Four Seasons Living Center
2800 Highway Tt, Sedalia, MO, 65301
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Reliant Care Management
- Certified beds
- 239 · avg 231 residents/day
- Total nursing staff turnover
- 68.3% — higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $25,605 total
Medicare certification
- CMS Certification Number
- 265149
- Certified beds
- 239 beds · avg 231 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Four Seasons Living Center, Llc
- Chain affiliation
- Reliant Care Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Reliant Care Management chain — 32 facilities across 2 states. Chain-wide average overall rating 1.2 / 5.
Disclosed owners (5 on record)
- Brandy Parker
W-2 Managing Employee · 100% · since 2021
- Richard j. Destefane Revocable Living Trust
5% or Greater Indirect Ownership Interest · 100% · since 2018
- Richard j Destefane
Corporate Officer · 100% · since 2008
- Reliant Care Group Llc
5% or Greater Direct Ownership Interest · 100% · since 1996
- Reliant Care Management Company Llc
Operational/managerial Control · since 1996
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 58)
- D0657·Apr 3, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0641·Apr 3, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0609·Apr 3, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0609·Feb 18, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0741·Dec 8, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- J0689·Dec 8, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0880·Dec 8, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Dec 8, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20252 fines · $26K
Most recent events
- Dec 8, 2025Fine · $8,550
- Jul 23, 2025Fine · $17K
Largest single fine on record: $17K.
Fire-safety citations
31 Life-Safety-Code citations on file. Most recent: Dec 8, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Four Seasons Living Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.