Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LIVING CENTER, THE

MARSHALL, MO · 99 certified beds · Last Life Safety survey July 18, 2024

CMS Certification Number 265688 · first certified November 1997

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

42 citations — more than 94% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 17. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (September 2025 to April 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was July 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 42 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 42 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0909 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.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	42
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
July 25, 2019	11
February 9, 2023	23
July 18, 2024	8

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2024-07-18
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	3	2024-07-18
K-0363	Install corridor and hallway doors that block smoke.	3	2024-07-18
K-0100	Meet other general requirements.	2	2024-07-18
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2023-02-09
K-0222	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.	2	2024-07-18
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	2	2024-07-18
K-0311	Have an enclosure around a vertical opening shaft.	2	2024-07-18

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Emergency Preparedness Deficiencies 8
Miscellaneous Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 6
Other 7

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Emergency Preparedness Deficiencies	8
Miscellaneous Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	6
Construction Deficiencies	4
Egress Deficiencies	3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 18, 2024 — 8 citations

Citations issued on July 18, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (August 30, 2024)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (August 30, 2024)
K-0222	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.	Deficient, Provider has date of correction (August 30, 2024)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (August 30, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 30, 2024)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (August 30, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 30, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 30, 2024)

February 9, 2023 — 23 citations

Citations issued on February 9, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (March 25, 2023)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (March 25, 2023)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (March 25, 2023)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (March 25, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (March 25, 2023)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (March 25, 2023)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (March 25, 2023)
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	Deficient, Provider has date of correction (March 25, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 25, 2023)
K-0222	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.	Deficient, Provider has date of correction (March 25, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (March 25, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (March 25, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 25, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 25, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (March 25, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 25, 2023)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (March 25, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 25, 2023)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (March 25, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 25, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 25, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 25, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (March 25, 2023)

July 25, 2019 — 11 citations

Citations issued on July 25, 2019
Tag	What the surveyor checks	Status
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (October 11, 2019)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (October 11, 2019)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 11, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 11, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 11, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 11, 2019)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (October 11, 2019)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 11, 2019)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Waiver has been granted (August 30, 2019)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (October 11, 2019)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 11, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.