Four Seasons Living Center: Staffing, Turnover, and Inspection Record
Four Seasons Living Center is a 239-bed for-profit nursing home in Sedalia, Missouri, part of Reliant Care Management. In the CMS August 2026 release it reported 1.23 nurse aide hours per resident per day, 46% below the Missouri average of 2.29, and 71.1% nursing staff turnover (Missouri average 56.0%).
Four Seasons Living Center
2800 Highway TTSedalia, MO 65301
Pettis County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Four Seasons Living Center, nurse aides logged 1.23 hours per resident per day, 46% below the Missouri average. With about 228 residents a day, that works out to roughly 281 aide hours a day, or about 35 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.23 | 2.29 | 2.32 |
| Licensed practical nurses | 0.27 | 0.68 | 0.86 |
| Registered nurses | 0.07 | 0.46 | 0.69 |
| All nursing staff | 1.57 | 3.43 | 3.86 |
| All nursing staff, weekends | 1.42 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
71.1% of nursing staff at Four Seasons Living Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 60.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 8, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 26 health deficiencies (Missouri average 11.5). CMS lists 2 fines totaling $25,605 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 8, 2025 | Fine | $8,550 |
| Jul 23, 2025 | Fine | $17,055 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Four Seasons Living Center holds 1 of 5 overall; the Missouri average is 2.5.
About Four Seasons Living Center
- Ownership: For profit - Corporation
- Chain: Reliant Care Management, 34 homes
- Legal name: Four Seasons Living Center, LLC
- Medicare and Medicaid certified since: Oct 1, 1980
- Area: rural
Nursing homes near Four Seasons Living Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Rest Haven Health Care Center Sedalia · abuse citation | 3.8 | 86 | 1.08 | 1.72 | 68.5% | 1 | $39,230 |
| Fair View Health Care Center Sedalia | 5.3 | 75 | 2.46 | 3.64 | — | 1 | None |
| Sylvia G Thompson Residence Center, Inc Sedalia | 6.5 | 120 | 3.00 | 3.58 | 48.5% | 1 | None |
| E W Thompson Health & Rehabilitation Center Sedalia | 6.8 | 66 | 4.68 | 5.85 | 37.6% | 3 | None |
| Good Samaritan Care Center Cole Camp | 15.8 | 72 | 2.65 | 3.89 | 15.6% | 5 | None |
| Katy Manor Pilot Grove | 18.0 | 60 | 2.40 | 3.47 | 43.4% | 5 | None |
| Golden Age Living Center Stover | 19.2 | 61 | 3.50 | 4.52 | 50.7% | 5 | None |
| Tipton Oak Manor Tipton | 19.5 | 66 | 2.34 | 3.02 | 62.7% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.