Four Seasons Living Center
FOUR SEASONS LIVING CENTER in SEDALIA, MO — inspection on May 26, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 05/26/26 at 2:20 P.M., LPN B said behaviors of pulling the fire alarm should be addressed in resident's care plan. He/She said new interventions should be addressed in the resident's care plan if the resident was still having the same behavior.
During an interview on 05/26/26 at 3:14 P.M., the corporate nurse said he/she would expect to see interventions in the care plan after a change in behavior and new interventions depending on the reason for interventions not working. He/She said the nurse can update resident care plans.
During an interview on 06/09/26 at 8:59 AM, the administrator said he/she expected the resident's care plan to include new interventions after the fire alarm was pulled. He/She said the nurses were also able to update the care plans with new interventions after behaviors. He/She said he/she are re-educating the nurses to update the care plans with new interventions and to also update the care plan coordinator when a resident had a new behavior. #3019574
265149 05/26/2026
Four Seasons Living Center 2800 Highway Tt Sedalia, MO 65301
Review of the
sufficient nursing staff with the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment required at 483.70(e)2.
Review of the Facility Assessment, dated 08/01/25, showed the average daily census for the last six months of occupied beds as 235.
Review showed the assessment based on the resident population and their needs for care and support daily.
Review showed direct care staff required to care for their facility census for a twenty-four-hour period should include:-Four Resident Care Coordinator (RCC);-Eight Licensed Practical Nurses (LPN);-Twenty-Four Certified Nurse Aides (CNA);-Nine Certified Medical Technicians (CMT).
Review of the facility staffing schedule from 05/10/26 through 05/16/26, with an average daily census of 235, showed: -Sunday, 05/10/26; three RCC's, six LPN, sixteen CNA's and eight CMT's;-Monday, 05/11/26; three RCC's, six LPN, ten CNA's and six CMT's;-Tuesday, 05/12/26; three RCC's, four LPN, fourteen CNA's and seven CMT's;-Wednesday, 05/13/26; three RCC's, four LPN, fifteen CNA's and seven CMT's;-Thursday, 05/14/26; two RCC's, six LPN, sixteen CNA's and seven CMT's;-Friday, 05/15/26; three RCC's, five LPN, fourteen CNA's and five CMT's;-Saturday, 05/16/26; three RCC's, four LPN, fourteen CNA's and six CMT's.
During an interview on 06/09/26 at 8:59 AM, the administrator said the staffing coordinator was responsible for updating the staffing schedule. He/She said he/she worked with the Director of Nursing (DON) to ensure there was enough staff per the facility assessment.
During an interview on 06/09/26 at 9:04 A.M., the staffing coordinator said he/she was responsible for completing the daily staffing schedules. He/She said he/she would coordinate with the administrator and DON. He/She followed the facility assessment to verify how many staff are required each day. He/She said he/she had a lot of employees who recently quit.#3019426
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.