LEGENDARY HEALTH CARE CENTER

Saline · MO · For profit - Limited Liability company · RELIANT CARE MANAGEMENT chain · 92 certified beds · CCN 265508 · LEGENDARY HEALTH CARE CENTER, L.L.C.


LEGENDARY HEALTH CARE CENTER operates 92 certified beds in MARSHALL, Missouri. Its Medicare and Medicaid certification dates to 1992-09-04. It averages 41.9 residents a day.

What harm was found in the violations cited at LEGENDARY HEALTH CARE CENTER?

CMS lists 42 health-inspection deficiencies for LEGENDARY HEALTH CARE CENTER since 2019-12-03, 40 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-07.

Survey dateTagDeficiencySeverity
2026-01-07F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E
2026-01-07F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-05-20F0699Provide care or services that was trauma informed and/or culturally competent.G
2025-05-20F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2025-05-20F0568, F0585, F0656, F0761, F0908, F0947Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Keep all essential equipment working safely. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2025-05-20F0558, F0605, F0658, F0728, F0729Reasonably accommodate the needs and preferences of each resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.D
2025-05-20F0572, F0575, F0577Give residents a notice of rights, rules, services and charges. / Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2025-05-20F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B
2025-03-04F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2023-11-16F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-10-12F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D
2023-08-11F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2023-08-11F0561, F0576, F0584, F0727, F0758, F0761, F0803, F0804Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / 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. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-08-11F0550, F0623, F0684, F0689, F0697, F0808Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D
2023-08-11F0570Assure the security of all personal funds of residents deposited with the facility.C
2019-12-03F0658, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.D

Why was LEGENDARY HEALTH CARE CENTER fined 2 times?

DateTypeAmount
2025-05-20Fine$55,443
2025-03-04Fine$37,765

Has LEGENDARY HEALTH CARE CENTER had payment denied by Medicare?

Payment denial startLength in days
2025-06-268

How is LEGENDARY HEALTH CARE CENTER staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day2.745483.43324
Average number of residents per day41.973.0

Who owns LEGENDARY HEALTH CARE CENTER, and what chain is it in?

LEGENDARY HEALTH CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name LEGENDARY HEALTH CARE CENTER, L.L.C. and belongs to the RELIANT CARE MANAGEMENT chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTRELIANT CARE GROUP LLCsince 08/15/2025
INDIRECT OWNERSHIP INTERESTRCG INC, RICHARD J. DESTEFANE REVOCABLE LIVING TRUST, DESTEFANE, RICHARDsince 08/15/2025
OPERATIONAL/MANAGERIAL CONTROLRELIANT CARE MANAGEMENT COMPANY LLC, ARSHAD, ABDULLAH, DESTEFANE, RICHARD, WASHBURN, TROYsince 08/15/2025
ADP OF THE SNFLEGENDARY RE ASSOCIATES, L.L.C., RELIANT CARE MANAGEMENT COMPANY LLC, RICHARD J. DESTEFANE REVOCABLE LIVING TRUST, TLG II LLP, ARSHAD, ABDULLAH, DESTEFANE, RICHARD, WASHBURN, TROYsince 08/15/2025

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