Grand River Health Care
Chillicothe, MO · Medicare and Medicaid-certified nursing home (CCN 265480) · 60 certified beds
Health inspection: 1 · Quality measures: 2 · Staffing: 1
Federal fines: 2 totaling $68,226 · 1 payment denial
Phone: (660) 646-0353 · Verify on Medicare Care Compare ↗
Grand River Health Care has a CMS overall rating of 1 out of 5 stars, below the Missouri state average of 2.51. Its health inspection rating is also 1 star and its staffing rating is 1 star.
Grand River Health Care reports 2.83970 total nurse hours per resident per day, including 0.43349 RN hours per resident per day, with a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 81.3%, which is high.
Grand River Health Care has 2 federal fines on record totaling $68,226.00, plus 1 payment denial. CMS also displays its abuse icon for this facility, so families should review the full inspection record on Medicare Care Compare.
About this facility
Grand River Health Care is a 60-bed skilled nursing facility in Chillicothe, Missouri (Livingston County), certified for Medicare and Medicaid since January 1992. The facility currently averages 30.0 residents. It is operated as a for-profit corporation and is part of the James & Judy Lincoln chain, which includes 56 facilities with an average CMS rating of 2.4.
According to CMS Care Compare, Grand River Health Care holds an overall star rating of 1 out of 5, below the Missouri state average of 2.51. Its component ratings are also low: 1 star for health inspections, 2 stars for quality measures, and 1 star for staffing.
Nurse staffing totals 2.83970 hours per resident per day, including 0.43349 RN hours per resident per day. Nursing staff turnover is reported at 81.3%, a notably high rate.
On penalties, CMS records show 2 federal fines totaling $68,226.00, and 1 payment denial on record for this facility. CMS also displays its abuse icon for this facility, indicating a citation related to abuse; families should review the full inspection record on Care Compare for details. Ownership has not changed in the past 12 months, so current ratings reflect the present operator.
This profile is based on CMS Care Compare data; families should verify current details directly with the facility and check Care Compare for the most recent updates.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Grand River Health Care has an overall rating of 1 out of 5 stars, below the Missouri state average of 2.51.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 2.83970 hours per resident per day, including 0.43349 RN hours, with a staffing star rating of 1 out of 5; nursing turnover is 81.3%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $68,226.00 and 1 payment denial.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS displays its abuse icon for this facility; no Special Focus status is listed in the data provided.
How large is this facility and how many residents live there?
It is a 60-bed facility with an average of 30.0 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit corporation and is part of the James & Judy Lincoln chain, which includes 56 facilities averaging a 2.4 CMS rating.
How long has this facility been Medicare/Medicaid certified?
It has been certified since January 8, 1992.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, quality measures, and staffing; Grand River Health Care scores 1, 1, 2, and 1 star respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at (660) 646-0353 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at (660) 646-0353 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's full record at https://www.medicare.gov/care-compare/details/nursing-home/265480?state=MO.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.