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F
Critical

FOUR SEASONS LIVING CENTER

2800 HIGHWAY TT · SEDALIA, MO 65301

6608268803 · For profit - Corporation

239 beds233.3 residents157 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FOUR SEASONS LIVING CENTER receives an overall staffing grade of F (Critical). With 1.3561 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.0784 HPRD, below the recommended 0.75. It is 2.54 HPRD below the national average.

Weekend staffing drops significantly — dropping 33.26% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 1.3561 HPRD — needs 2.12 more hours per resident per day.
⚠️RN staffing (0.0784 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 33.26% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
1.3561hrs/resident/day▼ 2.54
CMS benchmark: 3.48
RN HPRD
0.0784hrs/resident/day▼ 0.60
Recommended: 0.75
Weekend Drop-off
33.26%
1.4968 weekday → 0.999 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0.3938hrs/resident/day
Direct care aides
LPN HPRD
0.2188hrs/resident/day
Licensed practical nurses
Consistency
0.6189std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pettis County Average-1.94 HPRD
3.30
01.36 HPRD
vs. Missouri State Average-2.13 HPRD
3.48
01.36 HPRD
vs. National Average-2.54 HPRD
3.90
01.36 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
FOUR SEASONS LIVING CENTER ★
SEDALIA · This facility
—
F
1.35610.0784★☆☆☆☆
RIVERDELL CARE CENTER
BOONVILLE
29.9 mi
D
2.77170.3236★★★☆☆
CALIFORNIA CARE CENTER
CALIFORNIA
31.9 mi
D
3.03030.3783★★★★★
ADAIR VILLAGE
CLINTON
39.1 mi
D
3.6910.343★★★☆☆
CLINTON HEALTHCARE AND REHABILITATION CENTER
CLINTON
39.4 mi
D
2.94360.3445★☆☆☆☆
APPLE RIDGE CARE CENTER
WAVERLY
41.4 mi
F
2.63560.1947★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
57
Total Deficiencies
$25,294
Fines Assessed
Dec 8, 2025Health
2 deficiencies cited· Includes actual harm
▼
Aug 1, 2025Health
4 deficiencies cited· Includes actual harm
▼
Jul 23, 2025Health
3 deficiencies cited
▼
Feb 6, 2025Health
2 deficiencies cited
▼
Oct 25, 2024Health
8 deficiencies cited
▼
Sep 25, 2024Health
2 deficiencies cited· Includes actual harm
▼
Aug 29, 2024Health
1 deficiency cited
▼
Apr 23, 2024Health
1 deficiency cited
▼
Mar 15, 2024Health
1 deficiency cited
▼
Sep 18, 2023Health
2 deficiencies cited
▼
Jul 28, 2023Health
15 deficiencies cited
▼
Mar 24, 2022Health
16 deficiencies cited
▼

Penalty History

Dec 8, 2025Fine
$8,550
Jul 23, 2025Fine
$16,744
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.