All states › Missouri › Chillicothe › Livingston Manor Care Center
939 East Birch Chillicothe, MO 64601 · Livingston County
All 4 nursing homes in Chillicothe, MO (4 take Medicaid)
CMS certification number 265621 · See this home on Medicare Care Compare
Is Livingston Manor Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Livingston Manor Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.97 hours per resident per day at Livingston Manor Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.68 of those hours are from registered nurses. On weekends it falls to 2.59 hours, 13% below its all-week average. 74.4% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Livingston Manor Care Center: Medicare and Medicaid
Livingston Manor Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 21, 2025 and found 9 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 56 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 56 citations at Livingston Manor Care Center across 9 inspection dates, 12 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 26, 2024 (complaint inspection). The most common areas cited were resident rights (14) and quality of life and care (10). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, February 26, 2024). 9 citations were under CMS's abuse, neglect and exploitation rules.
July 30, 2026 · 2 citations · includes complaint inspection
EEnsure that residents are fully informed and understand their health status, care and treatments.
EEnsure 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.
May 1, 2026 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 21, 2026 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
August 21, 2025 · 11 citations · includes complaint inspection
FHave 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EAssure the security of all personal funds of residents deposited with the facility.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure 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.
EEnsure 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.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DProvide and implement an infection prevention and control program.
June 2, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 5, 2025 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
May 30, 2024 · 31 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EGive residents a notice of rights, rules, services and charges.
EHonor 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.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EHonor 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.
EHonor 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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EPASARR screening for Mental disorders or Intellectual Disabilities
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe and appropriate respiratory care for a resident when needed.
ETry 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.
EHave 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.
EEnsure medication error rates are not 5 percent or greater.
EEnsure that residents are free from significant medication errors.
EEnsure 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.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EProvide and implement an infection prevention and control program.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DEnsure the activities program is directed by a qualified professional.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
February 26, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
October 5, 2022 · 4 citations, includes immediate jeopardy
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAssure the security of all personal funds of residents deposited with the facility.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Questions to ask on a tour of Livingston Manor Care Center
- Inspectors cited the home at the immediate-jeopardy level on February 26, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 1, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 74.4% a year. How many of the staff come from agencies?
- The home averages about 30% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $149,377 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 21, 2026 | Fine | $35,012 |
| Feb 26, 2024 | Fine | $114,365 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 1/5 |
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Location
Hospitals near Livingston Manor Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.7 mi
Hedrick Medical Center ChillicotheEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 4m for patients treated and sent home
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18.9 mi
Wright Memorial Hospital TrentonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 16m for patients treated and sent home
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24.9 mi
Pershing Memorial Hospital BrookfieldEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Livingston Manor Care Center › All nursing homes in Chillicothe ›
Compare Livingston Manor Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Stonebridge Chillicothe · Chillicothe · 5 stars · 1.5 mi
Other Juckette Family Homes nursing homes in Missouri
- Pleasant Valley Manor Care Center · Liberty · 5 stars
- Warrensburg Manor Care Center · Warrensburg · 3 stars
- Independence Manor Care Center · Independence · 2 stars
- Kirksville Manor Care Center · Kirksville · 1 stars
- Fulton Manor Care Center · Fulton · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Juckette Family Homes nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.