Missouri › Saline County › Marshall
Living Center, The
2506 Linden Tree Parkway, 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.
Living Center, The is a Non-profit, corporation nursing home in Marshall, Missouri, certified for 99 beds and caring for about 67 residents a day.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 4 and quality measures 2.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (4, 12, 13 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 29.3 per 100 beds, about the same as the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the Missouri median of 3.4; nursing staff turnover is 35.8%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Saline Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 2 | 3.0 |
| Health citations, 3 cycles | 29 | 42 | 31 | 28.7 |
| Citations per 100 beds | 29.3 | 45.7 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 3.4 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 35.8% | 35.8% | 56.1% | 45.8% |
| Fines listed | $0 | $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: 18 Jul 2024, 9 Feb 2023.
Severity mix: G ×2 D ×10 E ×14 F ×3
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 |
|---|---|---|---|---|---|
| 9 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 28 Jun 2025 |
| 18 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2024 |
| 18 Jul 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 30 Aug 2024 |
| 18 Jul 2024 | 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 | 30 Aug 2024 |
| 18 Jul 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 26 Jun 2024 |
| 21 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Nov 2023 |
| 21 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 4 Nov 2023 |
| 21 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Nov 2023 |
| 21 Sep 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 4 Nov 2023 |
| 9 Feb 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 10 Apr 2023 |
| 9 Feb 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 Mar 2023 |
| 9 Feb 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 25 Mar 2023 |
| 9 Feb 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 25 Mar 2023 |
| 9 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 25 Mar 2023 |
| 9 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 25 Mar 2023 |
| 9 Feb 2023 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 25 Mar 2023 |
| 9 Feb 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 25 Mar 2023 |
| 9 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Apr 2023 |
| 9 Feb 2023 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 25 Mar 2023 |
| 9 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Mar 2023 |
| 25 Jul 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 11 Oct 2019 |
| 25 Jul 2019 | 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. | D | Standard survey | 11 Oct 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 35.8%, RNs 28.6%; 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 | 8.6% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.3% | 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: non-profit, corporation. Legal business name: Fitzgibbon Health Services.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fitzgibbon Health Services | 5% or greater direct ownership interest | 100% | 07/06/1995 |
| John Fitzgibbon Memorial Hospital Inc | Operational/managerial control | NOT APPLICABLE | 07/05/1995 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Legendary Health Care Center | Marshall | 92 | 1 | 1 | 1 | 42 | 45.7 | $93K | 7 Jan 2026 |
All 2 facilities in Saline County
Questions and answers
How many deficiencies has Living Center, The been cited for?
29 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 Living Center, The been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Living Center, The compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Living Center, The?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Fitzgibbon Health Services and John Fitzgibbon Memorial Hospital Inc. Individual owners and managers are not listed on this site.
When was Living Center, The last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jul 2025; the most recent standard health survey was 18 Jul 2024.
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.