Nursing Homes · Medicare certified
Grand River Health Care
118 Trenton Road · Chillicothe, MO 64601 · 60 certified beds
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About Grand River Health Care
Grand River Health Care is a nursing home in Chillicothe, Missouri. Its capacity is 60 beds, below the Missouri median of 94 for nursing homes. It is run by a for-profit operator and is part of James & Judy Lincoln. It is Medicare certified. Its public inspection record shows 60 citations, the most recent on January 9, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.06 hours per resident per day. It is one of 4 nursing homes listed in Chillicothe. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (60)
Records from February 2021 to January 2026.
January 9, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J: isolated, immediate jeopardy. Corrected January 27, 2026.
January 9, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 27, 2026.
November 21, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 30, 2025.
March 25, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected April 22, 2025.
March 25, 2025
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 22, 2025.
March 25, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 22, 2025.
February 27, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0567Honor the resident's right to manage his or her financial affairs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
February 27, 2025
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.
Penalties (3)
Total fines: $68,226
January 9, 2026 · Fine
CMS recorded a civil money penalty of $41,615 against this nursing home on January 9, 2026.
December 5, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting January 8, 2025, lasting 2 days (triggered by inspection on December 5, 2024).
December 5, 2024 · Fine
CMS recorded a civil money penalty of $26,611 against this nursing home on December 5, 2024.
Staffing
3.06 nurse hours per resident per day in Q2 2026, up from 2.92 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit - Corporation
Part of James & Judy Lincoln, a chain of 55 nursing homes.
Average CMS star ratings across the chain: 2.6 overall, 2.7 for health inspections, 2.3 for staffing, 2.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Missouri.
Nearby alternatives
Other licensed providers in Chillicothe.
Morningside Center
Stonebridge Chillicothe
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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