The Living Center
2506 Linden Tree Parkway, PO Box 370, Marshall MO 65340 · (660) 886-9676 · 66.46% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
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.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 99 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
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.
Long-term Care Quality
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.
Short-term Care Quality
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.
Nurse Quality
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.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Living Center Quality Metrics
Minimizes Pressure Ulcers
This metric measures the percentage of long-term stay patients which suffered from pressure ulcers . We use this statistic in calculating our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of residents who have had a major fall. Falls resulting in severe injury are often caused by poor nursing care. Better nursing protocols limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percentage of patients that sustained a urinary tract infection. UTI's are considered to be an indicator of the quality of nursing care . UTI's are often associated with lower quality nursing care. Nevertheless, this datapoint can also be skewed for some facilities due to varying reporting standards for these infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients who were given antipsychotic drugs. These medications may be used for several medical conditions, such as dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This datapoint indicates the percentage of long-term stay patients which were administered antianxiety medication. These drugs are generally prescribed to residents suffering from depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percent of long-term stay patients demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percentage of residents who were administered the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percentage of long-term patients that needed more assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating. Many in the industry believe that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint is a measure of the percent of long-term stay patients who remained mobile levels. Many in the industry believe that mobility is vital to patients mental and physical health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric tracks the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is key to maintaining the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of rehospitalizations per 1,000 days of short-term patient care. There is generally a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per thousand days of short-term care. There is typically a correlation between keeping patients out of the emergency room and the quality of nursing home care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percentage of short-term patients that saw functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of performance with ADL's generally correlates with higher quality rehabilitation services.
Percentage of Resident
Higher is Better