The nursing home failed to protect residents from abuse and neglect by others. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
GRAND RIVER HEALTH CARE
CHILLICOTHE, MO · Medicare-certified · 60 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Grand River Health Care in Chillicothe, MO has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 2.84 nurse hours per resident per day versus the 4.1 federal benchmark, $68,226 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.8397 hrs/resident/day
Quality measures
Last inspection: January 9, 2026Penalties, last 24 months: $68,226recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8397.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.43
- Nurse aides
- 1.97
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 81%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—73.9%—
Residents with a fall causing major injury
0%3.6%Worsening
Residents with pressure ulcers (bedsores)
0%4.4%Worsening
Residents with a urinary tract infection
4%7.4%Worsening
Residents who lost too much weight
0%4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%23.1%Worsening
Residents whose ability to walk got worse
—11%—
Long-stay residents on antianxiety or sleep medication
63.6%42.3%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
3.5%16.7%Worsening
Residents with depressive symptoms
0%16%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.6%—
Long-stay residents given the pneumonia vaccine
0%14.3%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to support and respect residents’ choices and self-determination. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: E
Recent history
- PENALTY
A federal fine of $41,615 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $36,390 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $26,611 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $68,226 in total fines · 1 payment denial.
- $41,615
Federal fine
Jan 9, 2026
- 2 days
Medicare/Medicaid payment denial
Dec 5, 2024
- $26,611
Federal fine
Dec 5, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
- Occupancy
- 30 residents on an average day (50% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.