Grand River Health Care: Staffing, Turnover, and Inspection Record
Grand River Health Care is a 60-bed for-profit nursing home in Chillicothe, Missouri, part of James & Judy Lincoln. In the CMS August 2026 release it reported 1.97 nurse aide hours per resident per day, 14% below the Missouri average of 2.29, and 81.3% nursing staff turnover (Missouri average 56.0%).
Grand River Health Care
118 Trenton RoadChillicothe, MO 64601
Livingston County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Grand River Health Care, nurse aides logged 1.97 hours per resident per day, 14% below the Missouri average. With about 30 residents a day, that works out to roughly 59 aide hours a day, or about 7 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 3% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.97 | 2.29 | 2.32 |
| Licensed practical nurses | 0.43 | 0.68 | 0.86 |
| Registered nurses | 0.43 | 0.46 | 0.69 |
| All nursing staff | 2.84 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.76 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
81.3% of nursing staff at Grand River Health Care left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 60.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Missouri average 11.5). CMS lists 2 fines totaling $68,226 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 9, 2026 | Fine | $41,615 |
| Dec 5, 2024 | Fine | $26,611 |
| Dec 5, 2024 | Payment Denial | 2 days from Jan 8, 2025 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Grand River Health Care holds 1 of 5 overall; the Missouri average is 2.5.
About Grand River Health Care
- Ownership: For profit - Corporation
- Chain: James & Judy Lincoln, 56 homes
- Legal name: N & R of Chillicothe, Inc.
- Medicare and Medicaid certified since: Jan 8, 1992
- Councils: resident council
- Area: rural
Nursing homes near Grand River Health Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Morningside Center Chillicothe · abuse citation | 0.4 | 60 | 2.57 | 3.71 | 50.7% | 2 | None |
| Livingston Manor Care Center Chillicothe · abuse citation | 0.5 | 94 | 2.76 | 3.99 | 61.9% | 1 | $168,230 |
| Stonebridge Chillicothe Chillicothe | 1.1 | 75 | 2.43 | 3.52 | 40.0% | 5 | None |
| Eastview Manor Care Center Trenton · abuse citation | 20.1 | 90 | 1.36 | 2.12 | 48.1% | 1 | $163,472 |
| Sunnyview Nursing Home & Apartments Trenton · abuse citation | 20.2 | 94 | 3.24 | 4.46 | 63.9% | 1 | $30,295 |
| Golden Age Nursing Home Braymer | 20.5 | 83 | 2.43 | 3.42 | 55.6% | 4 | None |
| Brookfield Health Care Center Brookfield | 24.7 | 60 | 1.80 | 2.74 | 78.4% | 1 | $14,800 |
| Hill Crest Manor Hamilton | 24.7 | 90 | 2.47 | 3.01 | 54.2% | 1 | $13,033 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.