Marshfield Care Center: Resident Rights Violations - MO
The Director of Nursing told inspectors on November 6 that she made the shower schedule for staff every day. She also told them that when the new corporation took over the facility, it eliminated the position of the dedicated shower aide. The work fell to floor aides, who on some days numbered just three for 48 residents. "A lot of improvements need to be made related to showers," she said.
The Assistant Director of Nursing said she had no idea showers weren't being completed until she went searching for shower sheets that same day. She didn't find as many as she would expect or like to see.
The system the facility had in place was layered enough to look serious on paper. Aides were to initial a shower sheet when each bath was done, hand it to the charge nurse, who would sign off and check for any skin concerns, and then the sheet would go into a scan pile to eventually be entered into records. The problem was that when staff called out, and many did, the showers didn't happen. The sheets never made it to the charge nurse. Nobody caught it.
The interim administrator acknowledged residents were supposed to receive showers twice a week, or more often if that was their preference or care plan. He said he did not like seeing that residents had gone weeks without one.
No one disputed that it was happening. The DON said it, the ADON said it, the administrator said it. What none of them said was how long it had been going on before anyone noticed the shower sheets weren't there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Marshfield Care Center For Rehab and Healthcare from 2025-11-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
MARSHFIELD CARE CENTER FOR REHAB AND HEALTHCARE in MARSHFIELD, MO was cited for violations during a health inspection on November 24, 2025.
The Director of Nursing told inspectors on November 6 that she made the shower schedule for staff every day.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.