5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Marshall, MO
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
2506 Linden Tree Parkway, Marshall, MO
(660) 886-9676
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
68
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-11-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.51
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.61
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.11
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
5.01
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
8,998
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.05
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.18% · Performance 23.96% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.30
Baseline 5.49% · Performance 7.15% · Measure score 2.30 · Achievement 2.30 · Improvement 0
Total nurse turnover
1.71
Baseline 70.00% · Performance 60.00% · Measure score 1.71 · Achievement 0.9 · Improvement 1.71
Adjusted total nurse staffing
6
Baseline 4.17 hours · Performance 4.79 hours · Measure score 6 · Achievement 6 · Improvement 3.32
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.2% |
10.72%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 133 · Observed rate 16.54% · Lower 95% interval 9.89% |
| Discharge to community | 50.44% |
50.57%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 134 · Observed rate 47.01% · Lower 95% interval 44.15% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 77.94% |
95.27%
17.3 pts worse
|
Numerator 53 · Denominator 68 |
| Falls with major injury | 2.94% |
0.77%
2.2 pts worse
|
Numerator 2 · Denominator 68 |
| Discharge self-care score | 30.36% |
53.69%
23.3 pts worse
|
Numerator 17 · Denominator 56 |
| Discharge mobility score | 33.93% |
50.94%
17 pts worse
|
Numerator 19 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 68 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.15% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 80 · Observed rate 6.25% · Lower 95% interval 4.05% |
| Staff COVID-19 vaccination coverage | 5.63% |
8.2%
2.6 pts worse
|
Numerator 4 · Denominator 71 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 35.71% |
56.45%
20.7 pts worse
|
Numerator 20 · Denominator 56 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 90.24% |
96.28%
6 pts worse
|
Numerator 37 · Denominator 41 |
| Resident COVID-19 vaccinations up to date | 14.29% |
25.2%
10.9 pts worse
|
Numerator 5 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.1
0.1 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.3
0.1 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
84.8%
9 pts better
|
93.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.1% · Q3 90.9% · Q4 86.9% · 4Q avg 93.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
90.9%
2.9 pts better
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.5% |
4.1%
3.4 pts worse
|
3.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 9.6% · Q3 7.3% · Q4 3.3% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
14.7%
14.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
5.5%
0.1 pts worse
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.3% · Q3 2.1% · Q4 7.1% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
25.3%
2.7 pts better
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 23.9% · Q3 22.9% · Q4 23.2% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.1% |
25.0%
3.1 pts worse
|
16.7%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 26.8% · Q3 31.7% · Q4 26.1% · 4Q avg 28.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.4% |
20.3%
5.9 pts better
|
16.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 19.9% · Q3 8.4% · Q4 4.0% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
19.8%
7.7 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 15.2% · Q3 4.2% · Q4 16.4% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
1.4%
0.1 pts better
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 3.1% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.4% |
2.6%
1.8 pts worse
|
1.7%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.9% · Q3 5.6% · Q4 6.6% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.5% |
18.1%
6.6 pts better
|
19.8%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 12.4% · Q3 8.1% · Q4 15.5% · 4Q avg 11.5% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.0%
About the same
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 8.1% · Q3 4.9% · Q4 2.9% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 40.8% |
66.4%
25.6 pts worse
|
81.7%
40.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.7% · Q2 34.9% · Q3 27.8% · Q4 52.1% · 4Q avg 40.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
13.4%
0.3 pts better
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 11.5% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.1% |
63.5%
6.4 pts worse
|
79.7%
22.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.2% |
25.3%
10.9 pts worse
|
23.9%
12.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.2% · Observed 26.2% · Expected 17.3% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
23 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-30
Fire Safety
Meet other general requirements.
Corrected 2024-08-30
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-08-30
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-08-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-30
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-08-30
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-03-25
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-03-25
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-03-25
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-25
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-03-25
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-03-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-25
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-03-25
Fire Safety
Meet other general requirements.
Corrected 2023-03-25
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-03-25
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-25
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-03-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-03-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-03-25
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-25
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-03-25
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-03-25
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-25
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-25
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-03-25
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-03-25
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2019-10-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-10-11
Fire Safety
Use approved construction type or materials.
Corrected 2019-10-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-10-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-10-11
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-10-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-10-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-10-11
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-10-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-08-30
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-30
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-08-30
Health
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.
Corrected 2024-08-30
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-06-26
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-04
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-04
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-11-04
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-04-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-25
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-03-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-25
Health
Try 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.
Corrected 2023-03-25
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-03-25
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-10
Health
Regularly 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.
Corrected 2023-03-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-10-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-10-11
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-10-11
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-11
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-10-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-10-11
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-10-11
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-10-11
Health
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.
Corrected 2019-10-11
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Nearby options
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1-star overall rating with 1-star inspections with $93,208 in total fines with 21 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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Concordia, MO
4-star overall rating with 4-star inspections with $41,886 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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