Nursing home · Chillicothe, MO
Grand River Health Care
118 Trenton Road, Chillicothe, MO 64601 · 60 certified beds · for profit ownership · part of James & Judy Lincoln
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jan 9, 2026, when they cited 2 problems from complaint investigations. The most common area was freedom from abuse, neglect, and exploitation (2 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Feb 27, 2025) it had 18 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 2.84 hours per resident per day here, 17% less than the Missouri average (3.43) and 26% less than the U.S. average (3.86). Registered nurses account for 0.43 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 81% over the past year, 25 points higher than Missouri (56%) and 35 points higher than the U.S. (46%).
How Grand River Health Care compares
This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).
| This home | Chillicothe area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 2.84 | 3.28 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.43 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 2.76 | 2.88 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 81% | 56% | 56% | 46% |
| Registered nurse turnover (past year) | 60% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 18 | 10.1 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 60 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jan 9, 2026 | Protect 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 | J immediate jeopardy | Deficient, Provider has date of correction |
| Jan 9, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Nov 21, 2025 | Protect 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 | D | Deficient, Provider has date of correction |
| Mar 25, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Mar 25, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Mar 25, 2025 | Protect 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 | G actual harm | Deficient, Provider has date of correction |
| Feb 27, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care | D | Deficient, Provider has date of correction |
| Feb 27, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 27, 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 locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Protect 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 | D | Deficient, Provider has date of correction |
| Feb 27, 2025 | Provide enough food/fluids to maintain a resident's health. Quality of life and care | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident rights | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| Feb 27, 2025 | Honor the resident's right to manage his or her financial affairs. Resident rights | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident rights | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Reasonably accommodate the needs and preferences of each resident. Resident rights | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Feb 27, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| Dec 16, 2024 | Protect 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 | G actual harm | Deficient, Provider has date of correction |
| Dec 5, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Dec 5, 2024 | Protect 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 | G actual harm | Deficient, Provider has date of correction |
| Sep 11, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Sep 11, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Apr 24, 2023 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 24, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 24, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Apr 24, 2023 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident rights | D | Deficient, Provider has date of correction |
| Apr 24, 2023 | 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 locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Implement a program that monitors antibiotic use. Infection control | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Ensure that residents are free from significant medication errors. Pharmacy service | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Apr 24, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Apr 24, 2023 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Jan 9, 2026 | Fine | $41,615 |
| Dec 5, 2024 | Fine | $26,611 |
| Dec 5, 2024 | Payment Denial | 2 days |
Location
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Reviews
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Questions about Grand River Health Care
Answers computed from CMS data for this facility.
What is Grand River Health Care's Medicare rating?
Medicare rates Grand River Health Care 1 out of 5 stars overall (much below average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.
How did Grand River Health Care do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jan 9, 2026, when they cited 2 problems from complaint investigations. The most common area was freedom from abuse, neglect, and exploitation (2 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Feb 27, 2025) it had 18 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Has Grand River Health Care been fined?
Yes. CMS reports 2 fines totaling $68,226 in the past three years.
Does Grand River Health Care accept Medicaid?
Grand River Health Care is certified for both Medicare and Medicaid. Call (660) 646-0353 to ask whether a Medicaid bed is open.
Other nursing homes near Chillicothe
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- 2/5Morningside CenterChillicothe · 60 beds
- 1/5Livingston Manor Care CenterChillicothe · 94 beds
- 4/5Golden Age Nursing HomeBraymer · 83 beds
- 4/5Pearl's Ii Eden for EldersPrinceton · 60 beds
- 3/5Daviess County Nursing and RehabilitationGallatin · 97 beds
Compare all 20 Chillicothe-area nursing homes · · Chillicothe guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.