Grand River Health Care
118 Trenton Road · Chillicothe, MO · 64601 · 6606460353
60 certified beds For profit - Corporation Chain: James & Judy Lincoln
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $68,226 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$68,226 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.92 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
91% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 91% | median 45% |
| Fines (3-yr window) | 2 · $68,226 |
Inspection citations (60 in the current record)
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Immediate jeopardy · J January 9, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G March 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 25, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 25, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 27, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · E February 27, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · E February 27, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · E February 27, 2025
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 April 7, 2025 · Resident Rights
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Potential for harm · E February 27, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · E February 27, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 7, 2025 · Pharmacy Service
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Potential for harm · E February 27, 2025
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 April 7, 2025 · Pharmacy Service
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Potential for harm · E February 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 7, 2025 · Infection Control
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Potential for harm · E February 27, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · D February 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F February 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 7, 2025 · Nutrition and Dietary
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Actual harm · G December 16, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 5, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2026 | Fine | $41,615 |
| December 5, 2024 | Fine | $26,611 |
| December 5, 2024 | Payment Denial | 2 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265480 · certified since January 8, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.