Grand River Health Care, Chillicothe, Missouri
- 60
- Citations from health inspectionsMissouri average: 36 a home
- 4
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $68,226
- Fines from the federal governmentMissouri average: $37,425 a home
- 1 out of 5
- Overall rating in starsMissouri average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Nine inspection visits produced 60 citations. Residents were in immediate danger in one finding. Residents were found hurt in three cases. Federal fines came to $68,226 (two fines). Once, Medicare stopped paying for new admissions.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 2.84 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.43 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- 81.3%against the Missouri average of 56%
- Beds that are certified
- 60
- Ownership
- Corporation (for profit)
- Chain
- James & Judy Lincoln, with 56 homes
- Street address
- 118 Trenton Road, Chillicothe, Missouri 64601
- County
- Livingston
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated Jan. 9, 2026
One citation dated Nov. 21, 2025
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated March 25, 2025
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
15 citations dated Feb. 27, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F567 Right to Manage Own Finances: risk of harm, no one found hurt, a pattern, several residents.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Dec. 16, 2024
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Two citations dated Dec. 5, 2024
Two citations dated Sept. 11, 2024
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
14 citations dated April 24, 2023
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.
20 citations dated Feb. 10, 2021
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F825 Specialized Rehabilitation Services: risk of harm, no one found hurt, one or a few residents.
- F813 Policy on Food Brought by Visitors: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
- F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, one or a few residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Jan. 9, 2026 | Fine | $41,615 |
| Dec. 5, 2024 | Fine | $26,611 |
| Dec. 5, 2024 | Payment denial for new admissions | two days |
Ownership and Management of the Home
- The home is run by N & R of Chillicothe, Inc. (operational or managerial control).
Two people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265480. Other homes in Missouri.