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Nursing home report

LEGENDARY HEALTH CARE CENTER

MARSHALL, MO · Medicare-certified · 92 beds

Needs attention
For-profit
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

2.5392 hrs/resident/day

Quality measures

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal payment denial was recorded.

  4. PENALTY

    A federal fine of $55,443 was recorded.

  5. INSPECTION

    Health inspection found 18 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $37,765 was recorded.

  7. 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.