Livingston Manor Care Center
Nursing home in Chillicothe, MO
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
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
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.
| Inspection | Citation | Severity |
|---|---|---|
| May 1, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| Apr 21, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Apr 21, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| Aug 21, 2025 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D |
| Aug 21, 2025 | Provide and implement an infection prevention and control program. | D |
| Aug 21, 2025 | Assure the security of all personal funds of residents deposited with the facility. | E |
| Aug 21, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| Aug 21, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| Aug 21, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| Aug 21, 2025 | 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… | E |
| Aug 21, 2025 | 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 |
| Aug 21, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E |
Fines and payment denials
CMS records 2 fines totalling $168,230 in the last three years.
| Apr 21, 2026 | Fine: $53,865 |
| Feb 26, 2024 | Fine: $114,365 |
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%
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.