Marshfield Care Center: Medication Delays for New Patients - MO
The pharmacy the facility contracts with is in Kansas City. Medications sometimes take days to arrive. New residents, just transferred in and dependent on whatever regimen they came with, waited.
During an inspection on September 10, the administrator told investigators the facility is hoping to switch pharmacies when the current contract ends in November, because "this one is just not working out." She acknowledged staff were expected to notify the prescribing physician whenever an ordered medication wasn't available, so the doctor could decide whether to hold it or call in an order to a local pharmacy. When asked what the facility's own policy says about unavailable medications, she said she wasn't sure.
The Medical Director, interviewed the same afternoon, said there are "some processes that need to be addressed and changed." He said he expected nursing staff to call him whenever a medication problem arose, and that he would work through options with them. He expected his orders to be followed.
Neither account explained what actually happened to residents who didn't get their medications while staff sorted out who was supposed to call whom.
The inspection, filed as a complaint, cited the violation at the lowest level of harm, meaning inspectors found minimal harm or potential for actual harm, with some residents affected. That designation reflects the regulatory floor, not the experience of a patient admitted to a nursing facility, already unwell, waiting days for medications that a physician ordered and a pharmacy couldn't deliver.
The contract with the Kansas City pharmacy runs through November.
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 2025-09-10 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 22, 2026 · Our methodology
MARSHFIELD CARE CENTER FOR REHAB AND HEALTHCARE in MARSHFIELD, MO was cited for violations during a health inspection on September 10, 2025.
The pharmacy the facility contracts with is in Kansas City.
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.