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.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-25 | 17 | 11.9 | 9.5 | +5.1 worse |
| 2 | 2023-07-28 | 22 | 13.0 | 9.8 | +9.0 worse |
| 3 | 2022-03-24 | 18 | 11.0 | 9.3 | +7.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 5 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 1.36 | 62.9% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2024-10-25 · Health · corrected 2024-11-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-04-23 · Health · corrected 2024-05-20
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0641Ensure each resident receives an accurate assessment.2023-07-28 · Health · corrected 2023-09-11
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2023-07-28 · Health · corrected 2023-09-11
Potential for more than minimal harm
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2023-07-28 · Health · corrected 2023-09-11
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2023-07-28 · Health · corrected 2023-09-11
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2022-03-24 · Health · corrected 2022-05-12
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2022-03-24 · Health · corrected 2022-05-09
Potential for more than minimal harm
- 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
- DF0732Post nurse staffing information every day.2022-03-24 · Health · corrected 2022-05-12
Potential for more than minimal harm
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2022-03-24 · Health · corrected 2022-05-12
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| RELIANT CARE GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1996-06-30 |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-03-01 |
| DESTEFANE, RICHARD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1996-06-30 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1996-06-30 |
| DESTEFANE, RICHARD | Individual | CORPORATE OFFICER | — | 2008-01-01 |
| PARKER, BRANDY | Individual | W-2 MANAGING EMPLOYEE | — | 2021-10-14 |
Other facilities in SEDALIA
| Name | Overall | Beds |
|---|---|---|
| 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.