Marshfield, MO

Marshfield Care Center For Rehab And Healthcare

1-star overall rating with 2-star inspections with 19 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

800 South White Oak, Marshfield, MO

(417) 859-3701

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Prime Healthcare Management

Operator or chain grouping

Approved since

1994-06-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 1 overall / 2 health / 1 staffing / 2 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.19

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.10

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.04

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.61

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.19

CMS adjusted RN staffing hours

Adjusted total hours

3.11

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

78%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,105

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

13.86

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.66

Baseline 78.26% · Performance 61.36% · Measure score 2.66 · Achievement 0.57 · Improvement 2.66

Adjusted total nurse staffing

0.11

Baseline 2.80 hours · Performance 2.99 hours · Measure score 0.11 · Achievement 0 · Improvement 0.11

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.55%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 15.22% · Lower 95% interval 7.28%
Discharge to community	47.83%	50.57% 2.7 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 42.86% · Lower 95% interval 29.87%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	86.67%	95.27% 8.6 pts worse	Numerator 26 · Denominator 30
Falls with major injury	3.33%	0.77% 2.6 pts worse	Numerator 1 · Denominator 30
Discharge self-care score	45%	53.69% 8.7 pts worse	Numerator 9 · Denominator 20
Discharge mobility score	45%	50.94% 5.9 pts worse	Numerator 9 · Denominator 20
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 30 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	45%	56.45% 11.5 pts worse	Numerator 9 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.0	2.1 0.9 pts worse	1.9 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.4 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.3 0.6 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	80.6%	84.8% 4.2 pts worse	93.4% 12.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 100.0% · Q3 81.6% · Q4 39.5% · 4Q avg 80.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	74.5%	90.9% 16.4 pts worse	95.5% 21 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 74.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	4.1% 0.3 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 0.0% · Q3 2.6% · Q4 10.5% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	11.4%	14.7% 3.3 pts better	11.4% About the same	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 6.2% · Q3 12.9% · Q4 15.6% · 4Q avg 11.4%
Percentage of long-stay residents who lose too much weight	4.7%	5.5% 0.8 pts better	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.7% · Q3 6.1% · Q4 3.6% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.5%	25.3% 0.8 pts better	19.6% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 26.3% · Q3 22.9% · Q4 20.0% · 4Q avg 24.5%
Percentage of long-stay residents who received an antipsychotic medication	17.9%	25.0% 7.1 pts better	16.7% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 10.3% · Q3 18.5% · Q4 23.8% · 4Q avg 17.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.6%	0.0% 0.6 pts worse	0.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 0.6%
Percentage of long-stay residents whose ability to walk independently worsened	19.9%	20.3% 0.4 pts better	16.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.1%	19.8% 2.7 pts better	14.9% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.1% · Q3 12.9% · Q4 37.9% · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.7%	1.4% 1.3 pts worse	1.0% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	2.6% 1.3 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.0%	18.1% 6.1 pts better	19.8% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 2.8% · Q3 8.6% · Q4 19.8% · 4Q avg 12.0%
Percentage of long-stay residents with pressure ulcers	4.0%	5.0% 1 pts better	5.1% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 3.1% · Q3 2.5% · Q4 3.7% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	70.1%	66.4% 3.7 pts better	81.7% 11.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 85.5% · Q3 67.7% · Q4 40.5% · 4Q avg 70.1%
Percentage of short-stay residents who had an outpatient emergency department visit	13.6%	13.4% 0.2 pts worse	12.0% 1.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 13.0% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	2.2% About the same	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 2.4% · Q4 2.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	46.6%	63.5% 16.9 pts worse	79.7% 33.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 46.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.2%	25.3% 0.1 pts better	23.9% 1.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 21.7% · Expected 20.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-01 · Fire 2024-08-01

19 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-10-24 · Fire 2022-10-24

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-11-07 · Fire 2019-11-07

12 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-01

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-09-15

F · Potential for more than minimal harm 2024-08-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-31

F · Potential for more than minimal harm 2024-08-01

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-08-29

F · Potential for more than minimal harm 2024-08-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-15

F · Potential for more than minimal harm 2024-08-01

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-09-15

F · Potential for more than minimal harm 2024-08-01

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-08-01

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-15

E · Potential for more than minimal harm 2024-08-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-15

F · Potential for more than minimal harm 2022-10-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-12-08

F · Potential for more than minimal harm 2022-10-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-12-08

E · Potential for more than minimal harm 2022-10-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-12-08

E · Potential for more than minimal harm 2022-10-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-12-08

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-18

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-01-09

E · Potential for more than minimal harm 2025-11-24

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-12-05

E · Potential for more than minimal harm 2025-11-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-12-05

E · Potential for more than minimal harm 2025-11-21

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-11-21

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-11-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-15

E · Potential for more than minimal harm 2025-09-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-07-09

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-07-11

G · Actual harm 2025-05-16

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-27

E · Potential for more than minimal harm 2025-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-05-16

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-07-11

F · Potential for more than minimal harm 2025-03-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-01-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-01-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-03-03

F · Potential for more than minimal harm 2024-08-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-08-01

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-08-01

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-08-01

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-01

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-01

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-09-06

F · Potential for more than minimal harm 2022-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-08

E · Potential for more than minimal harm 2022-10-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-12-08

E · Potential for more than minimal harm 2022-10-24

F700 · Quality of Life and Care Deficiencies

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 2022-12-08

E · Potential for more than minimal harm 2022-10-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-10-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-10-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-10-24

F690 · Quality of Life and Care Deficiencies

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 2022-12-08

D · Potential for more than minimal harm 2022-10-24

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-10-24

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-10-24

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-10-24

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-12-08

E · Potential for more than minimal harm 2019-11-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-12-22

E · Potential for more than minimal harm 2019-11-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-12-22

E · Potential for more than minimal harm 2019-11-07

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-12-22

E · Potential for more than minimal harm 2019-11-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-12-22

E · Potential for more than minimal harm 2019-11-07