Nursing homeFAID #7244
Livingston Manor Care Center
939 EAST BIRCH, CHILLICOTHE, MO, 64601
(660) 646-5177
94 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing1/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
94
State license
053036
CMS facility ID
265621
Care type
Nursing home
Facility name
Livingston Manor Care Center
Street address
939 EAST BIRCH
City / state / ZIP
Chillicothe, MO 64601
Phone
(660) 646-5177
State license #
053036
About this facility — Livingston Manor Care Center
Livingston Manor Care Center is a Medicare/Medicaid-certified skilled nursing facility in Chillicothe, Missouri. It is licensed for 94 beds — close to 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 Livingston Manor Care Center 68 times across 12 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $168,230 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
Livingston Manor, Inc
Parent company
Juckette Family Homes
Ownership type
For profit - Corporation
Administrator
Sara Hoover-shaw
Registered owners & officers
Chillicothe Industrial Development Corporation
Direct owner — 50% stake — since 2025
Juckette, Joyce E
Direct owner · Director · Officer · Operational control · Additional disclosable party — 50% stake — since 2015
Biesenthal, Nichole
Operational control · Additional disclosable party — since 2024
Hudlemeyer, Teresa
Operational control · Additional disclosable party — since 2021
Juckette Management Services Inc
Indirect owner · Operational control · Additional disclosable party — since 1972
Juckette, Holly
Director · Officer · Operational control · Additional disclosable party — since 2015
Mansour, Kristianna
Operational control · Additional disclosable party — since 2020
Neuroth, Teri
Director · Officer · Operational control · Additional disclosable party — since 2015
Plowman, Audrey
Operational control · Additional disclosable party — since 2025
Redmond, Christina
Operational control · Additional disclosable party — since 2025
Steele, Lisa
Director · Officer · Operational control · Additional disclosable party — since 2015
Steele, Randall
Director · Operational control · Additional disclosable party — since 2009
Regulatory standing
Licensed / certified since
1995-07-01
License expires
2027-09-30
CMS overall rating
1 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
$168,230 total
Last standard inspection
2025-08-21
Nurse staffing
4.0 hours per resident per day
Cost & payer profile (FY2024 cost report)
Average billed charges
$229 per day (≈ $6,960/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
64% Medicaid · 7% Medicare · 29% private/other
Occupancy
34% (fiscal year 2024)
Vs. state median
11% below the MO median of $257/day — full state cost breakdown
Services & coverage
Licensed beds
94
Licensed as
SNF
Memory care
Yes — dedicated memory care
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 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-01Health 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 2026-06-10
2026-04-21Health 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 2026-05-14
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 2026-05-14
9 earlier / fire-safety inspections (65 citations)
2025-08-21Health inspectionComplaint-triggered11 citations
F-0568
D · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-10-04
F-0570
E · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2025-10-04
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-10-04
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-04
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-04
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-10-04
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 2025-10-04
F-0803
E · No harm foundFood safetyFrom a complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-10-04
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-10-04
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 2025-10-04
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-10-04
2025-06-02Health 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 2025-07-15
2025-04-05Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-06
2024-05-30Health inspection31 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 2024-07-12
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-07-12
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-07-12
F-0568
E · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-07-12
F-0572
E · No harm found
Give residents a notice of rights, rules, services and charges.
Corrected 2024-07-12
F-0578
E · 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 2024-07-12
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-07-12
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 2024-07-12
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 2024-07-12
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-12
F-0636
E · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-07-12
F-0645
E · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-07-12
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-12
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-12
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-07-12
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-12
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-07-12
F-0680
D · No harm found
Ensure the activities program is directed by a qualified professional.
Corrected 2024-07-12
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-12
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-12
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-07-12
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-12
F-0700
E · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-07-12
F-0727
E · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-07-12
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-12
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-07-12
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 2024-07-12
F-0801
E · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-07-12
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 2024-07-12
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-12
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-07-12
2024-02-26Health inspectionComplaint-triggered3 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 2024-03-01
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 2024-03-01
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-03-01
2022-10-05Health inspection4 citations
F-0570
D · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2022-11-19
F-0684
J · Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-19
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-11-19
F-0812
E · 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 2022-11-19
2025-08-21Fire-safety inspection3 citations
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 2025-10-04
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 2025-10-04
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-10-04
2024-05-30Fire-safety inspection4 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-23
K-0311
F · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2024-07-12
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-12
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-12
2022-10-05Fire-safety inspection7 citations
E-0004
E · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-11-19
K-0222
E · 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 2022-11-19
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2022-11-19
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-11-19
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-11-19
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2022-11-19
K-0914
E · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-11-19
Federal penalties
2026-04-21Fine$53,865
2024-02-26Fine$114,365
Total fines$168,230
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 265621.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 68 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
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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