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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)

  • February 10, 2021 · E

    Citation F0684

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0684 (CMS scope/severity E: pattern, 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 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0761 (CMS scope/severity D: isolated, 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 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2021-02-10 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 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0695

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0695 (CMS scope/severity D: isolated, 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 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0625

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2021-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0658 (CMS scope/severity D: isolated, 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 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0813

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0813 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a policy regarding use and storage of foods brought to residents by family and other visitors. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0921

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0825

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0825 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or get specialized rehabilitative services as required for a resident. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0759

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0759 (CMS scope/severity D: isolated, 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 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · E

    Citation F0585

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2021-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0800

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0800 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · E

    Citation F0565

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2021-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0623

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2021-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · E

    Citation F0692

    Federal surveyors cited this nursing home on 2021-02-10 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 2021-05-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0758

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0812

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0812 (CMS scope/severity D: isolated, 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 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.GOV
  • February 10, 2021 · D

    Citation F0908

    Federal surveyors cited this nursing home on 2021-02-10 under CMS tag F0908 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2021-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-02-10.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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