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The Living Center
Nursing Home, Memory Care & Respite Care · Marshall, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Living Center

The Living Center

Nursing Home, Memory Care & Respite Care · Marshall, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2506 Linden Tree Pkwy, Marshall, MO 65340 View map Calculator: See prices in your area
The Living Center accepts Medicare, Medicaid, and private pay.
Contact Us Explore Open Rooms
Calculator: See prices in your area
The Living Center accepts Medicare, Medicaid, and private pay.

Overview of The Living Center

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The Living Center is a nursing home in Marshall, MO, offering memory care, rehabilitation, respite care, and skilled nursing. Fostering comfort and healing, the community has thoughtfully furnished accommodations in a warm and nurturing environment. Therapies, 24-hour care, beautician services, and well-balanced meals are among the exceptional services dedicated to improving residents’ quality of life. Along with a high nurse-to-resident ratio, the community strives to provide the best possible care to meet residents’ unique needs and preferences.

Pet therapy, fun gatherings, and light exercises encourage residents to maintain their holistic well-being and have fun. Cozy, private, and semi-private rooms and beautiful outdoor areas with a garden and gazebo are among the top-notch amenities that provide residents with spaces for interactions and relaxation. Located near Fitzgibbon Hospital and Marshall Cultural Council Ampitheater, the community guarantees accessibility and convenience. This nursing home has high standards of care, making it one of the best choices for senior living in Missouri.

Facility Direct Line (660) 886-7431
Facility Direct Line (660) 886-7431
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 19.5% Below MO avg. ▼ 19.5% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 8.1% Above MO avg. ▲ 8.1% Above MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 54.3% Below MO avg. ▼ 54.3% Below MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 24.7% Below MO avg. ▼ 24.7% Below MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 32nd out of 282 homes in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 0m per day
Rank #32 / 282Nurse hours — State benchmarkedThis home is ranked 32nd out of 282 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 282 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Missouri avg (3h 44m per day)
vs Missouri avg
+34%

0 of 1 metrics below state avg

Standout metric Weekend Total Nursing is +20% above state avg
Staff typeHours / Day / Residentvs state avg
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 40m per day ▲ 20% State avg: 3h 3m per day · National avg: 3h 27m per day

Capacity and availability

Avg. Length of Stay
110 days
Bed community size
99-bed community Rank #186 / 454Bed count — State benchmarkedThis home is ranked 186th out of 454 homes in Missouri. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 20 / 100 Rank #451 / 563Walk Score — State benchmarkedThis home is ranked 451st out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
65%
Rank #233 / 434Occupancy rate — State benchmarkedThis home is ranked 233rd out of 434 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 434. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Missouri average: 66.6%
Occupied beds
65 / 99
Average occupied beds in Missouri homes 72 beds

License Details

CountySaline
Business TypeNOT FOR PROFIT CORPORATION

Ownership & Operating Entity

The Living Center is legally operated by Fitzgibbon Health Services, and administered by Misty.

Corporate EntityFITZGIBBON HEALTH SERVICES

Memory & Specialized Care

1 service
Offers Alzheimer's Care

Contact The Living Center

Health Inspection History

Inspections since 2019
Total health inspections 5

Missouri average 6.6

Last Health inspection on Jul 2025

Total health citations
29 Rank #133 / 287Health citations — State benchmarkedThis home is ranked 133rd out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 36.5

Citations per inspection
5.8 Rank #176 / 287Citations per inspection — State benchmarkedThis home is ranked 176th out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 5.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

23 of 29 citations resulted from standard inspections; 5 of 29 resulted from complaint investigations; and 1 of 29 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than Missouri average

Missouri average: 0.7

Serious health citations
2
100% worse than Missouri average

Missouri average: 1

0 critical citations Missouri average: 0.7
2 serious citations Missouri average: 1
27 moderate citations Missouri average: 33.6
0 minor citations Missouri average: 1.2
Citations history (last 7 years)
Quality of Care serious citation Jul 09, 2025
Corrected
Abuse/Neglect moderate citation Jul 18, 2024
Corrected
Nutrition moderate citation Jul 18, 2024
Corrected
Pharmacy moderate citation Jul 18, 2024
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 118
Employees 72
Contractors 46
Staff to resident ratio 1.69 : 1
0% compared with Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 38
Average shift 8.2 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 28,737

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 8 total: 7 full-time employees and 1 contractor. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 26 total: 13 full-time employees and 13 contractors. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 43 total: 30 full-time employees and 13 contractors. 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

16.4%

4,719 contractor hours this quarter

Licensed Practical Nurse: 13 Certified Nursing Assistant: 13 Respiratory Therapy Technician: 4 Physical Therapy Aide: 3 Physical Therapy Assistant: 3 Speech Language Pathologist: 3 Respiratory Therapist: 2 Qualified Social Worker: 2 Registered Nurse: 1 Medication Aide/Technician: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant30134311,82192100%8.8
Licensed Practical Nurse1313265,60892100%9.7
Medication Aide/Technician6172,66692100%9.2
Registered Nurse7181,2059098%7.7
Nurse Aide in Training4041,1288390%10.5
Dietitian3031,1197683%6.3
Dental Services Staff2029426470%7.9
Clinical Nurse Specialist2029036368%8.1
RN Director of Nursing3036596470%5.3
Nurse Practitioner1014645863%8
Administrator1014325459%8
Respiratory Therapy Technician0444176166%5.6
Respiratory Therapist0224065661%6.4
Speech Language Pathologist0333705459%6.3
Physical Therapy Aide0333145459%5.5
Physical Therapy Assistant0332336166%2.1
Medical Director011371213%3.1
Qualified Social Worker022131213%1.1
43 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 100%
8 Registered Nurse
% of Days 98%
4 Nurse Aide in Training
% of Days 90%
3 Dietitian
% of Days 83%
2 Dental Services Staff
% of Days 70%
2 Clinical Nurse Specialist
% of Days 68%
3 RN Director of Nursing
% of Days 70%
1 Nurse Practitioner
% of Days 63%
1 Administrator
% of Days 59%
4 Respiratory Therapy Technician
% of Days 66%
2 Respiratory Therapist
% of Days 61%
3 Speech Language Pathologist
% of Days 59%
3 Physical Therapy Aide
% of Days 59%
3 Physical Therapy Assistant
% of Days 66%
1 Medical Director
% of Days 13%
2 Qualified Social Worker
% of Days 13%
View All Staffing Data in Marshall

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $17K Rank #1 / 289Federal fines — State benchmarkedThis home is ranked 1st out of 289 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 289 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
76% lower than Missouri average

Missouri average: $73K

Number of fines 2
18% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
45% more payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $17K
Missouri average $73K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.1
17% better than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.5
25% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.1%
49% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.9%
18% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.7%
8% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.9%
95% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.1%
In line with Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.0%
46% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.6%
In line with Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.0%
93% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.6%
30% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.7%
11% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.8%
In line with Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 39.4%
41% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 57.1%
10% worse than Missouri average

Missouri average: 63.5%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

53% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 70
Medicare
6
8.6% of residents
Medicaid
41
58.6% of residents
Private pay or other
23
32.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 04/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.4M Rank #150 / 292Revenue — State benchmarkedThis home is ranked 150th out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #86 / 292Payroll — State benchmarkedThis home is ranked 86th out of 292 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.5M 64.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #15 / 292Payroll % — State benchmarkedThis home is ranked 15th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.5M
How we calculate these figures

This home is administered by Misty.

This home is owned by Fitzgibbon Health Services

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265688

Show certification details

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Beauty services icon
Beauty services icon

Beauty Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
235 total

Coverage residents most often arrive under.

Medicare 31%
Private pay 53%
Medicaid 15%
Discharges
215 total

Coverage residents most often leave under.

Medicare 24%
Private pay 60%
Medicaid 16%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Living Center

Address 2506 Linden Tree Pkwy, Marshall, MO 65340

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Address

Compare Nursing Homes around Marshall

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

2 facilities compared · CMS & MO Dept. of Health data

The Living Center
NH
MC
RC
Marshall
99
Facility 99
MO AVG 97
Rank #186 / 454
65.3%
Facility 65.3%
MO AVG 66.6%
Rank #233 / 434
-2%
5.00
Facility 5.00
MO AVG 3.74
Rank #32 / 282
 -12%+34%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 289
29
Facility 29
MO AVG 36.5
Rank #133 / 287
5.8
Facility 5.8
MO AVG 5.7
Rank #176 / 287
265-
20
Facility 20
MO AVG 45
Rank #451 / 563
Fitzgibbon Health Services
$5.4M
Facility $5.4M
MO AVG $8.4M
Rank #150 / 292
$3.5M
Facility $3.5M
MO AVG $3.3M
Rank #86 / 292
64.7%
Facility 64.7%
MO AVG 45.6%
Rank #15 / 292
265688
Legendary Nursing & Rehabilitation
NH
Marshall
92
Facility 92
MO AVG 97
Rank #217 / 454
38.6%
Facility 38.6%
MO AVG 66.6%
Rank #388 / 434
-42%
5.19
Facility 5.19
MO AVG 3.74
Rank #21 / 282
 -56%+39%
$93.2k
Facility $93.2k
MO AVG $76.9k
Rank #261 / 289
40
Facility 40
MO AVG 36.5
Rank #188 / 287
6.7
Facility 6.7
MO AVG 5.7
Rank #213 / 287
241-
49
Facility 49
MO AVG 45
Rank #254 / 563
Michelle Aycock
$2.6M
Facility $2.6M
MO AVG $8.4M
Rank #278 / 292
$2.0M
Facility $2.0M
MO AVG $3.3M
Rank #244 / 292
75.7%
Facility 75.7%
MO AVG 45.6%
Rank #12 / 292
265508
Nursing Home Explorer

Financial Assistance for
Nursing Home in Missouri

The Living Center is located in Marshall, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age —
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about The Living Center

Who is the owner of The Living Center?

The Living Center is legally operated by Fitzgibbon Health Services, and administered by Misty.

Is The Living Center in a walkable area?

The Living Center has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at The Living Center?

The Living Center's occupancy is 65%.

Does The Living Center operate as a for-profit or non-profit?

The Living Center is registered as a non-profit in MO.

Who is the administrator of The Living Center?

Misty is the administrator of The Living Center.

How many beds does The Living Center have?

The Living Center has 99 beds.

Are there photos of The Living Center?

Yes — there is 1 photo of The Living Center in the photo gallery on this page.

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