Quick answers
- Where is The Living Center?
- 2506 Linden Tree Parkway, Marshall, MO 65340, in Saline County, Missouri.
- What is the phone number of The Living Center?
- (660) 886-9676, as listed by Medicare (CMS).
- What is the Medicare star rating of The Living Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has The Living Center been fined?
- Medicare lists no fines for The Living Center.
- What did inspectors find at The Living Center?
- In its last three inspection cycles (July 25, 2019 to July 28, 2026), Medicare lists 28 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (July 25, 2019 to July 28, 2026), The Living Center had 28 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.95 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 18, 2024 — 7 health citations
Inspections in this cycle: July 18, 2024 (standard health inspection); July 28, 2026 (complaint investigation).
Show 7 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0638 Level E
“Assure that each resident’s assessment is updated at least once every 3 months.”
F0758 Level E
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0742 Level D
“Provide 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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
Previous cycle: February 9, 2023 — 12 health citations
Inspections in this cycle: February 9, 2023 (standard health inspection); July 9, 2025 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 10 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0700 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0909 Level E
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Earlier cycle: July 25, 2019 — 9 health citations
Inspections in this cycle: July 25, 2019 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0883 Level E
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0758 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (42)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0100 Level E
“Meet other general requirements.”
K0222 Level E
“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.”
K0311 Level E
“Have an enclosure around a vertical opening shaft.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
E0004 Level C
“Develop and maintain an Emergency Preparedness Program (EP).”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
E0034 Level F
“Provide a means of sharing information on occupancy/needs.”
K0311 Level F
“Have an enclosure around a vertical opening shaft.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0020 Level E
“Establish policies and procedures including evacuation.”
K0100 Level E
“Meet other general requirements.”
K0131 Level E
“Meet requirements for sections of health care facilities separated by fire resistive construction.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level E
“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.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0711 Level E
“Provide a written emergency evacuation plan.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0761 Level E
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0921 Level E
“Ensure that testing and maintenance of electrical equipment is performed.”
E0018 Level F
“Establish procedures for tracking staff and patients during an emergency.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0161 Level E
“Use approved construction type or materials.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0911 Level E
“Meet requirements for the installation and maintenance of electrical systems.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
2 more fire safety citations are not listed here.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.48 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.02 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.46 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.95 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.48 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.19 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 38.2% | 56.9% | 45.3% |
| RN turnover (per year) | 11.1% | 50.0% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Fitzgibbon Health Services.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Fitzgibbon Health Services | Direct owner | 100% | July 6, 1995 |
| John Fitzgibbon Memorial Hospital Inc | Management company (operational or managerial control) | NOT APPLICABLE | July 5, 1995 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 65.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | Fitzgibbon Health Services |
| First approved by Medicare/Medicaid | 1997-11-25 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 2506 Linden Tree Parkway, Marshall, MO 65340 |
| County | Saline County |
| State | Missouri |
| Phone | (660) 886‑9676 |
| CMS Certification Number | 265688 |
| Name in Medicare records | LIVING CENTER, THE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Legendary Health Care Center1.9 mi · Marshall, MO · 1 of 5 stars
- Apple Ridge Care Center18 mi · Waverly, MO · 1 of 5 stars
- Lutheran Nursing Home20 mi · Concordia, MO · 4 of 5 stars
- Katy Manor22 mi · Pilot Grove, MO · 5 of 5 stars
- Glasgow Gardens22 mi · Glasgow, MO · 3 of 5 stars
Nearest hospital emergency rooms
- Fitzgibbon Hospital0.1 mi · Marshall, MO · Acute Care Hospital
- Carroll County Memorial Hospital25 mi · Carrollton, MO · Critical Access Hospital
- Bothwell Regional Health Center27 mi · Sedalia, MO · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13