Grand River Health Care
Nursing home in Chillicothe, Missouri, CMS certification number 265480
118 Trenton Road, Chillicothe, MO 64601 · Livingston County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 60
- Certified for
- Medicare and Medicaid
- Last standard inspection
- February 27, 2025
- Deficiencies at that inspection
- 18
- Fines in 3 years
- $68,226 (2)
Does Grand River Health Care take Medicare and Medicaid?
Yes to both. Grand River Health Care is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Grand River Health Care reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.06
- Registered nurse hours
- 0.40
- Licensed practical nurse hours
- 0.58
- Nurse aide hours
- 2.07
- Weekend total hours
- 2.76
- Nursing staff turnover
- 82.8%
- Registered nurse turnover
- 83.3%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on February 27, 2025 and cited 18 deficiencies, plus 6 from complaint visits.
The visit before, on April 24, 2023, found 14.
CMS shows an abuse icon for Grand River Health Care. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Grand River Health Care 2 times in the past 3 years, for $68,226 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 30.8 residents live here, about 51% of its 60 certified beds.
- Certified beds
- 60
- Average residents per day
- 30.8
- Certified since
- January 8, 1992
- Resident or family council
- Resident
Who owns Grand River Health Care
- Legal business name
- N & R of Chillicothe, Inc.
- Ownership type
- For profit - Corporation
- Chain
- 55 homes nationally under James & Judy Lincoln, 2.6-star chain average
Other nursing homes near Grand River Health Care
- Morningside Center1700 Morningside Drive, Chillicothe 64601
- Livingston Manor Care Center939 East Birch, Chillicothe 64601
- Stonebridge Chillicothe2601 Fair Street, Chillicothe 64601
- Eastview Manor Care Center1622 East 28th Street, Trenton 64683
- Sunnyview Nursing Home & Apartments1311 E 28th Street, Trenton 64683
Who inspects nursing homes in Missouri
Missouri's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Missouri, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Grand River Health Care, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Grand River Health Care
What is the CMS star rating of Grand River Health Care?
1 out of 5 stars overall.
Does Grand River Health Care accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Grand River Health Care?
18 cited at the last standard visit.
Who owns Grand River Health Care?
N & R of Chillicothe, Inc., for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.