Legendary Health Care Center has received an F grade based on CMS data, with a score of 1/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Marshall facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Legendary Health Care Center, with 1.81 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 42 deficiencies at Legendary Health Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: administer the facility in a manner that enables it to use its resources effectively and efficiently..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 1.81 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.22 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.37 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.21 | 2.4 | Below Average |
| Weekend Total Nursing | 1.70 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0835 Severity EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Jan 6, 2026 · Administration Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Jan 6, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0699 Severity GProvide care or services that was trauma informed and/or culturally competent.May 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.May 19, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.6% | 4.5% | Better |
| Falls with major injury | 1.5% | 3.0% | Better |
| On antipsychotic medication | 34.3% | 14.5% | Worse |
| Urinary tract infections | 0.8% | 2.5% | Better |
| ADL decline (daily activities) | 38.1% | 14.0% | Worse |
| Excessive weight loss | 4.1% | 7.5% | Better |
| New/worsened incontinence | 19.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $93,208
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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