Missouri › Livingston County › Chillicothe
Livingston Manor Care Center
939 East Birch, 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.
Livingston Manor Care Center, in Chillicothe, Missouri, is certified for 94 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 4 and quality measures 1.
Inspectors recorded 54 health deficiencies across the three most recent survey cycles (14, 33, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 57.4 per 100 beds, more than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $168K.
Reported nurse staffing is 4.0 hours per resident per day (0.8 RN), close to the Missouri median of 3.4; nursing staff turnover is 61.9%.
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 | 54 | 54 | 31 | 28.7 |
| Citations per 100 beds | 57.4 | 57.4 | 32.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.4 | 0.7 |
| Nursing staff turnover | 61.9% | 61.9% | 56.1% | 45.8% |
| Fines listed | $168,230 | $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: 21 Aug 2025, 30 May 2024.
Severity mix: J ×2 G ×2 D ×12 E ×35 F ×3
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 |
|---|---|---|---|---|---|
| 1 May 2026 | 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 Jun 2026 |
| 21 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 14 May 2026 |
| 21 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 May 2026 |
| 21 Aug 2025 | F0727 | 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. | F | Standard survey | 4 Oct 2025 |
| 21 Aug 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 | 4 Oct 2025 |
| 21 Aug 2025 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 4 Oct 2025 |
| 21 Aug 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 4 Oct 2025 |
| 21 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 4 Oct 2025 |
| 21 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 4 Oct 2025 |
| 21 Aug 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 | 4 Oct 2025 |
| 21 Aug 2025 | F0803 | 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. | E | Complaint investigation | 4 Oct 2025 |
| 21 Aug 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 4 Oct 2025 |
| 21 Aug 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 4 Oct 2025 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Oct 2025 |
| 2 Jun 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 | 15 Jul 2025 |
| 5 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 6 May 2025 |
| 30 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | 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. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | 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 | 12 Jul 2024 |
| 30 May 2024 | 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 | 12 Jul 2024 |
| 30 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0727 | 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. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | 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 | 12 Jul 2024 |
| 30 May 2024 | F0801 | 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. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Jul 2024 |
| 30 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Jul 2024 |
| 26 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 1 Mar 2024 |
| 26 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Mar 2024 |
| 26 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 Mar 2024 |
| 5 Oct 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | D | Standard survey | 19 Nov 2022 |
| 5 Oct 2022 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 19 Nov 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Apr 2026 | Fine | $53,865 | |
| 26 Feb 2024 | Fine | $114,365 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 61.9%, RNs —; — administrators 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 | 18.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.8% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 68.6% | 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 6 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Livingston Manor Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chillicothe Industrial Development Corporation | 5% or greater direct ownership interest | 50% | 12/01/2025 |
| Juckette Management Services Inc | Indirect ownership interest | NOT APPLICABLE | 12/01/2015 |
| Juckette Management Services Inc | Operational/managerial control | NOT APPLICABLE | 12/01/2015 |
| Juckette Management Services Inc | Adp of the snf | NOT APPLICABLE | 09/22/1972 |
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 |
| Grand River Health Careabuse icon | Chillicothe | 60 | 1 | 1 | 1 | 60 | 100.0 | $68K | 9 Jan 2026 |
All 4 facilities in Livingston County
Questions and answers
How many deficiencies has Livingston Manor Care Center been cited for?
54 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 Livingston Manor Care Center been fined?
Yes. CMS lists fines totalling $168K in the period covered.
How does staffing at Livingston Manor Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Livingston Manor Care Center?
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 Chillicothe Industrial Development Corporation, Juckette Management Services Inc and Juckette Management Services Inc. Individual owners and managers are not listed on this site.
When was Livingston Manor Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 1 May 2026; the most recent standard health survey was 21 Aug 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.