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Nursing Homes · Medicare certified

Grand River Health Care

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

(660) 646-0353

NPI 1124014436 (opens in a new tab)

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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

1.0

Staffing

1.0

Quality measures

2.0

CMS Care Compare, October 2026.

Inspection history (60)

Records from February 2021 to January 2026.

  • January 9, 2026

    Tag F0600

    Protect 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 F0609

    Timely 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 F0600

    Protect 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 F0600

    Protect 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 F0602

    Protect 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 F0609

    Timely 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 F0695

    Provide 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 F0692

    Provide 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 F0550

    Honor 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 F0600

    Protect 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 F0584

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.

  • February 27, 2025

    Tag F0761

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 7, 2025.

  • February 27, 2025

    Tag F0684

    Provide 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 F0567

    Honor 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 F0880

    Provide 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 F0812

    Procure 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 F0759

    Ensure 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 F0658

    Ensure 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 F0558

    Reasonably 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 F0561

    Honor 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.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Missouri median$6,741/mo

Nearby alternatives

Other licensed providers in Chillicothe.

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

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