The Living Center

The Living Center is an average-sized non-profit nursing home located in Marshall, Missouri. Featuring an overall score of D, this is a lower end nursing home. Based on our ratings, this facility likely isn't the best fit for most prospective residents. The best thing we can really say about this facility is that it didn't receive any F's in in any of the major categories. Additional information about these categories is available below.

While we were not high on this nursing home overall, we awarded it a B for our inspections category. This grade is far better than the nursing home's overall score. Perhaps the most important factor we look at in determining our inspection scores is deficiencies. These deficiencies can be found on a nursing home's inspection reports. It is typically in your best interest to avoid places that have too many deficiencies. This facility received 5 deficiencies on its inspection report, but fortunately none of the deficiencies were considered severe. This means that CMS did not consider any of these deficiencies to create an immediate risk to resident health or safety. A few minor deficiencies are not necessarily the end of the world.

Another one of this nursing home's better category grades was in the category of long-term care. In that category, we gave this nursing home a grade of B. It actually performed better than most nursing homes in this category. For prospective patients looking for a permanent place to live as opposed to rehabilitation, long-term care is a very important category. Even though we determined this nursing home has an above average amount of nursing hours provided by nurses aids and other nursing staff, we found its vaccination rate to be somewhat low. It administered the pneumonia vaccine to just 68.72038 percent of its residents. This is one figure we would really like to see this facility improve on. Lastly, we looked at the facility's number of hospitalizations. With 1.99 hospitalizations per 1,000 long-term resident days, this facility is just about middle of the road in this area.

The next category we assessed was short-term care, where this nursing home received a grade of C in this area. In the category of short-term care, we endeavor to assess indicators of a nursing home's rehabilitation. We assess a facility's skilled nursing services, including the ones performed by registered nurses and physical, occupational and other therapists. We found that this facility was below average in the two key staffing areas we assessed. It supplied fewer registered nurse and physical therapist hours per resident than most other facilities. It is important to determine whether this also correlates to a lower quality of care. The final metric we considered in this category is the percentage of residents who were able to leave the nursing home and return home. It performed more favorably in this metric. In fact, we found that it was above average in this area with 51.4 percent of its patients returning home.

The final area we looked at is nursing, proved to be this facility's weakest area. We gave this nursing home a grade of D in this area. Our nursing score is based on the nursing home's nurse staffing levels. We consider both the levels of skill of those nurses as well as the number of hours spent with patients. In this nursing home's case, quantity of care does not appear to be the problem. According to its staffing data, this nursing home provided an average of 4.4 hours of nursing care per patient per day, which was above the national average. Despite performing well in terms of nursing hours, this place didn't fare as well in the quality-based metrics we looked at in calculating our nursing grades. We looked at the percent of patients sustaining pressure ulcers and major falls. This nursing home was above the national average in both metrics.