Home›Browse›Missouri›Chillicothe›Grand River Health Care

Nursing homeFAID #7153

Grand River Health Care

118 TRENTON ROAD, CHILLICOTHE, MO, 64601

(660) 646-0353

60 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

118 Trenton Road

Chillicothe, MO 64601

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Public record summary

What we can show you for free.

Bed capacity

State license

053109

CMS facility ID

265480

Care type

Nursing home

Facility name

Grand River Health Care

Street address

118 TRENTON ROAD

City / state / ZIP

Chillicothe, MO 64601

Phone

(660) 646-0353

State license #

053109

About this facility — Grand River Health Care

Grand River Health Care is a Medicare/Medicaid-certified skilled nursing facility in Chillicothe, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 11 senior care facilities in Chillicothe and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Grand River Health Care 96 times across 13 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $68,226 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

N & R of Chillicothe, Inc

Parent company

James & Judy Lincoln

Ownership type

For profit - Corporation

Administrator

Barbara Jamison

Registered owners & officers

Lincoln, James

Direct owner — 50% stake — since 1998

Lincoln, Judy

Direct owner — 50% stake — since 1998

Crane, Gary

Director — since 1998

Drake, Timothy

Officer — since 2022

Lauhoff, Kent

Managing employee — since 2022

N & R of Chillicothe, Inc.

Operational control — since 1998

Stutts, Charlotte

Officer — since 1998

Regulatory standing

Licensed / certified since

1992-01-08

License expires

2027-10-30

CMS overall rating

1 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$68,226 total

Last standard inspection

2025-02-27

Nurse staffing

2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$188 per day (≈ $5,720/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

98% Medicaid · 1% Medicare · 1% private/other

Occupancy

42% (fiscal year 2023)

Vs. state median

27% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-01-09Health inspectionComplaint-triggered2 citations

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-27

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-27

2025-11-21Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-30

10 earlier / fire-safety inspections (93 citations)

2025-03-25Health inspectionComplaint-triggered3 citations

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-22

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-04-22

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-22

2025-02-27Health inspectionComplaint-triggered15 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-07

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-07

F-0561

E · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-04-07

F-0567

E · No harm found

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-04-07

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-07

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-07

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-07

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-07

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-07

F-0692

E · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-07

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-07

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-07

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-04-07

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-07

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-07

2024-12-16Health inspectionComplaint-triggered1 citation

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-01-10

2024-12-05Health inspectionComplaint-triggered2 citations

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-27

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-27

2024-09-11Health inspectionComplaint-triggered2 citations

F-0604

D · No harm foundFrom a complaint

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-10-11

F-0740

D · No harm foundFrom a complaint

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-10-11

2023-04-24Health inspection14 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-06-06

F-0576

E · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-06-06

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-06-06

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-06-06

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-06

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-06

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-07-27

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-06-06

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-06-06

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-06-06

F-0761

E · No harm found

Corrected 2023-06-06

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-06-06

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-07-27

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2023-06-06

2021-02-10Health inspection20 citations

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2021-05-18

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2021-03-06

F-0585

E · No harm found

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2021-05-18

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-05-18

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2021-05-18

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-03-06

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-03-06

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-03-06

F-0692

E · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2021-05-18

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-03-06

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-03-06

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-03-06

F-0761

D · No harm found

Corrected 2021-03-06

F-0800

D · No harm foundFood safety

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2021-03-06

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-03-06

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2021-03-06

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2021-03-06

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2021-03-06

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2021-03-06

F-0921

D · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2021-03-06

2025-02-27Fire-safety inspection11 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2025-04-07

K-0271

F · No harm found

Have exits that are accessible at all times.

Corrected 2025-04-07

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-04-07

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2025-04-07

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-07

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-04-07

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-07

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-07

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-04-07

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-04-07

2023-04-24Fire-safety inspection12 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-06-30

E-0020

E · No harm found

Establish policies and procedures including evacuation.

Corrected 2023-06-30

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2023-06-30

K-0100

D · No harm found

Meet other general requirements.

Corrected 2023-06-30

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-06-30

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-06-30

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2023-06-30

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-06-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-17

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-07-27

K-0374

D · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-06-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-06-30

2021-02-10Fire-safety inspection13 citations

E-0004

E · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-03-06

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2021-05-18

K-0100

E · No harm found

Meet other general requirements.

Corrected 2021-05-18

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2021-03-06

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-03-06

K-0291

E · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-03-06

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-03-06

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2021-03-06

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-03-06

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-05-18

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-03-06

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-05-18

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2021-05-18

Federal penalties

2026-01-09Fine$41,615

2024-12-05Fine$26,611

2024-12-05Medicare payment denial — 2 days

Total fines$68,226

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265480.

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 96 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered