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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Grand River Health Care

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

6606460353

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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About Grand River Health Care

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.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.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 2026-07-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

40

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

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

1.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

40

Inspection history (60)

Records from February 2021 to January 2026.

  • 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
  • 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
  • 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 · 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
  • 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 · 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
  • 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 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 · D

    Citation F0600

    Federal 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).

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

Penalties (3)

Total fines on file: $68,226

  • January 9, 2026 · Fine

    Citation FINE-136683

    CMS 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-09.GOV
  • December 5, 2024 · Payment Denial

    Citation PAYDEN-2025-01-08

    CMS 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV
  • December 5, 2024 · Fine

    Citation FINE-90686

    CMS 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).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-05.GOV

Staffing

Latest: 2.84 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q42.92 hrs/resident/day
  2. 2026-06-012.92 hrs/resident/day
  3. 2026-07-012.84 hrs/resident/day
  4. 2026-08-012.84 hrs/resident/day
  5. 2026Q12.84 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). 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: 2.8
  • Chain average staffing rating: 2.2
  • Chain average quality measure rating: 2.4

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.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  2. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  3. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  5. 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.

Typical cost

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/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.

Compare side by side
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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.

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

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
CMS enrollmentas of July 2026
NPI
CMS nursing homes (ownership)as of July 2026
Parent organization
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Grand River Health Care in Chillicothe, MO · ElderCareCosts