Four Seasons Living Center has received an F grade based on CMS data, with a score of 8/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Sedalia facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Four Seasons Living Center, with 1.36 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 57 deficiencies at Four Seasons Living Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 1.36 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.08 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.22 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.06 | 2.4 | Below Average |
| Weekend Total Nursing | 1.00 | 3.8 | Below Average |
| Weekend RN Hours | 0.04 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0741 Severity EEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Dec 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jul 31, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Jul 31, 2025 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jul 31, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.0% | 4.5% | Better |
| Falls with major injury | 2.3% | 3.0% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 32.1% | 14.0% | Worse |
| Excessive weight loss | 6.6% | 7.5% | Better |
| New/worsened incontinence | 7.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $25,605
How This Grade Was Calculated
This facility's grade of F is based on a score of 8 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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