Livingston Manor Care Center
Cost data not yet available
Nursing Homes · Medicare certified
118 Trenton Road · Chillicothe, MO 64601 · 60 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1124014436. Look this up in the CMS NPPES registry (opens in a new tab)
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In Chillicothe, Missouri, Grand River Health Care is listed as a nursing home. Its reported capacity is 60 beds. It is recorded as a for-profit operator, part of James & Judy Lincoln. Federal records list it as Medicare certified. Our copy of the inspection record holds 60 citations, the newest dated 9 January 2026. Federal enforcement records add 3 fine or payment denial actions. Staffing reports put it at 2.84 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
40
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
40
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
40
Records from February 2021 to January 2026.
January 9, 2026 · J
Citation F0600Federal 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).
January 9, 2026 · D
Citation F0609Federal 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).
November 21, 2025 · D
Citation F0600Federal 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).
March 25, 2025 · G
Citation F0600Federal 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).
March 25, 2025 · D
Citation F0602Federal 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).
March 25, 2025 · D
Citation F0609Federal 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).
February 27, 2025 · E
Citation F0695Federal 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).
February 27, 2025 · E
Citation F0692Federal 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).
February 27, 2025 · E
Citation F0550Federal 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).
February 27, 2025 · D
Citation F0600Federal surveyors cited this nursing home on 2025-02-27 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 2025-04-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 27, 2025 · E
Citation F0584Federal 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).
February 27, 2025 · E
Citation F0761Federal 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).
February 27, 2025 · D
Citation F0684Federal 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).
February 27, 2025 · E
Citation F0567Federal 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).
February 27, 2025 · E
Citation F0880Federal 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).
February 27, 2025 · F
Citation F0812Federal 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).
February 27, 2025 · E
Citation F0759Federal 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).
February 27, 2025 · E
Citation F0658Federal 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).
February 27, 2025 · E
Citation F0558Federal 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).
February 27, 2025 · E
Citation F0561Federal 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).
Total fines on file: $68,226
January 9, 2026 · Fine
Citation FINE-136683CMS recorded a civil money penalty of $41,615 against this nursing home on 2026-01-09 (Fine ID: 136683). Source: CMS Care Compare Penalties (as of 2026-07-01).
December 5, 2024 · Payment Denial
Citation PAYDEN-2025-01-08CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2025-01-08, lasting 2 days (triggered by inspection on 2024-12-05). Source: CMS Care Compare Penalties (as of 2026-07-01).
December 5, 2024 · Fine
Citation FINE-90686CMS recorded a civil money penalty of $26,611 against this nursing home on 2024-12-05 (Fine ID: 90686). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 2.84 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Corporation
CMS Care Compare chain: James & Judy Lincoln
Chain ID 290 · 56 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
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$6,741/moOther licensed providers in Chillicothe, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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