Livingston Manor Care Center
939 East Birch, Chillicothe, MO 64601 · (660) 646-5177
For profit - Corporation · 94 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Livingston Manor Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 11 citations (the Missouri average is 11.4). It was fined 2 times in the last three years, $168,230 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 21, 2025 found 11 citations. What an inspection citation means
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.August 21, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 21, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Assure the security of all personal funds of residents deposited with the facility.August 21, 2025 · F0570 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.August 21, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.August 21, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.August 21, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.August 21, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.August 21, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.August 21, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.August 21, 2025 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 21, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 11 citations.
- 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.July 30, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 1, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 21, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 21, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.August 21, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 21, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 2, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.April 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 26, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 26, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.February 26, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $53,865April 21, 2026
- Fine of $114,365February 26, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.99 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.81 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.42 | 0.68 | 0.86 |
| Nurse aides | 2.76 | 2.29 | 2.32 |
| Total nursing staff turnover | 61.9% | 56% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 94 |
| Average residents per day | 26.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Stonebridge Chillicothe Chillicothe · ★★★★★ 5 out of 5 stars
- Morningside Center Chillicothe · ★★★★★ 2 out of 5 stars
- Grand River Health Care Chillicothe · ★★★★★ 1 out of 5 stars
Compare every nursing home in Chillicothe, MO · Nursing homes in Missouri
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Data from Medicare (CMS), updated October 2026, from Livingston Manor Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.