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The Living Center
Nursing Home, Memory Care, Respite Care & Skilled Nursing · 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 & Skilled Nursing · 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.
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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.
▲ 20.8% Above MO avg. ▲ 20.8% Above 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.
▲ 82.8% Above MO avg. ▲ 82.8% Above 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 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 vs Missouri averages

Rank #31 / 268Nurse hours — State benchmarkedThis home is ranked 31st out of 268 homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 268 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 31st out of 268 homes we track 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.

4h 51m

30% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
35m
+20% State avg: 29m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 17m
+77% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 59m
+21% State avg: 2h 27m per day · National avg: 2h 24m per day
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.
4h 13m
+31% State avg: 3h 13m per day · National avg: 3h 30m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
4m
+59% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
11m
−42% State avg: 20m per day · National avg: 29m per day

1 of 6 metrics below state avg

Standout metric: LPN / LVN is +77% above Missouri average

Capacity and availability

Residents per day (avg)
67
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
110 days
Bed community size
99-bed community Rank #184 / 450Bed count — State benchmarkedThis home is ranked 184th out of 450 homes we track in Missouri for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #448 / 545Walk Score — State benchmarkedThis home is ranked 448th out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
68%
Rank #197 / 407Occupancy rate — State benchmarkedThis home is ranked 197th out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
67 / 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

Contact The Living Center

CMS Health Inspection History

Inspections Since 2019 · 7 years of data
Total health inspections 5

Missouri average 6.6

Last Health inspection on Jul 2025

Total health citations
29 Rank #128 / 274Health citations — State benchmarkedThis home is ranked 128th out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #169 / 274Citations per inspection — State benchmarkedThis home is ranked 169th out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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%
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 / 276Federal fines — State benchmarkedThis home is ranked 1st out of 276 homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
Average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
Below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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 #135 / 251Net patient revenue — State benchmarkedThis home is ranked 135th out of 251 homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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 #117 / 251Payroll costs — State benchmarkedThis home is ranked 117th out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$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 #45 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 45th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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?

Pets allowed icon
Pets allowed icon

No pets allowed

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 Memory Care around Marshall

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Living Center ★ ★ ★ ☆ ☆
MC
NH
RC
SNF
Marshall
99
Facility 99
MO AVG 96
Rank #184 / 450
67.8%
Facility 67.8%
MO AVG 66.5
Rank #197 / 407
+2%
4.85
Facility 4.85
MO AVG 3.74
Rank #31 / 268
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ -12%+30%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
29
Facility 29
MO AVG 36.5
Rank #128 / 274
5.8
Facility 5.8
MO AVG 5.7
Rank #169 / 274
267-
20
Facility 20
MO AVG 46
Rank #448 / 545
Fitzgibbon Health Services
$5.4MFiscal year ending 04/2024
Facility $5.4MFiscal year ending 04/2024
MO AVG $7.4M
Rank #135 / 251
$3.5MFiscal year ending 04/2024
Facility $3.5MFiscal year ending 04/2024
MO AVG $3.9M
Rank #117 / 251
64.7%Fiscal year ending 04/2024
Facility 64.7%Fiscal year ending 04/2024
MO AVG 54.9%
Rank #45 / 251
265688
Legendary Nursing & Rehabilitation ★ ☆ ☆ ☆ ☆
MC
HOS
NH
PC
RC
SNF
Marshall
92
Facility 92
MO AVG 96
Rank #215 / 450
45.5%
Facility 45.5%
MO AVG 66.5
Rank #352 / 407
-32%
2.23
Facility 2.23
MO AVG 3.74
Rank #251 / 268
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -56%-40%
$93.2k
Facility $93.2k
MO AVG $76.9k
Rank #249 / 276
40
Facility 40
MO AVG 36.5
Rank #181 / 274
6.7
Facility 6.7
MO AVG 5.7
Rank #203 / 274
242-
49
Facility 49
MO AVG 46
Rank #253 / 545
Michelle Aycock
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MO AVG $7.4M
Rank #242 / 251
$2.0MFiscal year ending 12/2023
Facility $2.0MFiscal year ending 12/2023
MO AVG $3.9M
Rank #209 / 251
75.7%Fiscal year ending 12/2023
Facility 75.7%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #11 / 251
265508
Nursing Home Explorer

Financial Assistance for
Memory Care 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 68%.

Are pets allowed at The Living Center?

No, The Living Center has a no-pet policy.

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.

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