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
1 of 5 overall
GRAND RIVER HEALTH CARE (CHILLICOTHE, MO) has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings, while quality measures are 4 stars. Reported nurse staffing is 2.92 hours per resident per day, below the federal benchmark of 4.1, and the facility has $63,001 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.92 hrs/resident/day
Quality measures
Last inspection: January 9, 2026Penalties, last 24 months: $63,001recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.92.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.43
- Nurse aides
- 1.95
- Weekend nursing
- 2.80
Hours per resident per day.
Total staff turnover: 91%
Registered nurse turnover: 71%
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
—71.4%—
Residents with a fall causing major injury
0%3.6%Worsening
Residents with pressure ulcers (bedsores)
11%0%Improving
Residents with a urinary tract infection
3.7%0%Improving
Residents who lost too much weight
8.7%8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13%16%Worsening
Residents whose ability to walk got worse
—7.5%—
Long-stay residents on antianxiety or sleep medication
56.5%48%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
6.8%15.8%Worsening
Residents with depressive symptoms
0%0%No change
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%7.1%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 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.
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F-Tag 561 — 42 CFR §483.10 — S/S: E
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 567 — 42 CFR §483.10 — S/S: E
Recent history
- 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 · $63,001 in total fines · 1 payment denial.
- $36,390
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
- 28.7 residents on an average day (48% 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.