Grand River Health Care
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Nursing Homes · Medicare certified
939 East Birch · Chillicothe, MO 64601 · 94 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1740385228. Look this up in the CMS NPPES registry (opens in a new tab)
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Livingston Manor Care Center is a nursing home in Chillicothe, Missouri, in Livingston County. Its reported capacity is 94 beds. It is recorded as a for-profit operator, part of Juckette Family Homes. Federal records list it as Medicare certified. Our copy of the inspection record holds 54 citations, the newest dated 1 May 2026. Federal enforcement records add 2 fine or payment denial actions. Staffing reports put it at 3.99 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
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
49
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
49
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
50
Records from October 2022 to May 2026.
May 1, 2026 · G
Citation F0600Federal surveyors cited this nursing home on 2026-05-01 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 2026-06-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
April 21, 2026 · D
Citation F0609Federal surveyors cited this nursing home on 2026-04-21 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 2026-05-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 21, 2026 · G
Citation F0600Federal surveyors cited this nursing home on 2026-04-21 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 2026-05-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · E
Citation F0628Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0628 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · E
Citation F0607Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · F
Citation F0727Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · E
Citation F0761Federal surveyors cited this nursing home on 2025-08-21 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 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · F
Citation F0812Federal surveyors cited this nursing home on 2025-08-21 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 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · E
Citation F0570Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0570 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assure the security of all personal funds of residents deposited with the facility. The deficiency was recorded as corrected on 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · E
Citation F0695Federal surveyors cited this nursing home on 2025-08-21 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 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · E
Citation F0805Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0805 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · D
Citation F0568Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0568 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. The deficiency was recorded as corrected on 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · E
Citation F0803Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2025-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 2, 2025 · D
Citation F0600Federal surveyors cited this nursing home on 2025-06-02 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 2025-07-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 5, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-04-05 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 2025-05-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0759Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0658Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0689Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0689 (CMS scope/severity E: pattern, 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0919Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0919 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $114,365
April 21, 2026 · Fine
Citation FINE-142370CMS recorded a civil money penalty of $53,865 against this nursing home on 2026-04-21 (Fine ID: 142370). Source: CMS Care Compare Penalties (as of 2026-08-01).
February 26, 2024 · Fine
Citation FINE-90536CMS recorded a civil money penalty of $114,365 against this nursing home on 2024-02-26 (Fine ID: 90536). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.99 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.78 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Juckette Family Homes
Chain ID 295 · 6 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Juckette Management Services INC
chain · PAC 2961311048
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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".
Reported by CMS nursing homes (ownership)
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)
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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