Nursing homes › Missouri › Legendary Health Care Center
809 East Gordon St, Marshall, MO 65340 · (660) 886-2247 · 92 certified beds
Save this provider to compare the same published fields across up to four providers of the same care type.
Open your comparisonCMS overall star rating: this provider 1/5; median among 479 providers with a published value in the same state and provider category: 2/5.
CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.
How to compare records without mistaking missing data for good performance →
Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 34 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $5,105,230 in federal fines. This facility rates below its group average (1.2/5).
Total nurse staffing: 2.75 (Missouri median: 3.36). RN hours: 0.33. Weekend total: 2.31.
In the downloaded CMS dataset: 42 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-07 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | complaint | corrected 2026-01-26 |
| 2026-01-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-01-26 |
| 2025-05-20 | Provide care or services that was trauma informed and/or culturally competent. | G | Health | corrected 2025-07-04 |
| 2025-05-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-07-04 |
| 2025-05-20 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-07-04 |
| 2025-05-20 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Health | corrected 2025-07-04 |
| 2025-05-20 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Health | corrected 2025-07-04 |
| 2025-05-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-07-04 |
| 2025-05-20 | 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. | E | Health | corrected 2025-07-04 |
| 2025-05-20 | Keep all essential equipment working safely. | E | Health | corrected 2025-07-04 |
| 2025-05-20 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2025-07-04 |
| 2025-05-20 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-07-04 |
| 2025-05-20 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-07-04 |
| 2025-05-20 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-07-04 |
| 2025-05-20 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Health | corrected 2025-07-04 |
| 2025-05-20 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Health | corrected 2025-07-04 |
| 2025-05-20 | Give residents a notice of rights, rules, services and charges. | C | Health | corrected 2025-07-04 |
| 2025-05-20 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Health | corrected 2025-07-04 |
| 2025-05-20 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2025-07-04 |
| 2025-05-20 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Health | corrected 2025-07-04 |
| 2025-03-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-03-05 |
| 2023-11-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2023-12-14 |
| 2023-10-12 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | complaint | corrected 2023-11-03 |
| 2023-08-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-09-25 |
| 2023-08-11 | Provide and implement an infection prevention and control program. | F | Health | corrected 2023-11-03 |
| 2023-08-11 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Health | corrected 2023-09-25 |
| 2023-08-11 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Health | corrected 2023-09-25 |
| 2023-08-11 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Health | corrected 2023-09-25 |
| 2023-08-11 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Health | corrected 2023-09-25 |
| 2023-08-11 | 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. | E | Health | corrected 2023-09-25 |
| 2023-08-11 | 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. | E | Health | corrected 2023-11-03 |
| 2023-08-11 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Health | corrected 2023-09-25 |
| 2023-08-11 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-09-25 |
| 2023-08-11 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-09-25 |
| 2023-08-11 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2023-09-25 |
| 2023-08-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-09-25 |
| 2023-08-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-12-14 |
| 2023-08-11 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2023-09-25 |
| 2023-08-11 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Health | corrected 2023-11-03 |
| 2023-08-11 | Assure the security of all personal funds of residents deposited with the facility. | C | Health | corrected 2023-09-25 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-20 | Fine | $55,443 |
| 2025-05-20 | Payment Denial | 8 days payment denial |
| 2025-03-04 | Fine | $37,765 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RELIANT CARE GROUP LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/15/2025 |
| RCG INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/15/2025 |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/15/2025 |
| DESTEFANE, RICHARD | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/15/2025 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/15/2025 |
| ARSHAD, ABDULLAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2025 |
| DESTEFANE, RICHARD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2025 |
| WASHBURN, TROY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2025 |
How to cite this page: CareRecords, “Legendary Health Care Center — compliance, penalty and ownership record” (CCN 265508), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/legendary-health-care-center-marshall-mo/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265508. Corrections: data@carerecords.org.