Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Living Center, The during CMS and state inspections, most recent first.
A deficiency was cited when an area of the facility was found to contain accident hazards and lacked adequate supervision to prevent accidents. The environment did not meet required safety standards, resulting in insufficient oversight.
The facility failed to maintain cleanliness and proper storage practices for ice machines and food items, leading to several deficiencies. Observations revealed debris buildup in ice machines, improper storage of ice scoops, and inadequate air gap in the refreshment area ice machine. Additionally, two refrigerators consistently recorded temperatures above the acceptable range, storing perishable items without corrective action. Interviews indicated a lack of awareness and communication among staff regarding these issues.
The facility failed to complete MDS assessments within the required timeframe for several residents. The MDS coordinator fell behind due to covering additional duties, resulting in assessments being completed late. The DON and administrator were unaware of the required timeframes, and the facility lacked a specific policy for MDS completion.
The facility failed to document appropriate diagnoses or behaviors to justify the continued use of antipsychotic medications for several residents. Despite recommendations for dose reductions, physicians disagreed without providing rationale. Additionally, the facility did not complete 14-day reviews for PRN lorazepam use, lacking documentation for extended use.
A resident's phone was taken by a CNA, who attempted to make unauthorized purchases using the resident's online shopping account. The CNA changed the phone account password and added their address to the shopping account. The resident's family discovered the issue, leading to police involvement and the cancellation of the transaction.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which resulted in the presence of accident hazards and insufficient oversight to prevent potential incidents. No additional details regarding the specific hazards, the individuals involved, or their medical conditions at the time of the deficiency are provided in the report.
Deficiencies in Ice Machine Cleanliness and Refrigerator Temperature Control
Penalty
Summary
The facility failed to maintain cleanliness and proper storage practices for ice machines and food items, leading to several deficiencies. Observations revealed that two ice machines had a buildup of debris, and the ice scoop was improperly stored, making direct contact with soiled surfaces. Additionally, the refreshment area ice machine lacked an adequate air gap, and the drain was directly connected to the sink drain, which is against the facility's policy. These issues were not addressed despite the facility's policy requiring regular cleaning and maintenance of ice machines. The facility also failed to maintain appropriate temperatures in two refrigerators used for storing food items. The temperature logs showed that the refrigerators consistently recorded temperatures above the acceptable range, with one refrigerator reaching up to 60 degrees Fahrenheit. Despite these readings, the refrigerators continued to store perishable items such as eggs, salads, and beverages. The Dietary Director and the Director of Facilities Maintenance were unaware of the high temperatures, and no immediate action was taken to address the malfunctioning units. Interviews with facility staff revealed a lack of awareness and communication regarding the maintenance issues. The Dietary Supervisor, who had been in the position for two weeks, was not informed about the high temperatures in the kitchen refrigerator or the presence of an ice machine in the central refreshment area. The Director of Facilities Maintenance was also unaware of the debris buildup in the ice machines and the temperature issues with the refrigerators. This lack of awareness and communication contributed to the ongoing deficiencies in maintaining proper food safety standards.
Failure to Complete MDS Assessments Timely
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessments were completed within the federally mandated time frame for several residents. Specifically, the MDS assessments for five residents were not completed within the required 14 days after the Assessment Reference Date (ARD). The facility's census was 69, and the deficiency was identified during interviews and record reviews. The MDS coordinator, who was responsible for completing the assessments, admitted to falling behind due to covering for another coordinator on medical leave and additional duties on the floor during staff turnover. The coordinator acknowledged that the MDS assessments should be completed within 14 days of the ARD, as per the Resident Assessment Instrument (RAI) manual. However, the assessments for the sampled residents were completed late, ranging from 1 to 37 days past the required timeframe. Interviews with the Director of Nursing (DON) and the administrator revealed a lack of awareness and understanding of the MDS completion process and the required timeframes. The DON was not familiar with the RAI manual and only signed off on the completed assessments, while the administrator recently became aware of the delays in MDS completion. The facility did not have a specific policy related to MDS completion, relying solely on the RAI manual for guidance.
Inadequate Documentation for Psychotropic Medication Use
Penalty
Summary
The facility failed to adequately document appropriate diagnoses or resident behaviors to justify the continued use of antipsychotic medications for several residents. For Resident #56, the facility administered quetiapine for insomnia without a documented diagnosis supporting its use. Despite recommendations from the consulting pharmacist for a gradual dose reduction, the attending physician disagreed without providing a clear rationale. The resident's records showed no documentation of behaviors related to dementia without behavioral disturbance, and observations indicated the resident was generally cooperative and calm. Resident #12 was prescribed quetiapine for dementia with anxiety, but the diagnosis of anxiety was not considered appropriate for the medication. The physician disagreed with the pharmacist's recommendation for a dose reduction without providing a rationale. The resident's care plan indicated the use of antipsychotic medication for anxiety and sleep, but there was no documented psychiatric diagnosis to support the continued use of the medication at the current dose. For Resident #34, the facility continued the use of risperidone and fluoxetine without documented justification for their continued use at the current doses. The physician disagreed with the pharmacist's recommendation for a dose reduction but did not provide a rationale. The resident's care plan and observations showed no documented behaviors that would justify the use of these medications. Additionally, the facility failed to complete a 14-day review for the PRN use of lorazepam for several residents, including Residents #42, #57, and #63, without documented rationale for extending the use beyond the 14-day stop date.
Misappropriation of Resident's Property by CNA
Penalty
Summary
The facility failed to protect a resident from the misappropriation of property when a Certified Nurse Aide (CNA) took the resident's cellular phone and attempted to make unauthorized charges to the resident's online shopping account. The incident involved a resident who was his/her own responsible party and had been readmitted to the facility. The CNA changed the password on the resident's cellular phone account and added their home address to the resident's online shopping account, attempting to purchase items worth approximately $200. The resident's family member discovered the unauthorized changes and purchases, which led to the cancellation of the transaction before it was completed. The incident was reported to the facility administrator after the resident's family member noticed the changes and missing phone. The family member had been unable to locate the phone using the 'Find my Phone' app and reported the issue to the facility. The police were involved, and a report was filed, indicating probable cause that the CNA committed a criminal offense. The resident was unaware of who took the phone and did not notice it was missing until the family member inquired about it. The CNA worked the night shift on the resident's hall when the phone went missing.
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Illustrative
What surveyors actually found near you
We read the 14 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Marshall
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Legendary Health Care Center | 1.9 mi | ★★★★★ | 2 | 0 |
| Apple Ridge Care Center | 18.2 mi | ★★★★★ | 5 | 0 |
| Lutheran Nursing Home | 20.5 mi | ★★★★★ | 4 | 0 |
| Katy Manor | 22.2 mi | ★★★★★ | 0 | 0 |
| Glasgow Gardens | 22.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.