Legendary Health Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 13 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (21 vs median 10)
Bottom 25% in MO · Critically understaffed (RN) · Significantly below average staffing · $93,208 in fines
What this means for your family
Recent reviews indicate a concerning trend regarding resident safety, hygiene, and staff responsiveness. We strongly advise families to conduct unannounced visits and specifically monitor the facility's response times to call lights and the quality of daily care provided to residents.
Google Reviews
Google Reviews
13 reviews on Google“Legendary Health Care Center receives highly polarized feedback, with recent reviews highlighting severe concerns regarding neglect, hygiene, and inadequate medical oversight. While some visitors praise the facility's cleanliness and staff attentiveness, multiple families have reported dangerous delays in response times and failures in basic care, such as hygiene and medical appointment management.”
Quality Themes
Tap a score for detailsStrengths
- Clean, small facility environment
- Regular church services and fellowship
- Some staff noted as caring and attentive
Concerns
- Slow response times to call lights (mentioned by 2 reviewers)
- Poor hygiene and lack of bathing for residents (mentioned by 2 reviewers)
- Inadequate medical oversight and neglect (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 15 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the current staffing levels, what specific systems are in place to ensure call lights are answered promptly and residents receive timely assistance?
- 2Can you walk me through your current protocols for hygiene and bathing to ensure every resident receives consistent, high-quality personal care?
- 3With the facility's focus on fellowship, how do you integrate the church services and social activities into the daily routine for residents who may have higher care needs?
- 4What steps is the leadership team taking to improve medication management and medical oversight to ensure the safety and health of all residents?
- 5How does your nursing team communicate changes in a resident's health status or care plan to family members to ensure we are always kept in the loop?
- 6What specific training or support are you providing to your staff to ensure they feel equipped to provide the attentive care that is so important to our family?
Personalized based on this facility's data
Key Review Excerpts
“They took 30 minutes to an hour before getting our mom on the bedpan everyday, which resulted in uti's and kidney infections. They also neglected to take our mom to her kidney Dr.”
“Very dirty place, the residents goes days without baths. Some of the residents are treated very poorly as well some of the nurses let the CNA pass their meds narcotics and all because they are lazy.”
“Call light and urinal was not in place for loved one to reach. Additionally call light was extremely long. Therefore loved one could pull on it multiple times without it actually calling the nurses station.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
6
measures
7
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Recent complaint investigations found deficiencies in treatment quality, facility management, accident prevention, and dietary care, indicating families have raised concerns about care standards. This facility shows recurring problems with fire safety systems, infection control, medication management, and nursing staff training that persist across multiple surveys from 2019 to 2025, though all violations have correction dates on file.
Jan 7, 2026Complaint2
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 20, 2025Routine24
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
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.
Environmental Deficiencies
Keep all essential equipment working safely.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services Deficiencies
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.
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Mar 4, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nov 16, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 12, 2023Complaint1
Nutrition and Dietary Deficiencies
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.
Aug 11, 2023Routine36
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
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.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies
Meet other general requirements.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Nutrition and Dietary Deficiencies
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.
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Federal Penalties
Fine
May 20, 2025
$55,443
Payment Denial
May 20, 2025
8-day denial
Fine
Mar 4, 2025
$37,765
Payment Denial
Aug 11, 2023
33-day denial
Ownership & Operations
Who Operates This Facility
Legendary Health Care Center
for profit
Ownership & Management
Owners
Aycock, William
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
13 reviews from families & visitors
Official Website
Visit legendsofcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.