The nursing home failed to protect residents from abuse and neglect by others. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
LIVINGSTON MANOR CARE CENTER
CHILLICOTHE, MO · Medicare-certified · 94 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
Livingston Manor Care Center in Chillicothe, MO has a 1 out of 5 overall rating, with 1-star health inspection and quality measures but 4-star staffing. It also has a recent abuse citation and $53,865 in fines over the last 24 months, and reported nurse staffing is 3.99 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.9895 hrs/resident/day
Quality measures
Last inspection: July 30, 2026Penalties, last 24 months: $53,865recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9895.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.76
- Weekend nursing
- 3.15
Hours per resident per day.
Total staff turnover: 62%
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
—68.6%—
Residents with a fall causing major injury
9.7%4%Improving
Residents with pressure ulcers (bedsores)
6.4%0%Improving
Residents with a urinary tract infection
0%4%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12%14.3%Worsening
Residents whose ability to walk got worse
—20.3%—
Long-stay residents on antianxiety or sleep medication
30.8%31.8%Worsening
Residents with a long-term catheter
2.2%0%Improving
Residents with new or worsening incontinence
14.7%16.8%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
—100%—
Long-stay residents given the pneumonia vaccine
100%88%Worsening
Short-stay residents given the pneumonia vaccine
—74.4%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2022 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 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 properly label and securely store medications and biologicals. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $53,865 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $168,230 in total fines.
- $53,865
Federal fine
Apr 21, 2026
- $114,365
Federal fine
Feb 26, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of JUCKETTE FAMILY HOMES · 6 homes · 2 stars avg
- Occupancy
- 26.2 residents on an average day (28% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.