2024-09-20

    Potential for more than minimal harm

  23. EF0880Provide and implement an infection prevention and control program.2024-04-23 · Health · corrected 2024-05-20

    Potential for more than minimal harm

  24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-15 · Health · corrected 2024-04-26

    Potential for more than minimal harm

  25. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-09-18 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  26. EF0586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.2023-09-18 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  27. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  28. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-07-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  29. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-07-28 · Health · corrected 2023-09-11

    Potential for minimal harm

  30. EF0584Honor 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.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  31. EF0586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.2023-07-28 · Health · corrected 2023-10-20

    Potential for more than minimal harm

  32. EF0641Ensure each resident receives an accurate assessment.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  33. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  34. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  35. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  36. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  37. EF0679Provide activities to meet all resident's needs.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  38. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  39. DF0692Provide enough food/fluids to maintain a resident's health.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  40. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  41. EF0880Provide and implement an infection prevention and control program.2023-07-28 · Health · corrected 2023-09-11

    Potential for more than minimal harm

  42. EF0558Reasonably accommodate the needs and preferences of each resident.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  43. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  44. EF0584Honor 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.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  45. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-03-24 · Health · corrected 2022-05-10

    Potential for more than minimal harm

  46. EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  47. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-24 · Health · corrected 2022-05-11

    Potential for more than minimal harm

  48. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  49. EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  50. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  51. EF0679Provide activities to meet all resident's needs.2022-03-24 · Health · corrected 2022-05-09

    Potential for more than minimal harm

  52. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  53. DF0732Post nurse staffing information every day.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  54. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  55. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-24 · Health · corrected 2022-05-09

    Potential for more than minimal harm

  56. EF0880Provide and implement an infection prevention and control program.2022-03-24 · Health · corrected 2022-05-12

    Potential for more than minimal harm

  57. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-03-24 · Health · corrected 2022-05-09

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
RELIANT CARE GROUP LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%1996-06-30
RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2018-03-01
DESTEFANE, RICHARDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST1996-06-30
RELIANT CARE MANAGEMENT COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1996-06-30
DESTEFANE, RICHARDIndividualCORPORATE OFFICER2008-01-01
PARKER, BRANDYIndividualW-2 MANAGING EMPLOYEE2021-10-14

Other facilities in SEDALIA

NameOverallBeds
E W THOMPSON HEALTH & REHABILITATION CENTER★★★☆☆66
REST HAVEN HEALTH CARE CENTER★☆☆☆☆86
FAIR VIEW HEALTH CARE CENTER★☆☆☆☆75
SYLVIA G THOMPSON RESIDENCE CENTER, INC★☆☆☆☆120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.