Senior Home Review
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Nursing homeFAID #7285

The Living Center

2506 LINDEN TREE PARKWAY, MARSHALL, MO, 65340
(660) 886-9676
99 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
99
State license
053395
CMS facility ID
265688
Care type
Nursing home
Facility name
The Living Center
Street address
2506 LINDEN TREE PARKWAY
City / state / ZIP
Marshall, MO 65340
Phone
(660) 886-9676
State license #
053395

The Living Center is a Medicare/Medicaid-certified skilled nursing facility in Marshall, Missouri. It is licensed for 99 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 12 senior care facilities in Marshall and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Living Center 71 times across 8 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Fitzgibbon Health Services
Ownership type
Non profit - Corporation
Administrator
Misty Teel

Registered owners & officers

Fitzgibbon Health Services
Direct owner — 100% stake — since 1995
Haug, Darin
Managing employee · Director — since 2015
Hearting, Delma
Operational control — since 2022
John Fitzgibbon Memorial Hospital Inc
Operational control — since 1995
Littrell, Angela
Managing employee · Officer — since 2014

Regulatory standing

Licensed / certified since
1997-11-25
License expires
2027-11-24
CMS overall rating
3 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2024-07-18
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$264 per day (≈ $8,030/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
53% Medicaid · 6% Medicare · 41% private/other
Occupancy
65% (fiscal year 2024)
Vs. state median
3% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
99
Licensed as
SNF
Memory care
Yes — dedicated memory care
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-07-09Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-28
2024-07-18Health inspection4 citations
F-0602
D · No harm found
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-06-26
F-0638
E · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-08-30
F-0758
E · No harm found
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.
Corrected 2024-08-30
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-30
6 earlier / fire-safety inspections (66 citations)
2023-09-21Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-04
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-11-04
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-04
F-0744
D · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-11-04
2023-02-09Health inspection11 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-03-25
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-25
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-25
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-25
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-25
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-04-10
F-0700
E · No harm found
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.
Corrected 2023-03-25
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-03-25
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-25
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-04-10
F-0909
E · No harm found
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.
Corrected 2023-03-25
2019-07-25Health inspection9 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-10-11
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-10-11
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-10-11
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-10-11
F-0758
D · No harm found
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.
Corrected 2019-10-11
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-10-11
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-10-11
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-10-11
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-10-11
2024-07-18Fire-safety inspection8 citations
E-0004
C · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-08-30
K-0100
E · No harm found
Meet other general requirements.
Corrected 2024-08-30
K-0222
E · No harm found
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.
Corrected 2024-08-30
K-0311
E · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2024-08-30
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-08-30
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-08-30
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-08-30
2023-02-09Fire-safety inspection23 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-25
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-03-25
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2023-03-25
E-0020
E · No harm found
Establish policies and procedures including evacuation.
Corrected 2023-03-25
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2023-03-25
E-0034
F · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2023-03-25
K-0100
E · No harm found
Meet other general requirements.
Corrected 2023-03-25
K-0131
E · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-03-25
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-25
K-0222
E · No harm found
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.
Corrected 2023-03-25
K-0311
F · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2023-03-25
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-03-25
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-25
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-03-25
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-25
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-03-25
K-0711
E · No harm found
Provide a written emergency evacuation plan.
Corrected 2023-03-25
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-03-25
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-25
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-25
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-25
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-03-25
K-0921
E · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-03-25
2019-07-25Fire-safety inspection11 citations
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2019-10-11
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2019-10-11
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-10-11
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-11
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-10-11
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-10-11
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-10-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2019-10-11
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-08-30
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-10-11
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-10-11
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265688.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 71 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered