Nursing HomeInspections

Livingston Manor Care Center

Nursing home in Chillicothe, MO

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

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Public-record details

Address
939 East Birch, Chillicothe, MO 64601
Phone
(660) 646-5177
Listed under
For-profit
Medicare CCN
265621
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
94
Average residents per day
26
Ownership
For-profit, corporation
Legal business name
Livingston Manor INC
Chain
Juckette Family Homes (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1995
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 265621. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 21, 2025. CMS lists 54 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2022 to May 1, 2026): 10 from complaint inspections, 4 at the “actual harm” level or higher, including 2 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
May 1, 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
G
Actual harm, isolated
Apr 21, 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
Apr 21, 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
G
Actual harm, isolated
Aug 21, 2025Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 21, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Aug 21, 2025Assure the security of all personal funds of residents deposited with the facility.
Resident Rights
E
Potential for more than minimal harm, pattern
Aug 21, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation
E
Potential for more than minimal harm, pattern
Aug 21, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
E
Potential for more than minimal harm, pattern
Aug 21, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Aug 21, 2025Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Aug 21, 2025Ensure 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.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 21, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 54. 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 Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $168,230 in the last three years.

Apr 21, 2026Fine: $53,865
Feb 26, 2024Fine: $114,365

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

Staffing

Total nurse staffing per resident per day
3.99 hours
Registered nurse (RN) time per resident per day
0.81 hours
Nurse aide time per resident per day
2.76 hours
Total nurse staffing on weekends
3.15 hours
Nursing staff turnover (yearly)
62%

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.

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