Total staff
59
Employees
46
Contractors
13
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Legendary Nursing & Rehabilitation
Nursing Home · Marshall, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Legendary Nursing & Rehabilitation
Nursing Home · Marshall, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Legendary Nursing & Rehabilitation accepts Medicare, Medicaid, and private pay.
Legendary Nursing & Rehabilitation is a nursing home in Marshall, MO, offering skilled nursing and rehabilitation. With a nurturing and welcoming environment, the community ensures older adults are treated well during their stay. Residents also experience a worry-free lifestyle, with 24-hour care, therapies, and recreational opportunities. The community also strives to help residents live to their potential through an interdisciplinary approach to care.
Light exercises and social events provide residents with more opportunities to explore new interests and gain meaningful experiences. Spacious rooms and lively gathering areas also ensure residents can rest and move around comfortably. Situated in the peaceful residential area of Marshall, the community ensures residents have a laid-back lifestyle. This nursing home is a good option for senior living in Missouri, as it has top-notch services dedicated to older adults’ well-being.
Quality ratings
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.
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.
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 20th out of 276 homes in Missouri. 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.
This home is ranked 20th out of 276 homes in Missouri. 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 12m per day
Rank #20 / 276Nurse hours — State benchmarkedThis home is ranked 20th out of 276 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 276 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Missouri avg
+39%
Standout metric
Weekend Total Nursing is +16% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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 29m per day | ▲ 16% State avg: 3h 1m per day · National avg: 3h 25m per day |
Types of Care at Legendary Nursing & Rehabilitation
Nursing Home
Capacity and availability
This home usually has availability
Occupancy rate
38.6%
Rank #274 / 283Occupancy rate — State benchmarkedThis home is ranked 274th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
84 days
Walk Score: 49 / 100 Rank #254 / 563Walk Score — State benchmarkedThis home is ranked 254th out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.90:1
12% better than Missouri average
Avg staff/day
16
Average shift
7.3 hours
10% worse than Missouri average
Total staff hours (quarter)
10,674
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
All 2 RN Staff are full-time employees. No contractors work on this role.
2
All 2 RN Staff are full-time employees. No contractors work on this role.
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 19 CNA Staff are full-time employees. No contractors work on this role.
19
All 19 CNA Staff are full-time employees. No contractors work on this role.
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4.9%
521 contractor hours this quarter
Physical Therapy Assistant: 3
Physical Therapy Aide: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 0 | 19 | 4,109 | 79 | 86% | 7.5 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,025 | 79 | 86% | 8.4 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,429 | 78 | 85% | 7.8 |
| Nurse Aide in Training | 6 | 0 | 6 | 915 | 62 | 67% | 7.6 |
| Registered Nurse | 2 | 0 | 2 | 629 | 66 | 72% | 9.5 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 336 | 42 | 46% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 287 | 59 | 64% | 4.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 128 | 16 | 17% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 79 | 13 | 14% | 6.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 73 | 20 | 22% | 3.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 64 | 8 | 9% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 52 | 23 | 25% | 2.3 |
| Speech Language Pathologist | 0 | 2 | 2 | 28 | 21 | 23% | 1.3 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 9 | 7 | 8% | 1.3 |
19 Certified Nursing Assistant
% of Days
86%
9 Licensed Practical Nurse
% of Days
86%
5 Medication Aide/Technician
% of Days
85%
6 Nurse Aide in Training
% of Days
67%
2 Registered Nurse
% of Days
72%
1 Administrator
% of Days
60%
1 Nurse Practitioner
% of Days
46%
2 Physical Therapy Aide
% of Days
64%
1 Clinical Nurse Specialist
% of Days
17%
1 Dental Services Staff
% of Days
14%
3 Physical Therapy Assistant
% of Days
22%
1 Mental Health Service Worker
% of Days
9%
1 Qualified Social Worker
% of Days
25%
2 Speech Language Pathologist
% of Days
23%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
1 Occupational Therapy Aide
% of Days
3%
2 Respiratory Therapy Technician
% of Days
8%
Penalties and fines
Includes penalties issued in 2023-2025
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
$92K Rank #246 / 283Federal fines — State benchmarkedThis home is ranked 246th out of 283 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 283 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
26% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
191% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$92K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 20, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 20, 2025
$54K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 20, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 20, 2025
8 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 4, 2025
$38K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 11, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 11, 2023
33 days
Last updated: Jan 2026
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.6
42% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.7
48% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
36.1%
Percent of long-stay residents whose need for help with daily activities has increased
36.1%
83% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.3%
Percent of long-stay residents whose ability to move independently worsened
30.3%
47% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
9% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
81% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.4%
Percent of long-stay high risk residents with pressure ulcers
4.4%
13% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
72% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.3%
Percent of long-stay residents who lose too much weight
6.3%
12% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
13.6%
Percent of long-stay residents who have depressive symptoms
13.6%
6% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
38.8%
Percent of long-stay residents who received an antipsychotic medication
38.8%
76% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
12% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.9%
6% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
23% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
55% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31
Medicaid
25
80.6% of residents
Private pay or other
6
19.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, 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.
Financial Trends
Historical financial and operational data for Legendary Nursing & Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
38.6%
↑ 5.1pp vs 2022
Net Income
-$465.7K
↑ ~$4.2K vs 2022
Total Payroll
$2.1M
↑ ~$172.8K vs 2022
Profit Margin
-17.9%
↑ 1.3pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$2.6M
Operating loss
-$465.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$2.6M Rank #271 / 286Revenue — State benchmarkedThis home is ranked 271st out of 286 homes in Missouri. Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$465.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #238 / 286Payroll — State benchmarkedThis home is ranked 238th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #238 / 286Payroll — State benchmarkedThis home is ranked 238th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$936.9K
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.1M
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Legendary Nursing & Rehabilitation
1.5 miles from city center
Estimated distance in miles from Marshall's city center to Legendary Nursing & Rehabilitation's address, calculated via Google Maps.
Calculate Travel Distance to Legendary Nursing & Rehabilitation
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Financial Assistance for
Nursing Home in Missouri
Legendary Nursing & Rehabilitation is located in Marshall, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Compare Nursing Home around Marshall
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| The Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Marshall | 99 | 65.3% | -2% | 5.00 | -12% | +34% | $17.2k | 29 | 5.8 | 2 | 66 | 20 | Fitzgibbon Health Services | $6.2M | $4.9M | 77.8% | 265688 | ||||
| Legendary Nursing & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Marshall | 92 | - | - | 5.19 | -56% | +39% | $83.7k | 40 | 6.7 | 2 | 31 | 49 | Michelle Aycock | $2.6M | $2.1M | 81.9% | 265508 |
Frequently Asked Questions about Legendary Nursing & Rehabilitation
Is Legendary Nursing & Rehabilitation in a walkable area?
Legendary Nursing & Rehabilitation has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of Legendary Nursing & Rehabilitation?
Yes — there is 1 photo of Legendary Nursing & Rehabilitation in the photo gallery on this page.
What is the address of Legendary Nursing & Rehabilitation?
Legendary Nursing & Rehabilitation is located at 809 E Gordon St, Marshall, MO 65340.
What is the phone number of Legendary Nursing & Rehabilitation?
(660) 886-2247 will put you in contact with the team at Legendary Nursing & Rehabilitation.
Is Legendary Nursing & Rehabilitation Medicare or Medicaid certified?
Yes — Legendary Nursing & Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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