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Livingston Manor Care Center

Nursing Home Facility

939 East Birch Hwy 36 East, Chillicothe, MO 64601

Memory Care Nursing Home Care Senior Living
Livingston Manor Care Center

FACILITIES AT LIVINGSTON MANOR An excellent facility providing our residents with the best quality care. A staff which promotes the maintenance and preservation of human dignity. A distinguished reputation for high professional standards. Skilled nursing services and a house physician. Open visiting hours with office hours from 8:00 a. m. to 5:00 p.m. Monday through Friday Beauty shop, laundry services and free cable TV. Transportation to the physician of the resident's choice within the Chillicothe area.

With 94 beds, Livingston Manor Care Center is one of the larger communities in the area, senior care communities in Chillicothe average about 56 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 28% 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. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 14 deficiencies.

Residents receive about 4.0 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Communities in Chillicothe average about 3.5 hours. Nursing staff turnover over the past year was about 62%, 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 ★★★★★ 4/5
  • Quality measures ★★★★★ 1/5

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 54 problems at Livingston Manor Care Center. 4 findings involved harm to a resident, including 2 that put residents in immediate danger. 10 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $168,230.

Findings from the most recent inspection cycle

  • Caused harm to a resident, 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 May 2026, after a complaint. Corrected by June 10, 2026.

  • Caused harm to a resident, 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 April 2026, after a complaint. Corrected by May 14, 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 April 2026, after a complaint. Corrected by May 14, 2026.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    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.

    Inspected August 2025. Corrected by October 4, 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 August 2025, after a complaint. Corrected by October 4, 2025.

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

    Assure the security of all personal funds of residents deposited with the facility.

    Inspected August 2025. Corrected by October 4, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected August 2025. Corrected by October 4, 2025.

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected August 2025. Corrected by October 4, 2025.

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  • 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 August 2025. Corrected by October 4, 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 August 2025. Corrected by October 4, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected August 2025, after a complaint. Corrected by October 4, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Inspected August 2025. Corrected by October 4, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Inspected August 2025. Corrected by October 4, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by October 4, 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.

Livingston Manor Care Center offers memory care, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 94
  • Occupancy 28%
  • Nursing hours per resident/day 4.0
  • Annual staff turnover 62%
  • Last health inspection August 2025

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