Missouri ›Marshall

Legendary Health Care Center

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809 East Gordon St, Marshall, MO 65340 (opens Google Maps) · Saline County · (660) 886-2247· 92 certified beds · avg 42 residents/day · certified since Sep 4, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: RELIANT CARE MANAGEMENT (34 facilities, chain avg rating 1.2★)

1/5
Health inspection rating (on-site)
inspected May 20, 2025
2
Serious findings on record
most recent May 20, 2025
$93,208
Fines, last 3 years
2.23
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Mar 4, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 5, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · May 20, 2025 · F-0699

The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.

Why it matters: Care that ignores a resident's trauma or culture can cause distress and damage their trust in caregivers.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 4, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 42 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint F-0835

  2. D · Potential for more than minimal harm, isolated

    The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint F-0658

  3. G · Actual harm, isolated

    The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. F-0699

View all 42 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jan 7, 2026E · Potential for more than minimal harm, patternThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Jan 7, 2026D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
May 20, 2025▲ G · Actual harm, isolatedThe facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · F-0699
May 20, 2025F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 20, 2025F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 20, 2025E · Potential for more than minimal harm, patternThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · F-0568
May 20, 2025E · Potential for more than minimal harm, patternThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
May 20, 2025E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
May 20, 2025E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 20, 2025E · Potential for more than minimal harm, patternThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
May 20, 2025E · Potential for more than minimal harm, patternThe facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · F-0728
May 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. · F-0729
May 20, 2025C · Potential for minimal harm, widespreadThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
May 20, 2025C · Potential for minimal harm, widespreadThe facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. · F-0575
May 20, 2025C · Potential for minimal harm, widespreadThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
May 20, 2025B · Potential for minimal harm, patternThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Mar 4, 2025▲ J · Immediate jeopardy, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Nov 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Oct 12, 2023D · Potential for more than minimal harm, isolatedThe facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint · F-0808
Aug 11, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 11, 2023F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · F-0576
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Aug 11, 2023E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Aug 11, 2023D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Aug 11, 2023D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Aug 11, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Aug 11, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 11, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Aug 11, 2023D · Potential for more than minimal harm, isolatedThe facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · F-0808
Aug 11, 2023C · Potential for minimal harm, widespreadThe facility did not properly protect the personal money residents deposited with it for safekeeping. · F-0570
Dec 3, 2019D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Dec 3, 2019D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (17 → 18).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 2
Serious citations (G–L): 0
2023
All citations: 19
Serious citations (G–L): 0
2025
All citations: 19
Serious citations (G–L): 2
2026
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201920D
2023190F
2025192J ▲
202620E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $93,208, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
May 20, 2025Fine$55,443
May 20, 2025Payment Denial8 days from Jun 26, 2025
Mar 4, 2025Fine$37,765

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.23
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.27
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 1.88
Missouri average: 3.22
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMissouri avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.233.663.95bottom 9% in Missouri; bottom 2% in the U.S.
Registered Nurse hours0.270.490.69bottom 21% in Missouri; bottom 7% in the U.S.
Weekend total nurse staffing1.883.223.50bottom 8% in Missouri; bottom 1% in the U.S.
Weekend RN hours (not acuity-adjusted)0.240.330.48bottom 40% in Missouri; bottom 19% in the U.S.
Total nursing staff turnover (%)—56.045.8—
RN turnover (%)—47.842.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.75, RN 0.33, weekend 2.31.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.75 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Legendary Health Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company · changed ownership in the last 12 months

Owner / managerTypeRoleStakeSince
Destefane, RichardIndividualIndirect Ownership InterestNOT APPLICABLE08/15/2025
RCG INCOrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2025
Reliant Care Group LLCOrganizationDirect Ownership InterestNOT APPLICABLE08/15/2025
Richard J. Destefane Revocable Living TrustOrganizationIndirect Ownership InterestNOT APPLICABLE08/15/2025
Arshad, AbdullahIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2025
Arshad, AbdullahIndividualADP of the SNFNOT APPLICABLE08/15/2025
Destefane, RichardIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2025
Destefane, RichardIndividualADP of the SNFNOT APPLICABLE08/15/2025
Legendary Re Associates, L.L.C.OrganizationADP of the SNFNOT APPLICABLE08/15/2025
Reliant Care Management Company LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/15/2025
Reliant Care Management Company LLCOrganizationADP of the SNFNOT APPLICABLE08/28/2025
Richard J. Destefane Revocable Living TrustOrganizationADP of the SNFNOT APPLICABLE08/15/2025
TLG II LLPOrganizationADP of the SNFNOT APPLICABLE08/15/2025
Washburn, TroyIndividualOperational/Managerial ControlNOT APPLICABLE08/15/2025
Washburn, TroyIndividualADP of the SNFNOT APPLICABLE08/15/2025

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Reliant Care Management — 34 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 33 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How do you learn about each resident's background and history, and how does that shape their care?"
  • "What were the findings behind this administration citation, and what has leadership changed since?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "How do you manage residents' personal funds, and how often do families receive an accounting?"
  • "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Missouri midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS records an ownership change here in the last 12 months — what changed for residents and staff?"
  • "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Living Center, the1.9 miMarshall, MO★★★☆☆3/5
Apple Ridge Care Center19.2 miWaverly, MO★☆☆☆☆2/5

Compare this facility with the 2 closest →

All facilities in Marshall →

Facility data as of CMS processing date 2026-08-01. CCN 265508.

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