CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Living Center, the is a 3-star Medicare and Medicaid certified nursing home in Marshall, Missouri with 99 certified beds. It has been operating since 1997. Its overall CMS rating is 3 out of 5.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assure that each resident’s assessment is updated at least once every 3 months.
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.
Protect each resident from the wrongful use of the resident's belongings or money.
Provide safe, appropriate pain management for a resident who requires such services.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FITZGIBBON HEALTH SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 6, 1995 |
| HAUG, DARIN | W-2 MANAGING EMPLOYEE | Individual | N/A | May 1, 2015 |
| LITTRELL, ANGELA | W-2 MANAGING EMPLOYEE | Individual | N/A | Jun 2, 2014 |
| HAUG, DARIN | CORPORATE DIRECTOR | Individual | N/A | May 1, 2015 |
| LITTRELL, ANGELA | CORPORATE OFFICER | Individual | N/A | Sep 1, 2018 |
| JOHN FITZGIBBON MEMORIAL HOSPITAL INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 5, 1995 |
| HEARTING, DELMA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2022 |
Compare CMS ratings and recorded fines for Living Center, the and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.