Nursing home · Chillicothe, MO
Livingston Manor Care Center
939 East Birch, Chillicothe, MO 64601 · 94 certified beds · for profit ownership · part of Juckette Family Homes
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jul 30, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 21, 2025) it had 15 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 3.99 hours per resident per day here, 16% more than the Missouri average (3.43) and 3% more than the U.S. average (3.86). Registered nurses account for 0.81 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 62% over the past year, 6 points higher than Missouri (56%) and 16 points higher than the U.S. (46%).
How Livingston Manor Care Center 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 | 3.99 | 3.28 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.81 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.15 | 2.88 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 62% | 56% | 56% | 46% |
| Registered nurse turnover (past year) | — | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 15 | 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 55 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 30, 2026 | 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 · complaint | E | Deficient, Provider has plan of correction |
| May 1, 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 | G actual harm | Deficient, Provider has date of correction |
| Apr 21, 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 | G actual harm | Deficient, Provider has date of correction |
| Apr 21, 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 |
| Aug 21, 2025 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services | F | Deficient, Provider has date of correction |
| Aug 21, 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 |
| Aug 21, 2025 | Assure the security of all personal funds of residents deposited with the facility. Resident rights | E | Deficient, Provider has date of correction |
| Aug 21, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Aug 21, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | E | Deficient, Provider has date of correction |
| Aug 21, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| 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 locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| 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. Nutrition and dietary · complaint | E | Deficient, Provider has date of correction |
| Aug 21, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Aug 21, 2025 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | D | Deficient, Provider has date of correction |
| Aug 21, 2025 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Jun 2, 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 |
| Apr 5, 2025 | Provide and implement an infection prevention and control program. Infection control · complaint | E | Deficient, Provider has date of correction |
| May 30, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of life and care | D | Deficient, Provider has date of correction |
| May 30, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | D | Deficient, Provider has date of correction |
| May 30, 2024 | Ensure the activities program is directed by a qualified professional. Quality of life and care | D | Deficient, Provider has date of correction |
| May 30, 2024 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| May 30, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental | E | Deficient, Provider has date of correction |
| May 30, 2024 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| May 30, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and dietary | E | Deficient, Provider has date of correction |
| May 30, 2024 | 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 |
| May 30, 2024 | Ensure that residents are free from significant medication errors. Pharmacy service | E | Deficient, Provider has date of correction |
| May 30, 2024 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| May 30, 2024 | Provide activities to meet all resident's needs. Quality of life and care | E | Deficient, Provider has date of correction |
| May 30, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and physician services | E | Deficient, Provider has date of correction |
| May 30, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of life and care | E | Deficient, Provider has date of correction |
| May 30, 2024 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | E | Deficient, Provider has date of correction |
| May 30, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | E | Deficient, Provider has date of correction |
| May 30, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| May 30, 2024 | 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 |
| May 30, 2024 | 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 | E | Deficient, Provider has date of correction |
| May 30, 2024 | 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 |
| May 30, 2024 | 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 |
| May 30, 2024 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident rights | E | Deficient, Provider has date of correction |
| May 30, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | E | Deficient, Provider has date of correction |
| May 30, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights | E | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Apr 21, 2026 | Fine | $53,865 |
| Feb 26, 2024 | Fine | $114,365 |
Location
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Reviews
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Questions about Livingston Manor Care Center
Answers computed from CMS data for this facility.
What is Livingston Manor Care Center's Medicare rating?
Medicare rates Livingston Manor Care Center 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 Livingston Manor Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 30, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Aug 21, 2025) it had 15 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.
Has Livingston Manor Care Center been fined?
Yes. CMS reports 2 fines totaling $168,230 in the past three years.
Does Livingston Manor Care Center accept Medicaid?
Livingston Manor Care Center is certified for both Medicare and Medicaid. Call (660) 646-5177 to ask whether a Medicaid bed is open.
Other nursing homes near Chillicothe
- 5/5Stonebridge ChillicotheChillicothe · 75 beds
- 2/5Morningside CenterChillicothe · 60 beds
- 1/5Grand River Health CareChillicothe · 60 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.