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Medicare-certifiedSkilled Nursing

Livingston Manor Care Center

Chillicothe, MissouriMedicare inspection record
(660) 646-5177

About Livingston Manor Care Center

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.

Community at a glance

Capacity

94 residents

Location

Chillicothe, MO

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

939 EAST BIRCH, Chillicothe, Missouri 64601

(660) 646-5177

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 Livingston Manor Care Center for a citation related to abuse of residents in its recent inspections.

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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 59 minutesAbove the Missouri average
Registered nurse time per resident, per day49 minutesAbove the Missouri average
Nursing staff who left in the past year62%Above the Missouri average

Inspections

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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintPlan to fix it accepted

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.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 10, 2026
April 21, 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.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 14, 2026
  • Timely 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 May 14, 2026
August 21, 2025 · Standard inspection · 11 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 Oct 4, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Oct 4, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Oct 4, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 4, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Oct 4, 2025
  • Provide 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 Oct 4, 2025
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Oct 4, 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 4, 2025
  • Assure the security of all personal funds of residents deposited with the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 4, 2025
  • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 4, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Oct 4, 2025
June 2, 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 Jul 15, 2025
April 5, 2025 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected May 6, 2025
May 30, 2024 · Standard inspection · 31 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 DietaryCorrected Jul 12, 2024
  • Honor the resident's right to manage his or her financial affairs.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • Ensure 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 Jul 12, 2024
  • Provide 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 Jul 12, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 12, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jul 12, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 12, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 12, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 12, 2024
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • Honor 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 RightsCorrected Jul 12, 2024
  • Give residents a notice of rights, rules, services and charges.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 12, 2024
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 12, 2024
  • Honor the resident's right to organize and participate in resident/family groups in the facility.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Jul 12, 2024
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 12, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 12, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 12, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 12, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 12, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 12, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 12, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 12, 2024
  • Ensure the activities program is directed by a qualified professional.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 12, 2024
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 12, 2024
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 12, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 12, 2024
February 26, 2024 · Complaint investigation · 3 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 Mar 1, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 1, 2024
  • Timely 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 Mar 1, 2024

Fines and payment denials

2 fines totaling $168,230 in the last three years.

  • April 21, 2026Fine: $53,865
  • February 26, 2024Fine: $114,365

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Livingston Manor Inc
Medicare-certified beds
94
Average residents per day
26
Accepts
Medicare and Medicaid
First certified
July 1, 1995
Part of a chain
Juckette Family Homes, 6 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265621

Location

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939 EAST BIRCHChillicothe, MO 64601

10 other communities within 10 miles

Senior living near Chillicothe

Questions about Livingston Manor Care Center

How did Livingston Manor Care Center do on its last inspection?+

State inspectors visited on August 21, 2025 and cited 15 health deficiencies, 6 of them from complaint investigations. The Missouri average is 11.4.

How much nursing care does each resident get at Livingston Manor Care Center?+

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.

Has Livingston Manor Care Center been fined by Medicare?+

Yes. Medicare fined Livingston Manor Care Center 2 times in the last three years, totaling $168,230.

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.

Senior living in Chillicothe Skilled Nursing in Missouri Skilled Nursing guide Information last updated October 2026