CCN 265149 · Pettis County, Missouri
Four Seasons Living Center
2800 Highway Tt, Sedalia, MO 65301
Four Seasons Living Center is a 239-bed for-profit nursing home in Sedalia, Missouri, first certified for Medicare or Medicaid in 1980. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 228.4 residents a day, about 96% of its certified beds. HUD's healthcare database shows 2 FHA-insured Section 232 loans for a project matching this facility, most recently $8.4 million in September 2011 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 239
- Average residents per day
- 228.4 (95.6% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Four Seasons Living Center, LLC
- Certified since
- Oct 1, 1980
- Chain or affiliated group
- Reliant Care Management (34 facilities, chain average 1.2 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Missouri median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 1.57 | 3.36 | 3.68 |
| RN hours per resident per day | 0.07 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 1.42 | ||
| Nursing staff turnover | 71.1% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 95.6% | 74.2% | 85.7% |
| Fines reported by CMS | 3 totaling $61,960 | ||
| Health deficiencies, latest standard survey | 22 (Dec 8, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Four Seasons Living Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Reliant Care Management Company LLCOrganization | Operational / Managerial Control | n/a | 06/30/1996 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 30, 2011 | 223(a)(7) refinance of a 223(f) loanHUD project name: Four Seasons Living Center, 237 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $8,427,600 | Ended Sep 28, 2018Prepayment | 08422036 |
| Apr 17, 2003 | 223(f) refinance or purchaseHUD project name: Four Seasons Living Center, 230 beds. Lender at endorsement: Gershman Investment Corp | $8,686,400 | Ended Sep 30, 2011Prepayment | 08422007 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.