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UPDATED JUL 2026

Nursing Homes · Medicare certified

Grand River Health Care

118 Trenton Road · Chillicothe, MO 64601 · 60 certified beds

6606460353

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

40

Inspection history (60)

  • January 9, 2026 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2026-01-09 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-09.GOV
  • January 9, 2026 · J

    Citation F0600

    Federal surveyors cited this nursing home on 2026-01-09 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-09.GOV
  • November 21, 2025 · D

    Citation F0600

    Federal surveyors cited this nursing home on 2025-11-21 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-21.GOV
  • March 25, 2025 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2025-03-25 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-25.GOV
  • March 25, 2025 · D

    Citation F0602

    Federal surveyors cited this nursing home on 2025-03-25 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2025-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-25.GOV
  • March 25, 2025 · G

    Citation F0600

    Federal surveyors cited this nursing home on 2025-03-25 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-25.GOV
  • February 27, 2025 · E

    Citation F0584

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0695

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0692

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0550

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0561

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0561 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0657

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0558

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0558 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0658

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · E

    Citation F0567

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0567 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to manage his or her financial affairs. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV
  • February 27, 2025 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2025-02-27 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-27.GOV

Penalties

Total fines on file: $68,226

Staffing

Latest: 2.92 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q42.92 hrs/resident/day
  2. 2026-06-012.92 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Corporation

CMS Care Compare chain: James & Judy Lincoln

Chain ID 290 · 56 facilities in chain (CMS)

  • Chain average overall rating: 2.4
  • Chain average health inspection rating: 2.7
  • Chain average staffing rating: 2.1
  • Chain average quality measure rating: 2.6

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: N & R Of Chillicothe, INC.

    parent · PAC 3577738947

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · MO$6,076/mo
See full MO cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · MO$6,741/mo
See full MO cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Chillicothe, with their own public records.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Trust & methodology

Grand River Health Care in Chillicothe, MO · ElderCareCosts