Four Seasons Living Center

    2800 State Hwy TT, Sedalia, MO 65301
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    2.4ยท41 reviews

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    Reviews

    2.39ยท(41)

    Overall rating

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

      1.8
    • Staff

      1.8
    • Meals

      1.7
    • Amenities

      1.2
    • Value

      1.0

    Pros

    • Compassionate frontline caregivers
    • Responsive nursing and care staff
    • Dedicated and hardworking aides
    • Positive staffโ€“resident interactions
    • Evidence of unit-level cleanliness improvements after remediation
    • Staff continuity during COVID-era challenges

    Cons

    • Inadequate staffing levels and scheduling instability
    • Sanitation and odor concerns in rooms and common areas
    • Maintenance and room-repair backlog
    • Psychotropic medication practices and medication oversight
    • Gaps in clinical responsiveness and mobility-assistance protocols
    • Inconsistent meal quality and nutrition management
    • Limited meaningful activities and constrained therapy availability
    • Safety and security weaknesses affecting resident and property security
    • Administrative and family-communication deficiencies
    • Allegations of improper billing practices and regulatory scrutiny
    • Inadequate pest-control and HVAC/temperature-management systems
    • Overcrowding and limited private space

    Summary of reviews

    The reviews reflect a facility with sharply mixed performance: many families and observers praise individual caregivers for compassion, responsiveness, and persistence under difficult conditions, yet recurring operational problems create significant concerns about overall care quality and safety.

    Care quality and clinical concerns: Several accounts describe attentive bedside care and nurses who respond appropriately; simultaneously, there are recurring concerns about clinical oversight. Families reported issues consistent with weight loss, skin-integrity concerns, and delays in assistance with mobility. Reviewers expressed specific worries about psychotropic medication practices and general medication oversight, as well as uneven access to physician visits and therapeutic services. These patterns suggest variability in clinical processes and escalation pathways.

    Staff and workforce issues: Staff are frequently described in positive terms โ€” caring, hardworking, and committed, including during pandemic-related pressure. At the same time, understaffing, erratic scheduling, and caregiver fatigue were commonly cited and appear to contribute to slower response times, inconsistent personal care, and gaps in supervision. There are also concerns about staff conduct and communication tone in some encounters, and comments indicate morale and managementโ€“staff relations may be strained.

    Dining and activities: Meal quality appears inconsistent. Multiple reviewers noted limited fresh produce and expressed nutrition concerns linked to resident weight loss. Activity programming is described as limited or not sufficiently meaningful for many residents; therapy access was also described as constrained, which may affect outcomes for residents needing rehabilitation or engagement.

    Facilities and maintenance: A strong theme is deferred maintenance and cleanliness issues at the facility level: room repairs, broken fixtures, and general sanitation and odor concerns in some units and hallways were noted. HVAC and temperature-control problems, pest-control concerns, and overcrowded rooms reduce perceived comfort and safety. Some reviews did note unit-level improvements after remediation efforts, indicating that conditions can vary notably between units.

    Management, safety, and compliance: Families reported inconsistent communication from administration, perceptions of favoritism, and difficulties obtaining clear answers about incidents. There are serious operational-level concerns including security of personal belongings and resident-to-resident safety incidents. A small number of commentators referenced alleged billing irregularities and state-level scrutiny; these are notable and warrant verification through official records and inspections.

    Notable patterns and takeaways: The dominant pattern is a facility where individual staff often provide compassionate care but system-level weaknessesโ€”particularly inadequate staffing, maintenance backlogs, inconsistent medication oversight, and communication deficitsโ€”undermine consistent, reliable care. Conditions appear to vary by unit, with some areas showing improvement following remediation. Prospective families should inquire specifically about staffing ratios, medication-management protocols, recent regulatory inspections, HVAC and pest-control measures, nutrition plans, and the frequency and content of activity and therapy programming when evaluating placement.

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    Medicare Ratings

    1ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

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

    Location

    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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