Senior CareScorecard

Nursing home · Marshall, MO

The Living Center

2506 Linden Tree Parkway, Marshall, MO 65340 · 99 certified beds · non profit ownership

Medicare & Medicaid
Medicare overall rating3 / 5AverageBoonville area 3.0 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
4/5Staffing Above average
2/5Quality measures Below average
2/5Short-stay (rehab) quality Below average
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Jul 28, 2026, when they cited 3 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Jul 18, 2024) it had 7 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 3.87 hours per resident per day here, 13% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.47 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 36% over the past year, 20 points lower than Missouri (56%) and 10 points lower than the U.S. (46%).

How The Living 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 homeBoonville areaMissouriU.S.
Total nurse hours per resident per day3.873.123.433.86
Registered nurse hours per resident per day0.470.360.460.68
Weekend nurse hours per resident per day3.362.673.013.42
Nursing staff turnover (past year)36%53%56%46%
Registered nurse turnover (past year)29%30%48%43%
Citations at the most recent standard inspection76.911.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Jul 28, 20263complaint
Jul 9, 20251complaint · 1 harm-level citation
Jul 18, 20244standard
Sep 21, 20234complaint
Feb 9, 202311standard · 1 harm-level citation
Jul 25, 20199standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 32 of 32 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Jul 28, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights · complaint
DDeficient, Provider has plan of correction
Jul 28, 2026Provide and implement an infection prevention and control program.
Infection control · complaint
DDeficient, Provider has plan of correction
Jul 28, 2026Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of life and care · complaint
DDeficient, Provider has plan of correction
Jul 9, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
G actual harmPast Non-Compliance
Jul 18, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jul 18, 2024Assure that each resident’s assessment is updated at least once every 3 months.
Resident assessment and care planning
EDeficient, Provider has date of correction
Jul 18, 2024Implement 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
EDeficient, Provider has date of correction
Jul 18, 2024Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from abuse, neglect, and exploitation
DPast Non-Compliance
Sep 21, 2023Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 21, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 21, 2023Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Sep 21, 2023Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Feb 9, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Feb 9, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Feb 9, 2023Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental
EDeficient, Provider has date of correction
Feb 9, 2023Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Feb 9, 2023Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of life and care
EDeficient, Provider has date of correction
Feb 9, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Feb 9, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
EDeficient, Provider has date of correction
Feb 9, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Feb 9, 2023Reasonably accommodate the needs and preferences of each resident.
Resident rights
EDeficient, Provider has date of correction
Feb 9, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Feb 9, 2023Provide safe, appropriate pain management for a resident who requires such services.
Quality of life and care
G actual harmDeficient, Provider has date of correction
Jul 25, 2019Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jul 25, 2019Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Jul 25, 2019Ensure medication error rates are not 5 percent or greater.
Pharmacy service
EDeficient, Provider has date of correction
Jul 25, 2019Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Jul 25, 2019Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Jul 25, 2019Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights
DDeficient, Provider has date of correction
Jul 25, 2019Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
Jul 25, 2019Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of life and care
DDeficient, Provider has date of correction
Jul 25, 2019Implement 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
DDeficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about The Living Center

Answers computed from CMS data for this facility.

What is The Living Center's Medicare rating?

Medicare rates The Living Center 3 out of 5 stars overall (average). The average for Boonville-area nursing homes is 3.0, for Missouri 2.51 and for the U.S. 2.99.

How did The Living Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Jul 28, 2026, when they cited 3 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 3 are marked corrected in the CMS data. At its most recent standard inspection (Jul 18, 2024) it had 7 citations, compared with an average of 6.9 for Boonville-area homes, 11.4 in Missouri and 9.2 nationally.

Has The Living Center been fined?

CMS reports no federal fines for this facility in the past three years.

Does The Living Center accept Medicaid?

The Living Center is certified for both Medicare and Medicaid. Call (660) 886-9676 to ask whether a Medicaid bed is open.

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.