603 SAINT LOUIS AVE, Chillicothe, MO 64601
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Livingston Manor Care Center brings skilled nursing and rehabilitation to Chillicothe, Missouri with compassionate, individualized care. Our team of nursing professionals supports recovery and wellness through evidence-based treatment plans. Whether transitioning from hospital care or seeking long-term support, we're committed to helping residents regain strength and independence.
Capacity
94 residents
Location
Chillicothe, MO
Status
Listed in a public registry
939 EAST BIRCH, Chillicothe, Missouri 64601
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
At its most recent standard inspection, on August 21, 2025, state inspectors cited 15 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 3 hours 59 minutes with each resident a day, above the Missouri average of 3 hours 26 minutes.
Medicare fined Livingston Manor Care Center 2 times in the last three years, $168,230 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 59 minutesAbove the Missouri average |
| Registered nurse time per resident, per day | 49 minutesAbove the Missouri average |
| Nursing staff who left in the past year | 62%Above the Missouri average |
51 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 30, 2026 · Complaint investigation · 1 citation
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.
May 1, 2026 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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.
Assure the security of all personal funds of residents deposited with the facility.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to manage his or her financial affairs.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
Ensure that residents are free from significant medication errors.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Ensure medication error rates are not 5 percent or greater.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Give residents a notice of rights, rules, services and charges.
Provide care and assistance to perform activities of daily living for any resident who is unable.
PASARR screening for Mental disorders or Intellectual Disabilities
Honor the resident's right to organize and participate in resident/family groups in the facility.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Provide and implement an infection prevention and control program.
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.
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.
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.
Provide activities to meet all resident's needs.
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.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure the activities program is directed by a qualified professional.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2 fines totaling $168,230 in the last three years.
939 EAST BIRCHChillicothe, MO 64601
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State inspectors visited on August 21, 2025 and cited 15 health deficiencies, 6 of them from complaint investigations. The Missouri average is 11.4.
Nurses and aides spend 3 hours 59 minutes with each resident per day, including 49 minutes from registered nurses. 62% of nursing staff left over the past year.
Yes. Medicare fined Livingston Manor Care Center 2 times in the last three years, totaling $168,230.
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.
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.
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.