Nursing HomeInspections

Grand River Health Care

Nursing home in Chillicothe, MO

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
118 Trenton Road, Chillicothe, MO 64601
Phone
(660) 646-0353
Listed under
For-profit
Medicare CCN
265480
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
60
Average residents per day
31
Ownership
For-profit, corporation
Legal business name
N & R of Chillicothe, INC.
Chain
James & Judy Lincoln (55 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 8, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265480. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 27, 2025. CMS lists 60 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 10, 2021 to Jan 9, 2026): 14 from complaint inspections, 4 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jan 9, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 9, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Nov 21, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 25, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 25, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 25, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Feb 27, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 27, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 27, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 27, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 27, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 27, 2025Honor the resident's right to manage his or her financial affairs.
Resident Rights		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 60. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $68,226 and 1 denial of Medicare payment for new admissions in the last three years.

Jan 9, 2026Fine: $41,615
Dec 5, 2024Fine: $26,611
Dec 5, 2024Payment denial for 2 days from Jan 8, 2025

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.06 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
2.07 hours
Total nurse staffing on weekends
2.76 hours
Nursing staff turnover (yearly)
83%
RN turnover (yearly)
83%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Chillicothe

Stonebridge Chillicothe2601 Fair Street · Chillicothe, MO 64601 · (660) 646-1230 · For-profit7 health citations in 3 inspection cycles · last standard inspection Apr 24, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Morningside Center1700 Morningside Drive · Chillicothe, MO 64601 · (660) 646-0170 · Government-owned22 health citations in 3 inspection cycles · last standard inspection Mar 20, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)CMS abuse icon
Livingston Manor Care Center939 East Birch · Chillicothe, MO 64601 · (660) 646-5177 · For-profit56 health citations in 3 inspection cycles · last standard inspection Aug 21, 2025 · $149,377 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 4 in Chillicothe →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error