Nursing home · Marshall, MO
Legendary Health Care Center
809 East Gordon St, Marshall, MO 65340 · 92 certified beds · for profit ownership · part of Reliant Care Management
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jan 7, 2026, when they cited 2 problems from complaint investigations. The most common area was administration (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (May 20, 2025) it had 20 citations, compared with an average of 6.9 for Boonville-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.75 hours per resident per day here, 20% less than the Missouri average (3.43) and 29% less than the U.S. average (3.86). Registered nurses account for 0.33 of those hours, versus 0.46 in Missouri and 0.68 nationally.
How Legendary Health Care Center compares
This home's latest CMS figures next to the averages for Boonville-area homes (8), Missouri (487) and the U.S. (14,680).
| This home | Boonville area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.75 | 3.12 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.33 | 0.36 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.31 | 2.67 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | — | 53% | 56% | 46% |
| Registered nurse turnover (past year) | — | 30% | 48% | 43% |
| Citations at the most recent standard inspection | 20 | 6.9 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 42 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jan 7, 2026 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration · complaint | E | Deficient, Provider has date of correction |
| Jan 7, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| May 20, 2025 | Reasonably accommodate the needs and preferences of each resident. Resident rights | D | Deficient, Provider has date of correction |
| May 20, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident rights | B | Deficient, Provider has date of correction |
| May 20, 2025 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident rights | C | Deficient, Provider has date of correction |
| May 20, 2025 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident rights | C | Deficient, Provider has date of correction |
| May 20, 2025 | Give residents a notice of rights, rules, services and charges. Resident rights | C | Deficient, Provider has date of correction |
| May 20, 2025 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and physician services | D | Deficient, Provider has date of correction |
| May 20, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| May 20, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| May 20, 2025 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and physician services | D | Deficient, Provider has date of correction |
| May 20, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | E | Deficient, Provider has date of correction |
| May 20, 2025 | Keep all essential equipment working safely. Environmental | E | Deficient, Provider has date of correction |
| May 20, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| May 20, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| May 20, 2025 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| May 20, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident rights | E | Deficient, Provider has date of correction |
| May 20, 2025 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
| May 20, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| May 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Mar 4, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Nov 16, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Oct 12, 2023 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and dietary · complaint | D | Deficient, Provider has date of correction |
| Aug 11, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
| Aug 11, 2023 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | C | Deficient, Provider has date of correction |
| Aug 11, 2023 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and dietary | D | Deficient, Provider has date of correction |
| Aug 11, 2023 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 11, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 11, 2023 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Aug 11, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Aug 11, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Aug 11, 2023 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy service | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | E | Deficient, Provider has date of correction |
| Aug 11, 2023 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| May 20, 2025 | Fine | $55,443 |
| May 20, 2025 | Payment Denial | 8 days |
| Mar 4, 2025 | Fine | $37,765 |
Location
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Reviews
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Questions about Legendary Health Care Center
Answers computed from CMS data for this facility.
What is Legendary Health Care Center's Medicare rating?
Medicare rates Legendary Health Care Center 1 out of 5 stars overall (much below average). The average for Boonville-area nursing homes is 3.0, for Missouri 2.51 and for the U.S. 2.99.
How did Legendary Health Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jan 7, 2026, when they cited 2 problems from complaint investigations. The most common area was administration (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (May 20, 2025) it had 20 citations, compared with an average of 6.9 for Boonville-area homes, 11.4 in Missouri and 9.2 nationally.
Has Legendary Health Care Center been fined?
Yes. CMS reports 2 fines totaling $93,208 in the past three years.
Does Legendary Health Care Center accept Medicaid?
Legendary Health Care Center is certified for both Medicare and Medicaid. Call (660) 886-2247 to ask whether a Medicaid bed is open.
Other nursing homes near Marshall
- 3/5The Living CenterMarshall · 99 beds
- 5/5Katy ManorPilot Grove · 60 beds
- 4/5Ashley Manor Health & RehabilitationBoonville · 52 beds
- 4/5Tipton Oak ManorTipton · 66 beds
- 3/5Glasgow GardensGlasgow · 59 beds
- 2/5Lakeview Health Care & Rehabilitation CenterBoonville · 59 beds
Compare all 8 Boonville-area nursing homes · · Boonville guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.