Nursing Home
Grand River Health Care
Certified beds
60
Avg. 30 residents a day
Ownership
For-profit
Corporation
Medicare
Certified
Since Jan 1992
Medicaid
Certified
Since Jan 1992
CMS rating
1
Much below average
CMS star ratings
Staffing
| Role | This homeHome | Missouri avgMO | U.S. avgU.S. | |
|---|---|---|---|---|
| Total nurse staffing | 2.84 | 3.43 | 3.86 | |
| Registered nurse (RN) | 0.43 | 0.46 | 0.68 | |
| Licensed practical nurse (LPN) | 0.43 | 0.68 | 0.86 | |
| Nurse aide | 1.97 | 2.29 | 2.32 | |
| Total nurse staffing, weekends | 2.76 | 3.01 | 3.42 | |
| Physical therapist | 0.01 | 0.04 | 0.07 |
This homeU.S. average
Staff turnover
| Measure | This homeHome | Missouri avgMO | U.S. avgU.S. |
|---|---|---|---|
| Total nursing staff turnover | 81.3% | 56.0% | 45.8% |
| Registered nurse turnover | 60.0% | 47.8% | 42.9% |
| Administrators who left | 1 | 0.7 | 0.5 |
Staffing is reported by the facility to CMS through payroll-based journal data. Missouri and U.S. averages are calculated by WeFoundCare from the same CMS file (487 Missouri and 14,680 U.S. facilities).
Inspections and penalties
Most recent inspection
18health deficiencies
Feb 27, 2025 · 15 standard, 6 complaint
Missouri average: 11.4 · U.S. average: 9.2
Missouri average: 11.4 · U.S. average: 9.2
Prior inspection
22health deficiencies
Apr 24, 2023 · standard and complaint surveys combined
Fines2 fines · $68,226
Payment denials1
Abuse citation flagFlagged
Special Focus FacilityNo
Care types offered
Nursing home
Skilled nursing, 60 Medicare-certified beds
Location
118 Trenton Rd, Chillicothe, MO 64601
Livingston County · 0.7 mi from the center of Chillicothe
Facility details
Legal business nameN & R of Chillicothe, Inc
OperatorJames & Judy Lincoln
OwnershipFor-profit corporation
Facilities in chain56
Medicare approvedJan 8, 1992
Chain average rating2.5 of 5
Resident and family councilResident council
Ownership change, last 12 monthsNo
Sprinklers in all required areasYes
CMS Certification Number265480
Source: CMS Care Compare, Nursing Home Provider Information, processed Sep 1, 2026.
Last updated on WeFoundCare: Oct 20, 2026.
Suggest a correctionLast updated on WeFoundCare: Oct 20, 2026.