GRAND RIVER HEALTH CARE

118 TRENTON ROAD, CHILLICOTHE, MO 64601 · CCN 265480 · 60 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-01-09 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2025-03-25 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2024-12-16 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2024-12-05 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.37

state median 2.42

Weekend staffing gap

−5%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.43

registered nurses only

Contract (agency) staff

27%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

81%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $68,226 in fines.

Date	Type	Amount
2026-01-09	Fine	$41,615
2024-12-05	Fine	$26,611
2024-12-05	Payment Denial	payment denial

Ownership

Ownership type: For profit - Corporation. Part of the JAMES & JUDY LINCOLN chain.

Other facilities under the same ownership, with their CMS overall ratings:

WOODLAND HILLS HEALTHCARE AND REHABILITATION (JACKSONVILLE, AR) — CMS overall1 of 5
Ashley Rehabilitation and Health Care Center (Rogers, AR) — CMS overallnot rated
CAMDENTON WINDSOR ESTATES (CAMDENTON, MO) — CMS overall1 of 5
LEBANON NORTH NURSING & REHAB (LEBANON, MO) — CMS overall1 of 5
LEWIS & CLARK GARDENS (SAINT CHARLES, MO) — CMS overall1 of 5
WILSON'S CREEK NURSING & REHAB (SPRINGFIELD, MO) — CMS overall5 of 5
PARKSIDE MANOR (COLUMBIA, MO) — CMS overall2 of 5
WARRENTON MANOR (WRIGHT CITY, MO) — CMS overall1 of 5

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 56 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-01-09	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2026-01-09	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-11-21	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-03-25	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2025-03-25	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-03-25	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-02-27	F0550	Resident Rights Deficiencies	E	not recorded
2025-02-27	F0558	Resident Rights Deficiencies	E	not recorded
2025-02-27	F0561	Resident Rights Deficiencies	E	not recorded
2025-02-27	F0567	Resident Rights Deficiencies	E	not recorded
2025-02-27	F0584	Resident Rights Deficiencies	E	not recorded
2025-02-27	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-02-27	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-02-27	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-02-27	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-02-27	F0692	Quality of Life and Care Deficiencies	E	not recorded
2025-02-27	F0695	Quality of Life and Care Deficiencies	E	not recorded
2025-02-27	F0759	Pharmacy Service Deficiencies	E	not recorded
2025-02-27	F0761	Pharmacy Service Deficiencies	E	not recorded
2025-02-27	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-02-27	F0880	Infection Control Deficiencies	E	not recorded
2024-12-16	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2024-12-05	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2024-12-05	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-11	F0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-11	F0740	Quality of Life and Care Deficiencies	D	not recorded
2023-04-24	F0550	Resident Rights Deficiencies	E	not recorded
2023-04-24	F0576	Resident Rights Deficiencies	E	not recorded
2023-04-24	F0578	Resident Rights Deficiencies	D	not recorded
2023-04-24	F0623	Resident Rights Deficiencies	D	not recorded
2023-04-24	F0677	Quality of Life and Care Deficiencies	E	not recorded
2023-04-24	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-04-24	F0693	Quality of Life and Care Deficiencies	D	not recorded
2023-04-24	F0756	Pharmacy Service Deficiencies	E	not recorded
2023-04-24	F0759	Pharmacy Service Deficiencies	E	not recorded
2023-04-24	F0760	Pharmacy Service Deficiencies	E	not recorded
2023-04-24	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-04-24	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-04-24	F0880	Infection Control Deficiencies	E	not recorded
2023-04-24	F0881	Infection Control Deficiencies	E	not recorded
2021-02-10	F0565	Resident Rights Deficiencies	E	not recorded
2021-02-10	F0580	Resident Rights Deficiencies	D	not recorded
2021-02-10	F0585	Resident Rights Deficiencies	E	not recorded
2021-02-10	F0623	Resident Rights Deficiencies	D	not recorded
2021-02-10	F0625	Resident Rights Deficiencies	D	not recorded
2021-02-10	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2021-02-10	F0684	Quality of Life and Care Deficiencies	E	not recorded
2021-02-10	F0689	Quality of Life and Care Deficiencies	D	not recorded
2021-02-10	F0692	Quality of Life and Care Deficiencies	E	not recorded
2021-02-10	F0695	Quality of Life and Care Deficiencies	D	not recorded
2021-02-10	F0758	Pharmacy Service Deficiencies	D	not recorded
2021-02-10	F0759	Pharmacy Service Deficiencies	D	not recorded
2021-02-10	F0761	Pharmacy Service Deficiencies	D	not recorded
2021-02-10	F0800	Nutrition and Dietary Deficiencies	D	not recorded
2021-02-10	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2021-02-10	F0813	Nutrition and Dietary Deficiencies	D	not recorded
2021-02-10	F0825	Quality of Life and Care Deficiencies	D	not recorded
2021-02-10	F0880	Infection Control Deficiencies	E	not recorded
2021-02-10	F0908	Environmental Deficiencies	D	not recorded
2021-02-10	F0921	Environmental Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “GRAND RIVER HEALTH CARE, CHILLICOTHE” at medicare.gov/care-compare.