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 30, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0727Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0727 (CMS scope/severity E: pattern, 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0585Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0679Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. 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 F0801Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0801 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. 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 F0572Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0572 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents a notice of rights, rules, services and charges. 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 F0584Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · D
Citation F0661Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. 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 F0568Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0568 (CMS scope/severity E: pattern, 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0582Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0582 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 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 F0567Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · D
Citation F0680Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0680 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure the activities program is directed by a qualified professional. 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 F0565Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0607Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 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 F0760Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0760 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. 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 F0645Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0645 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. 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 F0695Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0550Federal surveyors cited this nursing home on 2024-05-30 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 2024-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2024 · E
Citation F0636Federal surveyors cited this nursing home on 2024-05-30 under CMS tag F0636 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. 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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