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Nursing HomeMedicaid Investigative

Grand River Health Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

118 Trenton Road, Chillicothe, MO 6460160 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 8 Google reviews

5
4
3
2
1
Grand River Health Care Nursing Home in Chillicothe, MO — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (21 vs median 10)
  • High staff turnover (85%)
  • High RN turnover (57%)

Bottom 25% in MO · Meets national RN staffing standard · Very high staff turnover · Worst in JAMES & JUDY LINCOLN chain · $63,001 in fines · Abuse citation

Source: Medicare data

What this means for your family

The facility is currently receiving high marks for its cleanliness and the positive attitude of its staff. However, because the recent positive feedback is very brief and lacks detail on clinical care, we recommend scheduling an in-person tour to observe daily operations and asking specific questions about care protocols to ensure they meet your loved one's needs.

Google Reviews

Google Reviews

8 reviews on Google
Grand River Health Care is frequently praised by recent visitors for its clean, pleasant-smelling environment and kind, professional nursing staff. While recent reviews are overwhelmingly positive regarding the quality of care and staff demeanor, the facility lacks detailed feedback from long-term residents or family members regarding clinical outcomes or daily routines.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Clean, pleasant-smelling facility
  • Kind and professional nursing staff
  • Attentive care for residents

Rating Trends

Tap a year to see what changed

2343.02019(4)4.02020(2)5.02025(10)

Distribution · 16 analyzed

5
12
4
2
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on maintaining a clean and pleasant environment, what specific protocols are in place to ensure these high standards of hygiene are consistently met across the facility?
  • 2I noticed the facility has had a high volume of state-reported deficiencies recently; could you walk me through the specific steps the leadership team is taking to address these findings and improve overall compliance?
  • 3While the nursing staff is frequently praised for being kind and professional, how do you ensure that this level of attentive care remains consistent throughout all shifts and for all 60 residents?
  • 4With the current staffing rating being a strong point, how do you integrate your nursing team into the daily social and activity programs to ensure residents stay engaged and active?
  • 5In the event of a medical emergency, what is your specific protocol for communicating with family members, and how do you coordinate care with local hospitals?
  • 6Since you have a smaller capacity of 60 residents, how does this size allow you to provide a more personalized approach to care compared to larger nursing homes?

Personalized based on this facility's data


Key Review Excerpts

Wonderful professional, kind nursing staff. Facility clean and smells good.

Visitor · 2025★★★★★

Beautiful home, smells good when you first walk in which is something that is really uncommon in nursing homes! There are wonderful nurses and staff!

Visitor · 2025★★★★★

Great staff! They treat the residents amazing!

Visitor · 2025★★★★★
Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
2.92hrs
71%
All nurses + aides combined
Staff Turnover
91%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 14 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility1.9%
Worse than Avg
Here
1.9%
US
93.4%
MO
84.4%
Livingston
94.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility71.4%
Worse than Avg
Here
71.4%
US
15.5%
MO
23.6%
Livingston
15.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility54.3%
Worse than Avg
Here
54.3%
US
19.5%
MO
25.4%
Livingston
19.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MO
16.7%
Livingston
17.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.3%
MO
18.9%
Livingston
16.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
19.4%
MO
17.9%
Livingston
22.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
3penalties
Well above state avg (12.0)
14 complaint-triggered
$63,001 in fines

Multiple families have filed reports about protection failures, with the most serious concern being an uncorrected resident abuse case from January 2026. This facility has persistent problems with resident protection and safety, medication management, and fire safety systems. While most deficiencies show correction plans, the pattern of repeated violations across the same safety areas and ongoing abuse protection failures suggest serious quality concerns that families should carefully consider.

Jan 9, 2026Complaint
2
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Nov 21, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Mar 25, 2025Complaint
3
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Feb 27, 2025Routine
23
0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 27, 2025Complaint
3
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Dec 16, 2024Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Federal Penalties

Fine

Jan 9, 2026

$41,615

Fine

Dec 5, 2024

$26,611

Payment Denial

Dec 5, 2024

2-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Grand River Health Care

Organization Type

for profit

Chain Affiliation

Chain Name

James & Judy Lincoln

Chain Size

56 facilities nationwide

Chain avg rating: 2.5/5 · Rank 46 of 56 (Worst)

Ownership & Management

Owners

Lincoln, James

Owner

50%

Lincoln, Judy

Owner

50%

Key personnel

Lauhoff, KentW-2 Managing EmployeeCrane, GaryOfficer / DirectorDrake, TimothyOfficer / DirectorStutts, CharlotteOfficer / DirectorN & R of Chillicothe, INC.Manager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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