Living Center, the

2506 Linden Tree Parkway · Marshall, MO · 65340 · 6608869676

99 certified beds Non profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 88
Staffing 20% 75
Federal penalties 15% 100
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Actual harm · G July 9, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 28, 2025 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected June 26, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 18, 2024

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected August 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E July 18, 2024

    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.

    Corrected August 30, 2024 · Pharmacy Service

  • Potential for harm · F July 18, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 30, 2024 · Nutrition and Dietary

  • Potential for harm · D September 21, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 21, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 21, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 4, 2023 · Quality of Life and Care

  • Potential for harm · D September 21, 2023 · found via complaint

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected November 4, 2023 · Quality of Life and Care

  • Actual harm · G February 9, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 10, 2023 · Quality of Life and Care

  • Potential for harm · E February 9, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 25, 2023 · Resident Rights

  • Potential for harm · E February 9, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 25, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E February 9, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · E February 9, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · D February 9, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · E February 9, 2023

    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.

    Corrected March 25, 2023 · Quality of Life and Care

  • Potential for harm · E February 9, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected March 25, 2023 · Nutrition and Dietary

  • Potential for harm · F February 9, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 25, 2023 · Nutrition and Dietary

  • Potential for harm · E February 9, 2023

    Provide and implement an infection prevention and control program.

    Corrected April 10, 2023 · Infection Control

  • Potential for harm · E February 9, 2023

    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.

    Corrected March 25, 2023 · Environmental

  • Potential for harm · D July 25, 2019

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 11, 2019 · Resident Rights

  • Potential for harm · D July 25, 2019

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 11, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 25, 2019

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected October 11, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D July 25, 2019

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected October 11, 2019 · Quality of Life and Care

  • Potential for harm · D July 25, 2019

    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.

    Corrected October 11, 2019 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265688 · certified since November 25, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.