Note: Four Seasons Living Center has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

Four Seasons Living Center is located in Sedalia, Missouri. The city has a total of 34,267 people. Our grading scheme was not very kind to this facility, as it received an overall rating of F. If you are not satisfied with this facility's rather poor overall grade, you will be pleased to know there are four other nursing homes in Sedalia. More information on this nursing home's category grades may be found below. Its best category was inspections, which is addressed in the next section.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 239 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

B-
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: BJan 20: BMar 20: B+Apr 20: B+May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

While we graded this facility incredibly poorly overall, it received a fairly respectable inspection report this year. As a result, it received a decent grade in that category with a score of B-. Our inspection scores weigh several factors included in a nursing home's inspection reports. One of the most important criteria we weigh heavily is the number and severity of deficiencies. This nursing home received 4 deficiencies on its inspection report, but none of the deficiencies were considered severe. This indicates that the government inspectors didn't consider any of these deficiencies to pose an immediate risk to patient safety or health. Finally, CMS flagged this nursing home for possible abuse or neglect. This is not what you want to see. We advise you to direct your search elsewhere.

Long-term Care Quality

D
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: BJun 19: BJul 19: B-Aug 19: B-Sep 19: B-Jan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

As it turns out, this nursing home only received a D for its long-term care rating, which was actually one of its more favorable category scores. Nursing homes that don't fare well in long-term care typically aren't as well-staffed and are lagging in some of the areas of routine healthcare services we assessed. One of the criteria we considered after nursing hours was vaccinations. This nursing home provided the pneumonia vaccination to 93.28194 percent of its residents. To our surprise, this nursing home actually fared well at keeping its residents out of the hospital. Indeed, it had just 1.3 hospitalizations per 1,000 long-term resident days. This is its best feature in this category.

Nurse Quality

F
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: A-Feb 19: A-May 19: AJun 19: AJul 19: A-Aug 19: A-Sep 19: A-Jan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

We also wanted to point out that this nursing home received an F for its nursing grade. Nursing scores are mostly associated with the nursing home's nurse staffing. This particular nursing home provided a meager 2.1 hours of nursing care per patient per day. This statistic is significantly below the national average. In addition to receiving below average marks for nursing hours, this nursing home was a bit less impressive in some of the quality-based metrics we looked at in computing our nursing grades. We looked at the percent of residents sustaining pressure ulcers and found that this facility was at roughly 1.5 times the national average in this statistic. This is a bad sign when you consider that many bed sores are believed to be preventable with better nursing care. Unfortunately, this statistic really dragged down this facility's nursing score substantially.

Short-term Care Quality

F
Oct 18: BNov 18: BDec 18: BJan 19: BFeb 19: BMay 19: BJun 19: BJul 19: BAug 19: BSep 19: BJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

The last area we looked at was short-term care. We gave it a lowly F in this category, which is an abysmal score. Short-term care grades are commonly used to assess a facility's rehabilitation services. In order to offer highly graded rehabilitation services, facilities generally must feature higher levels of highly skilled nursing. Skilled nursing includes registered nurses, physical therapists, speech therapists and other licensed professionals. With a grade of this caliber for this area, we weren't stunned to find that this place was well below average in multiple staffing metrics we assess. In fact, it provided substantially fewer registered nurse and physical therapist hours per resident than most other nursing homes. Finally, we looked at the number of residents who were able to return to the community from this nursing home. This definitely wasn't a strength for this facility. We found that just 39.9 percent of this facility's patients returned home. At most nursing homes, about half of their residents are able to return home so this is well below average.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
F
State:
B-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Four Seasons Living Center Quality Metrics

Minimizes Pressure Ulcers

This tells you the percent of residents that have had a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in the same position for an excessive period of time.

Provider
B-
8.47%
State
B
8.39%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is the percentage of patients that sustained a fall which resulted in serious injury.

Provider
A
1.21%
State
B-
4.16%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This figure is an indication of the percent of long-term care patients who have sustained UTI's. While a higher rate of these infections could reflect poorly on a facility's hygiene protocols, it can be difficult to compare between nursing homes due to facilities having varying reporting standards.

Provider
A+
0%
State
B
3.59%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This indicates the percentage of patients who were given antipsychotic medications. These drugs may be used to treat several medical conditions, including Alzheimer's or other dementias.

Provider
F
52.01%
State
B-
18.42%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This is the percent of patients who were prescribed antianxiety medications. Antianxiety drugs are given to patients suffering from depression and anxiety.

Provider
F
38.89%
State
B-
24.61%
National
B
19.67%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percent of residents exhibiting symptoms of depression. Increased rates of depression could be a sign a less hospitable environment.

Provider
A+
0.11%
State
B
3.59%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This metric is a measure of the percent of long-term patients who have received the pneumonia and flu vaccines. Respiratory viruses can be very dangerous for nursing home patients, making these vaccines critical to patient health.

Provider
C
91.93%
State
B-
89.7%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

Measures the percentage of long-term residents that needed additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Many in the industry argue this is a measure of a resident's well-being.

Provider
A-
9.94%
State
B
14.44%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This is the percent of residents that were able to retain mobility over time. Optimizing mobility is usually a great sign for residents' health.

Provider
D
11.34%
State
B-
14.54%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric is a measure of the number of hospitalizations per 1,000 days of patient care.

Provider
B
1.61
State
B-
2.01
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

Measures the number of rehospitalizations per thousand days of short-term resident care.

Provider
A
11.34
State
B+
14.54
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This indicates the number of emergency room visits per 1,000 days of short-term patient care.

Provider
B
9.26
State
B
10.15
National
B
10.27

Percentage of Patients
Lower is Better

Nearby Hospitals

Bothwell Regional Health Center 3.79 mi
601 E 14th St Sedalia Missouri 65302
(660) 826-8833
Acute Care Hospitals
Government - Local

Nearby Dialysis

Dialysis Clinics, Inc - Sedalia 6.75 mi
Dialysis Stations: 20
950 Mitchell Rd Sedalia Missouri 65301
(660) 826-0566