Four Seasons Living Center

    2800 State Hwy TT, Sedalia, MO 65301
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    2.4ยท40 reviews

    Compassionate, dedicated staff; improved cleanliness

    I'm very pleased with the loving, hardworking, and genuinely caring staff here - compassionate and responsive through the Covid era and beyond. Policies are solid, staff are dedicated, and after moving to the cleaner 300 hall staff access and cleanliness have noticeably improved. Overall my loved one is well cared for and I feel confident in the team.

    Loved one of resident
    Jul 2026

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    Reviews

    2.40ยท(40)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.8
    • Staff

      1.9
    • Meals

      1.7
    • Amenities

      1.2
    • Value

      1.0

    Pros

    • Compassionate and responsive direct-care staff
    • Dedicated and hardworking caregivers
    • Positive bedside manner among many care staff
    • Staff willingness to address family concerns
    • Visible improvements after unit renovation
    • Established care policies and procedures
    • Staff continuity in select units

    Cons

    • Chronic understaffing and staffing instability
    • Inconsistent housekeeping and sanitation practices
    • Delayed maintenance and facility-repair response
    • Gaps in medication-management practices, including psychotropic use
    • Inadequate behavioral-health separation and management
    • Limited meaningful activities and engagement programming
    • Inconsistent meal quality and nutritional monitoring
    • Gaps in mobility-assistance and transfer-safety processes
    • Poor family communication and administrative transparency
    • Inadequate property-safeguarding controls
    • Pest-control and odor-management concerns
    • Allegations of billing irregularities and regulatory scrutiny

    Summary of reviews

    The reviews describe a facility with a mixed performance profile: direct-care staff are frequently characterized as compassionate, hardworking, and willing to respond to families, yet persistent operational weaknesses appear to undermine overall resident experience and safety. Recurring themes include chronic staffing shortages, inconsistent environmental maintenance, and problematic administrative communication; these patterns are associated with a range of care-quality concerns that families cited when describing experiences at the facility.

    Care quality and safety: Families described variable clinical oversight and multiple safety-related issues. Concerns referenced delayed assistance with mobility and transfers, unexplained bruising and injuries, incidents of resident-on-resident aggression, and shortcomings in behavioral-health separation. Medication-management practices were a repeated concern, with reviewers noting use of psychotropic medications and a perceived lack of clarity around indications and monitoring. Several reviews also raised concerns following a resident's death, emphasizing the need for clearer clinical documentation and family communication during serious care events.

    Staff and management: Direct-care staff consistently receive positive mentions for compassion and dedication; reviewers frequently singled out individual caregivers as caring and responsive. At the same time, staffing instability, erratic scheduling, and short staffing were described as impairing consistent care delivery and contributing to staff fatigue. Administrative issues emerged as a significant theme: reviewers reported poor communication, unfriendly or evasive phone interactions, and instances of perceived managerial mishandling. There are also serious governance-level concerns in some reviews, including allegations of improper insurance billing and indications of regulatory scrutiny.

    Dining and activities: Meal quality and nutritional oversight were noted as inconsistent. Reviewers requested more fresh produce and raised questions about portioning and monitoring of intake for vulnerable residents. Activity programming was frequently described as limited, with insufficient meaningful engagement opportunities reported for residents, particularly those requiring higher levels of cognitive or behavioral support.

    Facilities and maintenance: Physical plant problems were a common theme. Reviews cited maintenance delays, broken fixtures, and environmental issues such as persistent odors and pest-control concerns. Housekeeping practices were described as uneven, with sanitation and odor-management issues reported in both resident rooms and common areas. Renovation of at least one unit was noted to have improved conditions in that area, indicating that targeted facility investment had measurable impact.

    Notable patterns and practical considerations: The body of reviews suggests a split between positive direct-care interactions and systemic operational shortcomings. Where staffing and maintenance resources were adequate, families reported better experiences; where resources were constrained, reviewers reported safety, sanitation, and communication problems. Given the severity of some allegations (property loss, billing concerns, and regulatory scrutiny), families should seek clear documentation on staffing ratios, medication management policies, incident-response procedures, and recent survey/licensure history before placement. Regular in-person visits, review of care plans and medication records, and written commitments on housekeeping and maintenance response times may help families assess current performance.

    Overall, prospective residents and families will find evidence of committed caregivers at this facility alongside recurring operational weaknesses that have measurable implications for safety, comfort, and oversight. Those considering placement should weigh the potential for strong interpersonal care against documented patterns of understaffing, inconsistent environmental management, and administrative challenges, and should pursue specific assurances and documentation from facility leadership where possible.

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    Medicare Ratings

    1ยท/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Four Seasons Living Center

    Four Seasons Living Center is located at 2800 State Hwy TT, Sedalia, MO, 65301.

    About Four Seasons Living Center

    Four Seasons Living Center sits at 2800 State Hwy TT in Sedalia, Missouri, and has 239 certified beds with an average of about 233 residents each day, so the place is pretty large and you'll find all sorts of people living there since it serves both seniors and adults with mental illness, since there's care for folks starting at age 18 and up, and the whole thing's managed by Reliant Care Management Company, who's been running it since back in June of 1996. The facility's got several different units: there's a manor unit that holds up to 61 men, mainly for those with dementia, traumatic brain injury, and similar needs; you'll find a Safe Haven unit with 239 dual-certified beds that handles skilled tasks like IV therapies and tube feedings; and there's a residential care unit and an all-female secured area for mental illness, which takes women over eighteen for short or long stays. They also have a specific Alzheimer's unit, with 56 residents and added security like cameras and alarmed doors, and a Medicare unit, which is the only one in Sedalia, where licensed nurses work around the clock and people get therapies like physical, occupational, and speech. You'll also find a physical rehab unit for more complex needs, whether someone is staying for a while or just for recovery.

    They provide lots of help with daily things, like bathing, getting dressed, help with moving and transferring between places, and taking medicines. There's also a memory care community that's set up to help people with dementia have some engagement and a higher quality of life, with trained staff and safe, secured areas. There's always staff supervising twenty-four hours, and the building's set up to keep folks safe if they're at risk of wandering. People get meals every day, with options if you need a special diet due to allergies or diabetes, and the place also takes care of housework and laundry for you, so you won't have to worry about cleaning or doing your own wash.

    If you need more serious health care, the skilled nursing section helps with things like wounds, insulin shots, tube feeds, tracheotomy care, dialysis, hospice, post-surgery recovery, and even psychiatric care for folks who need mental health services. They've also got physical therapy and case managers, plus staff handling medication management and monthly injections as needed. They offer respite care if someone just needs a short stay, home health if memory care isn't needed, and continuing care for ongoing needs. Visitors can come for scheduled tours to meet the staff and see the place before deciding.

    Amenities include furnished rooms, a dining room, beauty and barber shop, an activities area with events like movie nights and games, emergency alert systems, transportation, social services, and planned activities to help residents stay busy and involved. They coordinate move-ins, so new folks get some help settling in. They accept all sorts of payment, like Medicare, Medicaid, private insurance, hospice, and private pay, so families have options to cover the bills.

    On the other hand, the center's got a 2.7 review score out of 19 reviews and has been cited by inspectors for some issues, including nutrition and dietary deficiencies about food taste and temperature and storage issues, plus some resident rights concerns and a total of 49 deficiencies spotted in reports, five of those about infection control. The facility's nurse turnover rate stands at 54.5%, and nurse staffing works out to about 1.32 hours per resident each day, which some might want to compare to other facilities. Four Seasons Living Center mainly cares for older adults but also has space for others with special needs, and tries to treat residents with dignity while staying connected to hospitals and doctors in the area.

    People often ask...

    Four Seasons Living Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 2800 State Hwy TT, Sedalia, MO 65301.

    No, Four Seasons Living Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Four Seasons Living Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Four Seasons Living Center directly. There is no cost for this service. We are compensated by the community you select.

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