Missouri › Livingston County › Chillicothe
Grand River Health Care
118 Trenton Road, Chillicothe, MO 64601
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Grand River Health Care, in Chillicothe, Missouri, is certified for 60 beds under for-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (18, 22, 20 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 100.0 per 100 beds, more than the state median of 32.1.
CMS lists 3 penalties in the period covered: fines totalling $68K and 1 payment denial.
Reported nurse staffing is 2.8 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 81.3%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Livingston Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 60 | 54 | 31 | 28.7 |
| Citations per 100 beds | 100.0 | 57.4 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.8 | 3.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.8 | 0.4 | 0.7 |
| Nursing staff turnover | 81.3% | 61.9% | 56.1% | 45.8% |
| Fines listed | $68,226 | $68,226 | $0 | — |
County and state figures are medians across facilities (4 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2025, 24 Apr 2023.
Severity mix: J ×1 G ×3 D ×28 E ×26 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 27 Jan 2026 |
| 9 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Jan 2026 |
| 21 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Nov 2025 |
| 25 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 22 Apr 2025 |
| 25 Mar 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 22 Apr 2025 |
| 25 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Apr 2025 |
| 27 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 7 Apr 2025 |
| 27 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 7 Apr 2025 |
| 27 Feb 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | 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. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | 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. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Apr 2025 |
| 27 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 7 Apr 2025 |
| 27 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Apr 2025 |
| 16 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Jan 2025 |
| 5 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 27 Dec 2024 |
| 5 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Dec 2024 |
| 11 Sep 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 11 Oct 2024 |
| 11 Sep 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 11 Oct 2024 |
| 24 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | 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. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Jul 2023 |
| 24 Apr 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Jun 2023 |
| 24 Apr 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 27 Jul 2023 |
| 10 Feb 2021 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 18 May 2021 |
| 10 Feb 2021 | F0585 | 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. | E | Standard survey | 18 May 2021 |
| 10 Feb 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 18 May 2021 |
| 10 Feb 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 18 May 2021 |
| 10 Feb 2021 | F0625 | 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. | D | Standard survey | 18 May 2021 |
| 10 Feb 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0758 | 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 limited. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | 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. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 6 Mar 2021 |
| 10 Feb 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 6 Mar 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Jan 2026 | Fine | $41,615 | |
| 5 Dec 2024 | Payment denial | — | 2 days |
| 5 Dec 2024 | Fine | $26,611 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 81.3%, RNs 60.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.8% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 73.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Chillicothe, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| N & R of Chillicothe, Inc. | Operational/managerial control | NOT APPLICABLE | 08/01/1998 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Livingston County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Stonebridge Chillicothe | Chillicothe | 75 | 5 | 5 | 3 | 7 | 9.3 | — | 14 Apr 2025 |
| Morningside Centerabuse icon | Chillicothe | 60 | 2 | 2 | 5 | 22 | 36.7 | — | 20 Mar 2026 |
| Livingston Manor Care Centerabuse icon | Chillicothe | 94 | 1 | 1 | 4 | 54 | 57.4 | $168K | 1 May 2026 |
All 4 facilities in Livingston County
Questions and answers
How many deficiencies has Grand River Health Care been cited for?
60 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Grand River Health Care been fined?
Yes. CMS lists fines totalling $68K in the period covered, plus 1 payment denial.
How does staffing at Grand River Health Care compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Grand River Health Care?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include N & R of Chillicothe, Inc.. Individual owners and managers are not listed on this site.
When was Grand River Health Care last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jan 2026; the most recent standard health survey was 27 Feb 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.