GRAND RIVER HEALTH CARE

CMS abuse icon · Livingston · MO · For profit - Corporation · JAMES & JUDY LINCOLN chain · 60 certified beds · CCN 265480 · N & R OF CHILLICOTHE, INC.


GRAND RIVER HEALTH CARE operates 60 certified beds in CHILLICOTHE, Missouri. Its Medicare and Medicaid certification dates to 1992-01-08. It averages 30.0 residents a day.

What harm was found in the violations cited at GRAND RIVER HEALTH CARE?

CMS lists 60 health-inspection deficiencies for GRAND RIVER HEALTH CARE since 2021-02-10, 26 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-09.

Survey dateTagDeficiencySeverity
2026-01-09F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2026-01-09F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-11-21F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-03-25F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-03-25F0602, F0609Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-02-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-02-27F0550, F0558, F0561, F0567, F0584, F0657, F0658, F0692, F0695, F0759, F0761, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to manage his or her financial affairs. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide and implement an infection prevention and control program.E
2025-02-27F0600, F0684Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-12-16F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-12-05F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-12-05F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-09-11F0604, F0740Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2023-04-24F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-04-24F0550, F0576, F0677, F0756, F0759, F0760, F0761, F0880, F0881Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.E
2023-04-24F0578, F0623, F0689, F0693Honor 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D
2021-02-10F0565, F0585, F0684, F0692, F0880Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program.E
2021-02-10F0580, F0623, F0625, F0658, F0689, F0695, F0758, F0759, F0761, F0800, F0812, F0813, F0825, F0908, F0921Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide or get specialized rehabilitative services as required for a resident. / Keep all essential equipment working safely. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D

Why was GRAND RIVER HEALTH CARE fined 2 times?

DateTypeAmount
2026-01-09Fine$41,615
2024-12-05Fine$26,611

Has GRAND RIVER HEALTH CARE had payment denied by Medicare?

Payment denial startLength in days
2025-01-082

How is GRAND RIVER HEALTH CARE staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day2.839703.43324
Total nursing staff turnover (%)81.356.0
Average number of residents per day30.073.0

Who owns GRAND RIVER HEALTH CARE, and what chain is it in?

GRAND RIVER HEALTH CARE is registered with CMS as For profit - Corporation, operates under the legal business name N & R OF CHILLICOTHE, INC. and belongs to the JAMES & JUDY LINCOLN chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLINCOLN, JAMES, LINCOLN, JUDYsince 08/01/1998
W-2 MANAGING EMPLOYEELAUHOFF, KENTsince 04/25/2022
CORPORATE DIRECTORCRANE, GARYsince 08/01/1998
CORPORATE OFFICERDRAKE, TIMOTHY, STUTTS, CHARLOTTEsince 04/25/2022
OPERATIONAL/MANAGERIAL CONTROLN & R OF CHILLICOTHE, INC.since 08/01/1998

Were you or a family member harmed at GRAND RIVER HEALTH CARE?