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Grand River Health Care

Nursing Home Facility

118 Trenton Road, Chillicothe, MO 64601

Nursing Home Care Senior Living

Grand River Health Care is a senior care community located in Chillicothe, MO. It provides nursing home care and senior living for older adults in the Chillicothe area. To learn more or schedule a tour, call (660) 646-0353.

Operated by James & Judy Lincoln, which runs 44 communities in our directory.

Grand River Health Care is licensed for 60 beds, about typical for the area, where senior care communities in Chillicothe average about 56 beds.

Federal reporting puts occupancy at about 50% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Chillicothe average of roughly 60%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Chillicothe average about 2.2 stars. Its most recent standard health inspection was in February 2025 and recorded 18 deficiencies.

Residents receive about 2.8 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Chillicothe average about 3.5 hours. Nursing staff turnover over the past year was about 81%, which is high and can affect continuity of care.

The community is located in Livingston County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 60 problems at Grand River Health Care. 4 findings involved harm to a resident, including 1 that put residents in immediate danger. 14 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $68,226. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected January 2026, after a complaint. Corrected by January 27, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected January 2026, after a complaint. Corrected by January 27, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected November 2025, after a complaint. Corrected by November 30, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected February 2025, after a complaint. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected February 2025, after a complaint. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to manage his or her financial affairs.

    Inspected February 2025. Corrected by April 7, 2025.

Show 10 more
  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2025. Corrected by April 7, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected February 2025, after a complaint. Corrected by April 7, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected February 2025. Corrected by April 7, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Grand River Health Care offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 60
  • Occupancy 50%
  • Nursing hours per resident/day 2.8
  • Annual staff turnover 81%
  • Last health inspection February 2025

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