Legendary Health Care Center in Marshall, MO has a 1-star overall rating, with 1-star health inspection, staffing, and quality measures ratings. Reported nurse staffing is 2.54 hours per resident per day versus the 4.1 federal benchmark, and the facility has had $93,208 in fines in the last 24 months plus a recent federal penalty.
Last inspection: January 7, 2026Penalties, last 24 months: $93,208recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.5392.
Staffing detail
Registered nurses
0.29
Licensed practical nurses
0.54
Nurse aides
1.71
Weekend nursing
2.16
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
32.7%Improving
Residents with a fall causing major injury
2.3%Worsening
Residents with pressure ulcers (bedsores)
4.5%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
40%Improving
Residents whose ability to walk got worse
49.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.8%Worsening
Short-stay residents newly given an antipsychotic
8.7%Steady
Residents with a long-term catheter
5.6%Improving
Residents with new or worsening incontinence
18%Improving
Residents with depressive symptoms
50%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
95.3%Worsening
Short-stay residents given the pneumonia vaccine
58.8%Steady
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide care or services that were trauma-informed and culturally competent. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to run its operations effectively and efficiently using its available resources. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $55,443 was recorded.
INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $37,765 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $93,208 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
May 20, 2025
8 days
Federal fine
May 20, 2025
$55,443
Federal fine
Mar 4, 2025
$37,765
Medicare/Medicaid payment denial
Aug 11, 2023
33 days
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
41 residents on an average day (45% of 92 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.