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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.
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.
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.
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.
This home is ranked 31st 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.
| 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 40m per day | ▲ 22% State avg: 3h 1m per day · National avg: 3h 25m per day |
Similar to the Missouri average: 66.6%The Living Center is legally operated by Fitzgibbon Health Services, and administrated by Misty.
Missouri average 6.6
Last Health inspection on Jul 2025
Missouri average 36.5
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).
100% better than Missouri averageMissouri average: 0.7
100% worse than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
8 total: 7 full-time employees and 1 contractor.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
26 total: 13 full-time employees and 13 contractors.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
43 total: 30 full-time employees and 13 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,719 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 13 | 43 | 11,821 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 13 | 13 | 26 | 5,608 | 92 | 100% | 9.7 |
| Medication Aide/Technician | 6 | 1 | 7 | 2,666 | 92 | 100% | 9.2 |
| Registered Nurse | 7 | 1 | 8 | 1,205 | 90 | 98% | 7.7 |
| Nurse Aide in Training | 4 | 0 | 4 | 1,128 | 83 | 90% | 10.5 |
| Dietitian | 3 | 0 | 3 | 1,119 | 76 | 83% | 6.3 |
| Dental Services Staff | 2 | 0 | 2 | 942 | 64 | 70% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 903 | 63 | 68% | 8.1 |
| RN Director of Nursing | 3 | 0 | 3 | 659 | 64 | 70% | 5.3 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 417 | 61 | 66% | 5.6 |
| Respiratory Therapist | 0 | 2 | 2 | 406 | 56 | 61% | 6.4 |
| Speech Language Pathologist | 0 | 3 | 3 | 370 | 54 | 59% | 6.3 |
| Physical Therapy Aide | 0 | 3 | 3 | 314 | 54 | 59% | 5.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 233 | 61 | 66% | 2.1 |
| Medical Director | 0 | 1 | 1 | 37 | 12 | 13% | 3.1 |
| Qualified Social Worker | 0 | 2 | 2 | 13 | 12 | 13% | 1.1 |
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)
76% lower than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.5
25% better than Missouri averageMissouri average: 19.5
Percent of long-stay residents whose need for help with daily activities has increased
10.1%
49% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
16.9%
18% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.7%
8% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
7.9%
95% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
5.1%
In line with Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
4.0%
46% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
5.6%
In line with Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.0%
93% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
28.6%
30% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.7%
11% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
In line with Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
39.4%
41% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
10% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
31% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for The Living Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #82 / 286Payroll — State benchmarkedThis home is ranked 82nd 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
3.1 miles from city center
Estimated distance in miles from Marshall's city center to The Living Center's address, calculated via Google Maps.
Add your location
The Living Center is located in Marshall, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| 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 |
The legal owner and operator of The Living Center is Fitzgibbon Health Services.
The Living Center has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.
The Living Center's occupancy is 65%.
Misty is the administrator of The Living Center.
The Living Center has 99 beds.
Yes — there is 1 photo of The Living Center in the photo gallery on this page.
The Living Center is located at 2506 Linden Tree Pkwy, Marshall, MO 65340.
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