Kelly
Feb 2026
I live at the facility and the higher up never has time for anyone except for a few people who act out but those who do well we are left out
Quick Facts
- Total units
- 239
- Medicare rating
- 1 of 5
- Ownership
- For profit, Corporation
- Certified beds
- 239
- Inspections
- View history (91 citations)
- Facility distinction
- Only Medicare/Medicaid certified nursing facility in Sedalia area
- Specialized unit
- Secured all-female unit for adults with mental illness
- Memory care structure
- Alzheimer's unit split into three sections by disease stage
- Medical services
- On-site IV therapy, tube feeding, and tracheostomy care
CMS Care Compare
What Families Think
Four Seasons Living Center is a large skilled nursing facility in Sedalia, Missouri, with specialized units for Alzheimer's, dementia, mental illness, and complex rehabilitation needs. Online reviews are largely negative, describing safety, hygiene, and communication problems, though one reviewer noted improvement after being moved to a different unit.
The Good
- On-site physical, occupational, and speech therapy
- Handles complex medical needs like IV therapy, tube feeding, tracheostomy care
- Only Medicare/Medicaid certified facility in the Sedalia area
- Specialized dementia and Alzheimer's care units
- One reviewer noted cleaner unit with better staff access after transfer
The Bad
- Multiple reports of unresponsive or rude staff on the phone
- Several reviewers describe poor hygiene and cleanliness issues
- Reports of violence between residents and inadequate safety oversight
- One report the facility is understaffed and under state investigation
AI-generated from reviews and community data.
Four Seasons Living Center is a senior living community in Sedalia, Missouri offering Skilled Nursing / Long Term Care. Amenities include Emergency Call System, Wheelchair Accessible and 24-Hour Staff. Families rate it 2.6 out of 5 across 35 reviews.
About Four Seasons Living Center
Four Seasons Living Center is a skilled nursing facility in Sedalia, Missouri, operated by Reliant Care Management Company, LLC. The facility provides care to elderly residents and adults eighteen and older with mental illness and primary medical diagnoses, offering both short-term and long-term care options.
The community operates multiple specialized units totaling 239 dually certified beds. These units include an Alzheimer's care unit with three separate sections designed for progressive stages of the disease, staffed 24 hours daily with specially trained personnel. A secured all-female unit serves women aged 18 and older with primary mental illness diagnoses. A rehabilitation unit addresses residents with complex medical or skilled medical needs combined with mental illness diagnoses. A 61-bed male unit serves residents with various forms of dementia, traumatic brain injuries, and related diagnoses.
Four Seasons provides comprehensive skilled nursing services including physical, occupational, and speech therapies. The facility offers IV therapy, tube feeding, and tracheostomy care for residents with heavy medical needs. All beds are dual certified for Medicare and Medicaid, and the facility is staffed with licensed professionals around the clock. The facility states it is the only licensed Medicare/Medicaid facility in the Sedalia area.
Safety features include alarmed and secured units designed to allow residents appropriate mobility while maintaining protection. Staff work with residents using a progressive approach to help them achieve the highest level of functioning and independence possible. The facility operates under a team-based care philosophy emphasizing honest, open, and respectful communication.
Types of Care at Four Seasons Living Center
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Wheelchair Accessible
Community Amenities
- 24-Hour Staff
- Medication Management
- On-Site Nurse (RN)
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Help Me ChooseReviews of Four Seasons Living Center
2.6overall · 35 ratings combined
2.6★ on Google (35)
Laura Vizcaya
Dec 2025
My child is stuck in this facility every single time I try to call her the phone rings and rings and rings if someone does pick up the sound rude on the phone even when I am polite just asking to be transferred to the hall that she is in if I actually managed to get through I'm told that my daughter isn't available and will call me back I wait for a call back that never comes. This facility needs to be re-evaluated that's for sure! The guardian that put her in here definitely needs to be looked into. My child is not being seen by doctors and every time I speak with her she's crying on the phone complaining of pain complaining that she is constantly tired begging and pleading with me to come home she never gets out of the facility she never gets to go and do anything she is stuck in a place that she cannot stand! Before anybody starts complaining and saying well why don't you just get her out I have tried it is not as simple as you would think. They got a grip on her like you wouldn't freaking believe she's a paycheck! It's amazing if you even get through to anybody the funds are constantly ringing when somebody eventually does pick up their rude as hell. I couldn't imagine having to live in a place like this it's absolutely ridiculous
Roy
Oct 2025
When I first got here, I went to tiger lane. It was not pleasant. I felt like I was in a basement. I had no access to staff( like social workers or administration staff). I spent 2 months down there. Then got moved to 300 hall. Much better up here. It's clean and I now have access to staff. The food still needs to improve though.
Eric Stephenson
Aug 2025
Horrible place, under funded, no rehabilitation what so ever, there's drugs everywhere, completely dirty at all times, violent residents, locked up units, worse than a prison. No help whatsoever, under bad ownership that don't care. State board is investigating that place weekly.
No One
May 2024
You tell me how this place is still open why they have not learned you can't play goody and then after the state leave back to the same. The staff takes to the residents like they are animals. They staff will let patients sleep past meal time. Resident have poor hygiene. What does the staff do all day set be lazy. I have visited this place and it is horrible. Allowed residents get beat up they should be pressing charges on the residents for attacking other people and harming them. Since this is state run then when do they get off the chair and do something. You all suck at your job. I have seen the bruises left on my child and it better not happen again because I will press charges staff and all.
Government Inspection History
14 inspection visits in the last three years, 91 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
May 26, 2026Health Complaint2 citations
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jun 22, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 22, 2026
Apr 3, 2026Health Complaint3 citations
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 7, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 7, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 7, 2026
Feb 18, 2026Health Complaint1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 6, 2026
Dec 8, 2025Fire Safety StandardHealth ComplaintHealth Standard26 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 22, 2026
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
Provide properly protected cooking facilities.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
Provide and implement an infection prevention and control program.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 22, 2026
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Reasonably accommodate the needs and preferences of each resident.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 22, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Use approved construction type or materials.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026
Post nurse staffing information every day.
Severity C of L: potential for minimal harm, widespreadCorrected Jan 22, 2026
Aug 1, 2025Health Complaint4 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025
Jul 23, 2025Health Complaint3 citations
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 29, 2025
Feb 6, 2025Health Complaint2 citations
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 7, 2025
Oct 25, 2024Fire Safety StandardHealth ComplaintHealth Standard14 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024
Have properly installed electrical wiring and gas equipment.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024
Provide properly protected cooking facilities.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 22, 2024
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 22, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 22, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 22, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 22, 2024
Provide activities to meet all resident's needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 22, 2024
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 22, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 22, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 22, 2024
Sep 25, 2024Health Complaint2 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 15, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 15, 2024
Aug 29, 2024Health Complaint1 citation
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 20, 2024
Apr 23, 2024Health Complaint1 citation
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 20, 2024
Mar 15, 2024Health Complaint1 citation
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 26, 2024
Sep 18, 2023Health Complaint2 citations
Ensure residents have reasonable access to and privacy in their use of communication methods.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 20, 2023
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 20, 2023
Jul 28, 2023Fire Safety StandardHealth Standard29 citations
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Establish staff and initial training requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Meet other general requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Install corridor and hallway doors that block smoke.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Have properly installed electrical wiring and gas equipment.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 11, 2023
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Ensure each resident receives an accurate assessment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 20, 2023
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Ensure residents have reasonable access to and privacy in their use of communication methods.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 20, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Provide activities to meet all resident's needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2023
Provide enough food/fluids to maintain a resident's health.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 11, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 11, 2023
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity C of L: potential for minimal harm, widespreadCorrected Sep 11, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Four Seasons Living Center offer?
Four Seasons Living Center offers Skilled Nursing / Long Term Care.
Where is Four Seasons Living Center located?
Four Seasons Living Center is located at 2800 Highway Tt in Sedalia, Missouri.
What do families say about Four Seasons Living Center?
Four Seasons Living Center is a large skilled nursing facility in Sedalia, Missouri, with specialized units for Alzheimer's, dementia, mental illness, and complex rehabilitation needs. Online reviews are largely negative, describing safety, hygiene, and communication problems, though one reviewer noted improvement after being moved to a different unit.
How did Four Seasons Living Center do on recent health and safety inspections?
Four Seasons Living Center had 14 government inspection visits in the last three years, with 91 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Four Seasons Living Center?
Submit the Request Information form on this page to connect with Four Seasons Living Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Four Seasons Living Center? Claim this listing to update photos, pricing, and details. It's free.
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