Missouri › Saline County › Marshall
Legendary Health Care Center
809 East Gordon St, Marshall, MO 65340
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Legendary Health Care Center, in Marshall, Missouri, is certified for 92 beds under for-profit, limited liability company ownership and belongs to the Reliant Care Management chain.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 1.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (20, 18, 4 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 45.7 per 100 beds, more than the state median of 32.1.
CMS lists 3 penalties in the period covered: fines totalling $93K and 1 payment denial.
Reported nurse staffing is 2.7 hours per resident per day (0.3 RN), close to the Missouri median of 3.4.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Saline Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 42 | 42 | 31 | 28.7 |
| Citations per 100 beds | 45.7 | 45.7 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.9 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | — | 35.8% | 56.1% | 45.8% |
| Fines listed | $93,208 | $93,208 | $0 | — |
County and state figures are medians across facilities (2 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2025, 11 Aug 2023.
Severity mix: J ×1 G ×1 D ×16 E ×15 F ×4 B ×1 C ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 Jan 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 26 Jan 2026 |
| 7 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Jan 2026 |
| 20 May 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | G | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0572 | Give residents a notice of rights, rules, services and charges. | C | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 4 Jul 2025 |
| 20 May 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 4 Jul 2025 |
| 4 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 5 Mar 2025 |
| 16 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Dec 2023 |
| 12 Oct 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 3 Nov 2023 |
| 11 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Nov 2023 |
| 11 Aug 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 3 Nov 2023 |
| 11 Aug 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Dec 2023 |
| 11 Aug 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 25 Sep 2023 |
| 11 Aug 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 3 Nov 2023 |
| 11 Aug 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | C | Standard survey | 25 Sep 2023 |
| 3 Dec 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Jan 2020 |
| 3 Dec 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Jan 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 May 2025 | Payment denial | — | 8 days |
| 20 May 2025 | Fine | $55,443 | |
| 4 Mar 2025 | Fine | $37,765 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 37.7% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 10.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 43.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Legendary Health Care Center, L.L.C.. Chain: Reliant Care Management (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Reliant Care Group LLC | Direct ownership interest | NOT APPLICABLE | 08/15/2025 |
| Rcg Inc | Indirect ownership interest | NOT APPLICABLE | 08/15/2025 |
| Reliant Care Management Company LLC | Operational/managerial control | NOT APPLICABLE | 08/15/2025 |
| Legendary Re Associates, L.L.C. | Adp of the snf | NOT APPLICABLE | 08/15/2025 |
| Reliant Care Management Company LLC | Adp of the snf | NOT APPLICABLE | 08/28/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Saline County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Living Center, The | Marshall | 99 | 3 | 3 | 4 | 29 | 29.3 | — | 9 Jul 2025 |
All 2 facilities in Saline County
Questions and answers
How many deficiencies has Legendary Health Care Center been cited for?
42 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Legendary Health Care Center been fined?
Yes. CMS lists fines totalling $93K in the period covered, plus 1 payment denial.
How does staffing at Legendary Health Care Center compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Legendary Health Care Center?
It is part of the Reliant Care Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Reliant Care Group LLC, Rcg Inc and Reliant Care Management Company LLC. Individual owners and managers are not listed on this site.
When was Legendary Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 7 Jan 2026; the most recent standard health survey was 20 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.