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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriGrand River Health Care

Grand River Health Care

118 Trenton Road, Chillicothe, MO 646016606460353
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
4/5
Beds
60
certified
This facility has been flagged for abuse.
2 fine(s) totaling $63,001

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 60 certified beds with an average of 28.4 residents per day (47% occupancy)

• Last health inspection found 19 deficiencies (inspected Feb 27, 2025)

• Has been fined a total of $63,001 across 2 fine(s)

• Total nursing staff: 2.96 hours per resident per day

• Staff turnover rate: 84.6% (high)

• Part of the James & Judy Lincoln chain (58 facilities)

Grand River Health Care is a 2-star Medicare and Medicaid certified nursing home in Chillicothe, Missouri with 60 certified beds. It has been operating since 1992. The facility scored below average compared to Missouri facilities.

Beds
60
Avg Residents/Day
28.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 8, 1992
Sprinklers
Yes
Council
Resident
County
Livingston
Last Inspection
Feb 27, 2025
Deficiencies (Cycle 1)
19
Weighted Score
172.5
Infection Citations
0

Deficiency Citations (58)

F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 21, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 25, 2025Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Mar 25, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 25, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 16, 2024Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Dec 5, 2024Corrected: NoCycle: 2
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: Sep 11, 2024Corrected: NoCycle: 2
F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Sep 11, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Apr 24, 2023Corrected: NoCycle: 2
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Apr 24, 2023Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Apr 24, 2023Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Apr 24, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Apr 24, 2023Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 24, 2023Corrected: NoCycle: 2

+ 28 more deficiencies

Total Fines
$63,001
Number of Fines
2
Payment Denials
2
Total Penalties
4

Penalty History

FineDec 5, 2024
$26,611
FineJan 9, 2026
$36,390
Payment DenialDec 5, 2024
2 days denied
Payment DenialApr 24, 2023
24 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.81 hrs
National avg: 2.35 hrs
LPN0.38 hrs
National avg: 0.86 hrs
RN0.77 hrs
National avg: 0.68 hrs
Total Nursing2.96 hrs
National avg: 3.89 hrs
Weekend Total2.74 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
84.6%
RN Turnover
57.1%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
LINCOLN, JAMES5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Aug 1, 1998
LINCOLN, JUDY5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Aug 1, 1998
N & R OF CHILLICOTHE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 1998
CRANE, GARYCORPORATE DIRECTORIndividualN/AAug 1, 1998
DRAKE, TIMOTHYCORPORATE OFFICERIndividualN/AApr 25, 2022
STUTTS, CHARLOTTECORPORATE OFFICERIndividualN/AAug 1, 1998
LAUHOFF, KENTW-2 MANAGING EMPLOYEEIndividualN/AApr 25, 2022

Nearby Nursing Homes

All Missouri facilities

Morningside Center

Chillicothe, MO · 60 beds

Government
Health
Staffing
Quality
2068 ft

Livingston Manor Care Center

Chillicothe, MO · 94 beds

For profit$114,365 in finesAbuse
Health
Staffing
Quality
2692 ft

Stonebridge Chillicothe

Chillicothe, MO · 75 beds

For profitAbuse
Health
Staffing
Quality
1.1 mi

Frequently Asked Questions

What is the CMS rating for Grand River Health Care?▾
Grand River Health Care has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated below average.
Has Grand River Health Care had any health inspection violations?▾
Grand River Health Care had 19 deficiency citations in its most recent health inspection (Feb 27, 2025). The facility has been fined a total of $63,001 across 2 fine(s).
What are the staffing levels at Grand River Health Care?▾
Grand River Health Care provides 2.96 total nursing staff hours per resident per day, including 0.77 RN hours, 0.38 LPN hours, and 1.81 nurse aide hours. The total staff turnover rate is 84.6%.
How many beds does Grand River Health Care have?▾
Grand River Health Care has 60 certified beds with an average of 28.4 residents per day, resulting in approximately 47% occupancy. The facility is For profit - Corporation owned and is part of the James & Judy Lincoln chain.
Are there other nursing homes near Grand River Health Care?▾
Yes, there are 3 other nursing homes in Chillicothe, Missouri with an average rating of 2.3/5. You can compare all facilities on the Chillicothe nursing homes page.

Part of James & Judy Lincoln

This chain operates 58 facilities. View all →