FPoor · score 19/100 · #460 of 482 in Missouri
Grand River Health Care
118 Trenton Road, Chillicothe, MO 64601 · 60 certified beds · For profit - Corporation
Staffing 2.8 nurse hours per resident-daybottom quarter in Missouri
18 health deficiencies at the last standard survey (CMS severity score 203)bottom quarter
$68,226 in fines in 3 years, 1 payment denials
Why Grand River Health Care is graded F
Each metric below is percentile-ranked against Missouri nursing homes in the same size band (medium, 60 beds), then weighted. The score is the weighted sum; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Nothing here can be edited or paid for.
Grand River Health Care at a Glance
F
19/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 2.84 h.
17<small style="font-size:12px;color:var(--muted)">th pct</small>Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 203.
9<small style="font-size:12px;color:var(--muted)">th pct</small>Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 2.
38<small style="font-size:12px;color:var(--muted)">th pct</small>Penalties · weight 15Fines and payment denials in the last three years. Raw: $68,226 fines, 1 denials.
11<small style="font-size:12px;color:var(--muted)">th pct</small>CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
1/5Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Missouri, medium facilities · CMS record 265480 · How we grade.
Facility details
Address118 Trenton Road, Chillicothe, MO 64601
Phone6606460353
CountyLivingston
OwnershipFor profit - Corporation
Certified beds60
AcceptsMedicare Medicaid
Special Focus FacilityNo
Higher-graded nursing homes nearby
1
Stonebridge Chillicothe - Chillicothe, MO · 75 beds
- Staffing 3.5 nurse hours per resident-day — above median in Missouri
- No health deficiencies at the last standard survey — top 10%
2
Morningside Center - Chillicothe, MO · 60 beds
- Staffing 3.7 nurse hours per resident-day — above median in Missouri
- 10 health deficiencies at the last standard survey (CMS severity score 92) — below median
3
Livingston Manor Care Center - Chillicothe, MO · 94 beds
- Staffing 4.0 nurse hours per resident-day — top quarter in Missouri
- 14 health deficiencies at the last standard survey (CMS severity score 140) — bottom quarter
A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.