Morningside Center
Medicare-certified1700 MORNINGSIDE DRIVE, Chillicothe, MO 64601
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
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Medicare-certifiedSkilled Nursing
Grand River Health Care
Chillicothe, MissouriMedicare inspection record
About Grand River Health Care
Grand River Health Care brings skilled nursing and rehabilitation services to Chillicothe, Missouri families who need trusted medical care during recovery. Our team focuses on helping patients regain independence through personalized treatment plans and compassionate support.
Community at a glance
Capacity
60 residents
Location
Chillicothe, MO
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
118 TRENTON ROAD, Chillicothe, Missouri 64601
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Grand River Health Care for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on February 27, 2025, state inspectors cited 18 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 2 hours 50 minutes with each resident a day, below the Missouri average of 3 hours 26 minutes.
Medicare fined Grand River Health Care 2 times in the last three years, $68,226 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 50 minutesBelow the Missouri average |
| Registered nurse time per resident, per day | 26 minutesBelow the Missouri average |
| Nursing staff who left in the past year | 81%Above the Missouri average |
1 administrator has left the home in the past year.
Inspections
26 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 9, 2026 · Complaint investigation · 2 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 27, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 27, 2026
November 21, 2025 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 30, 2025
March 25, 2025 · Complaint investigation · 3 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 22, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 22, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 22, 2025
February 27, 2025 · Standard inspection · 15 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Apr 7, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 7, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 7, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 7, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 7, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 7, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 7, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 7, 2025Honor the resident's right to manage his or her financial affairs.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 7, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 7, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 7, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 7, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 7, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 7, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 7, 2025
December 16, 2024 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 10, 2025
December 5, 2024 · Complaint investigation · 2 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 27, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 27, 2024
September 11, 2024 · Complaint investigation · 2 citations+
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 11, 2024Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 11, 2024
Fines and payment denials
2 fines totaling $68,226 and 1 Medicare payment denial in the last three years.
- January 9, 2026Fine: $41,615
- December 5, 2024Fine: $26,611
- December 5, 2024Payment denial, 2 days
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- N & R of Chillicothe, Inc.
- Medicare-certified beds
- 60
- Average residents per day
- 30
- Accepts
- Medicare and Medicaid
- First certified
- January 8, 1992
- Part of a chain
- James & Judy Lincoln, 56 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 265480
Location
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118 TRENTON ROADChillicothe, MO 64601
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Questions about Grand River Health Care
How did Grand River Health Care do on its last inspection?+
State inspectors visited on February 27, 2025 and cited 18 health deficiencies, 6 of them from complaint investigations. The Missouri average is 11.4.
How much nursing care does each resident get at Grand River Health Care?+
Nurses and aides spend 2 hours 50 minutes with each resident per day, including 26 minutes from registered nurses. 81% of nursing staff left over the past year.
Has Grand River Health Care been fined by Medicare?+
Yes. Medicare fined Grand River Health Care 2 times in the last three years, totaling $68,226.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.