Legendary Health Care Center
809 East Gordon St · Marshall, MO · 65340 · 6608862247
92 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $93,208 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$93,208 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.54 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.16 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $93,208 |
Inspection citations (42 in the current record)
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Potential for harm · D January 7, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 7, 2026 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 26, 2026 · Administration
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Actual harm · G May 20, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 4, 2025 · Quality of Life and Care
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Potential for harm · D May 20, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 4, 2025 · Resident Rights
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Potential for harm · E May 20, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected July 4, 2025 · Resident Rights
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Potential for harm · E May 20, 2025
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.
Corrected July 4, 2025 · Resident Rights
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Potential for harm · D May 20, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 20, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 20, 2025
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.
Corrected July 4, 2025 · Nursing and Physician Services
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Potential for harm · D May 20, 2025
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected July 4, 2025 · Nursing and Physician Services
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Potential for harm · E May 20, 2025
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.
Corrected July 4, 2025 · Pharmacy Service
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Potential for harm · F May 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 4, 2025 · Nutrition and Dietary
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Potential for harm · F May 20, 2025
Provide and implement an infection prevention and control program.
Corrected July 4, 2025 · Infection Control
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Potential for harm · E May 20, 2025
Keep all essential equipment working safely.
Corrected July 4, 2025 · Environmental
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Potential for harm · E May 20, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected July 4, 2025 · Nursing and Physician Services
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No harm found · C May 20, 2025
Give residents a notice of rights, rules, services and charges.
Corrected July 4, 2025 · Resident Rights
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No harm found · C May 20, 2025
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.
Corrected July 4, 2025 · Resident Rights
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No harm found · C May 20, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 4, 2025 · Resident Rights
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No harm found · B May 20, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 4, 2025 · Resident Rights
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Immediate jeopardy · J March 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 5, 2025 · Quality of Life and Care
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Potential for harm · D November 16, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 14, 2023 · Quality of Life and Care
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Potential for harm · D October 12, 2023 · found via complaint
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.
Corrected November 3, 2023 · Nutrition and Dietary
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Potential for harm · D August 11, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 25, 2023 · Resident Rights
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Potential for harm · E August 11, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 25, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 20, 2025 | Fine | $55,443 |
| May 20, 2025 | Payment Denial | 8 days |
| March 4, 2025 | Fine | $37,765 |
| August 11, 2023 | Payment Denial | 33 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265508 · certified since September 4, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.