Livingston Manor Care Center, Chillicothe, Missouri
- 55
- Citations from health inspectionsMissouri average: 36 a home
- 4
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $168,230
- 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 55 citations. Residents were in immediate danger in two findings. Residents were found hurt in two cases. Federal fines came to $168,230 (two fines).
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
- 4 out of 5
- Rating for quality of care
- 1 out of 5
- Nurse time for each resident
- 3.99 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.81 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- 61.9%against the Missouri average of 56%
- Beds that are certified
- 94
- Ownership
- Corporation (for profit)
- Chain
- Juckette Family Homes, with six homes
- Street address
- 939 East Birch, 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.
One citation dated July 30, 2026
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated May 1, 2026
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Two citations dated April 21, 2026
11 citations dated Aug. 21, 2025
- F880 Infection Prevention and Control: 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, widespread, found on a complaint visit.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, a pattern, several residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, a pattern, several residents.
- F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, one or a few residents.
One citation dated June 2, 2025
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 5, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
31 citations dated May 30, 2024
- F919 Working Call System in Bathrooms: 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.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, a pattern, several residents.
- 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.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
- F700 Safe Use of Bed Rails: 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.
- F690 Bladder, Bowel and Catheter 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, a pattern, several residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F680 Qualified Activities Director: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
- F661 Share Information at Planned Discharge: 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.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, a pattern, several residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, a pattern, several residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
- F572 Notice of Rights, Rules, Services, and Charges: risk of harm, no one found hurt, a pattern, several residents.
- F568 Properly Manage Resident Money Held by Facility: 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.
- F565 Right to Resident and Family Groups: 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.
Three citations dated Feb. 26, 2024
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Four citations dated Oct. 5, 2022
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: immediate danger to residents, one or a few residents.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| April 21, 2026 | Fine | $53,865 |
| Feb. 26, 2024 | Fine | $114,365 |
Ownership and Management of the Home
- The home is run by Juckette Management Services Inc. (operational or managerial control).
- The direct 50% owner is Chillicothe Industrial Development Corporation.
- Owns a share through another company: Juckette Management Services Inc..
One person with an ownership stake is 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 265621. Other homes in Missouri.