Nursing homes › Missouri › Grand River Health Care
118 Trenton Road, Chillicothe, MO 64601 · (660) 646-0353 · 60 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 479 providers with a published value in the same state and provider category: 2/5.
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Per CMS filings, this facility is affiliated with James & Judy Lincoln, a group operating 56 facilities in 2 states. Group record: average rating 2.4/5, 8 abuse citation icons, 2 facilities on the Special Focus list, $1,782,878 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 2.84 (Missouri median: 3.36). RN hours: 0.43. Weekend total: 2.76. Nursing staff turnover: 81%.
In the downloaded CMS dataset: 60 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2026-01-27 |
| 2026-01-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-01-27 |
| 2025-11-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-11-30 |
| 2025-03-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-04-22 |
| 2025-03-25 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-04-22 |
| 2025-03-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-04-22 |
| 2025-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2025-04-07 |
| 2025-02-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2025-04-07 |
| 2025-02-27 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | 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. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | 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. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-07 |
| 2025-02-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-04-07 |
| 2025-02-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-04-07 |
| 2024-12-16 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-01-10 |
| 2024-12-05 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-12-27 |
| 2024-12-05 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-12-27 |
| 2024-09-11 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2024-10-11 |
| 2024-09-11 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2024-10-11 |
| 2023-04-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-06-06 |
| 2023-04-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | 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. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-07-27 |
| 2023-04-24 | Implement a program that monitors antibiotic use. | E | Health | corrected 2023-06-06 |
| 2023-04-24 | 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. | D | Health | corrected 2023-06-06 |
| 2023-04-24 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2023-06-06 |
| 2023-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-06-06 |
| 2023-04-24 | 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. | D | Health | corrected 2023-07-27 |
| Date | Type | Amount |
|---|---|---|
| 2026-01-09 | Fine | $41,615 |
| 2024-12-05 | Fine | $26,611 |
| 2024-12-05 | Payment Denial | 2 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LINCOLN, JAMES | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/1998 |
| LINCOLN, JUDY | 5% Or Greater Direct Ownership Interest | Individual | 50% | since 08/01/1998 |
| CRANE, GARY | Corporate Director | Individual | NOT APPLICABLE | since 08/01/1998 |
| DRAKE, TIMOTHY | Corporate Officer | Individual | NOT APPLICABLE | since 04/25/2022 |
| STUTTS, CHARLOTTE | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/1998 |
| N & R OF CHILLICOTHE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/1998 |
How to cite this page: CareRecords, “Grand River Health Care — compliance, penalty and ownership record” (CCN 265480), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/grand-river-health-care-chillicothe-mo/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265480. Corrections: data@carerecords.org.