Skilled Nursing

LIVINGSTON MANOR CARE CENTER

939 EAST BIRCH, CHILLICOTHE, MO 64601

94beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

4.2h

Hrs/resident · weekday

Expected: 5.7h

5.0h

Hrs/resident · weekend

vs 4.2h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
LPNs
CNAs
63%

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0600Severity JFeb 26, 2024

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

Corrected: Mar 1, 2024

48 standard deficiencies in the last 3 years

View all
0609Severity DApr 21, 2026

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

0600Severity GApr 21, 2026

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

0880Severity DAug 21, 2025

Provide and implement an infection prevention and control program.

0812Severity FAug 21, 2025

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

0805Severity EAug 21, 2025

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0803Severity EAug 21, 2025

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.

0761Severity EAug 21, 2025

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.

0727Severity FAug 21, 2025

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.

0695Severity EAug 21, 2025

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

0628Severity EAug 21, 2025

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0607Severity EAug 21, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0570Severity EAug 21, 2025

Assure the security of all personal funds of residents deposited with the facility.

0568Severity DAug 21, 2025

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0600Severity DJun 2, 2025

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

0880Severity EApr 5, 2025

Provide and implement an infection prevention and control program.

0919Severity EMay 30, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0880Severity EMay 30, 2024

Provide and implement an infection prevention and control program.

0812Severity FMay 30, 2024

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

0801Severity EMay 30, 2024

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0761Severity EMay 30, 2024

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.

0760Severity EMay 30, 2024

Ensure that residents are free from significant medication errors.

0759Severity EMay 30, 2024

Ensure medication error rates are not 5 percent or greater.

0727Severity EMay 30, 2024

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.

0700Severity EMay 30, 2024

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0695Severity EMay 30, 2024

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

0690Severity DMay 30, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0689Severity EMay 30, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DMay 30, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0680Severity DMay 30, 2024

Ensure the activities program is directed by a qualified professional.

0679Severity EMay 30, 2024

Provide activities to meet all resident's needs.

0677Severity EMay 30, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0661Severity DMay 30, 2024

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0658Severity EMay 30, 2024

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

0656Severity EMay 30, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity EMay 30, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

0636Severity EMay 30, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0607Severity EMay 30, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0585Severity EMay 30, 2024

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.

0584Severity EMay 30, 2024

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.

0582Severity EMay 30, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0578Severity EMay 30, 2024

Honor 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.

0572Severity EMay 30, 2024

Give residents a notice of rights, rules, services and charges.

0568Severity EMay 30, 2024

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0567Severity EMay 30, 2024

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

0565Severity EMay 30, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

0550Severity EMay 30, 2024

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

0610Severity DFeb 26, 2024

Respond appropriately to all alleged violations.

0609Severity DFeb 26, 2024

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

LIVINGSTON MANOR INC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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