CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Grand River Health Care is a 1-star Medicare and Medicaid certified nursing home in Chillicothe, Missouri with 60 certified beds. It has been operating since 1992. Its overall CMS rating is 1 out of 5.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from the wrongful use of the resident's belongings or money.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Provide care and assistance to perform activities of daily living for any resident who is unable.
+ 30 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | Aug 1, 1998 |
| LINCOLN, JUDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 50% | Aug 1, 1998 |
| LAUHOFF, KENT | W-2 MANAGING EMPLOYEE | Individual | N/A | Apr 25, 2022 |
| CRANE, GARY | CORPORATE DIRECTOR | Individual | N/A | Aug 1, 1998 |
| DRAKE, TIMOTHY | CORPORATE OFFICER | Individual | N/A | Apr 25, 2022 |
| STUTTS, CHARLOTTE | CORPORATE OFFICER | Individual | N/A | Aug 1, 1998 |
| N & R OF CHILLICOTHE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 1998 |
Compare CMS ratings and recorded fines for Grand River Health Care and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 56 facilities. View all →