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Data / Nursing homes / Missouri / Grand River Health Care

Grand River Health Care, Chillicothe, MO: 1 star rating, fined $68,226 across 2 fines and had 1 payment denial

Grand River Health Care in Chillicothe, MO is owned by 2 individuals whom CMS lists (names not shown), is rated 1 of 5 stars by Medicare, and was fined $68,226 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on January 9, 2026, and 4 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Missouri
Address
118 Trenton Road, Chillicothe, MO 64601
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
60
Residents per day
31 on average
Ownership type
For profit, corporation
Legal business name
N & R of Chillicothe, Inc.
Chain
James & Judy Lincoln, 55 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$68,226 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
26, of which 4 with actual harm or immediate jeopardy
Latest survey
January 9, 2026
CMS Certification Number
265480
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 9, 2026Fine$41,615Not listeddata.cms.gov
December 5, 2024Fine$26,611Not listeddata.cms.gov
December 5, 2024Payment denialNot listedJanuary 8, 20252data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
January 9, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedJanuary 27, 2026data.cms.gov
January 9, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 27, 2026data.cms.gov
November 21, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 30, 2025data.cms.gov
March 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedApril 22, 2025data.cms.gov
March 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 22, 2025data.cms.gov
March 25, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 22, 2025data.cms.gov
February 27, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F567Honor the resident's right to manage his or her financial affairs.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
February 27, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 7, 2025data.cms.gov
December 16, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJanuary 10, 2025data.cms.gov
December 5, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedDecember 27, 2024data.cms.gov
December 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
September 11, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
September 11, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (2 owners, 1 managers, 3 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
N & R of Chillicothe, Inc.Operational or managerial controlNot listedAugust 1, 1998data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.