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Grand River Health Care

📍 118 Trenton Road, Chillicothe, MO 64601 📞 (660) 646-0353 🛏️ 60 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $20,040

$20,040
Mar 22, 2022

Fine

2021 2 penalties totaling $9,750

$9,750
Feb 10, 2021

Fine

$0
Feb 10, 2021

Payment Denial

2018 2 penalties totaling $13,514

$13,514
Nov 1, 2018

Fine

$0
Nov 1, 2018

Payment Denial

2017 2 penalties totaling $7,150

$7,150
Oct 17, 2017

Fine

$0
Oct 17, 2017

Payment Denial

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Health Violations by Year

2025 18 violations

Tag 0600 G Mar 25, 2025

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

✓ Corrected: Apr 22, 2025
Tag 0602 D Mar 25, 2025

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Apr 22, 2025
Tag 0609 D Mar 25, 2025

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

✓ Corrected: Apr 22, 2025
Tag 0550 E Feb 27, 2025

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

✓ Corrected: Apr 7, 2025
Tag 0558 E Feb 27, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Apr 7, 2025
Tag 0561 E Feb 27, 2025

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Apr 7, 2025
Tag 0567 E Feb 27, 2025

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

✓ Corrected: Apr 7, 2025
Tag 0584 E Feb 27, 2025

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.

✓ Corrected: Apr 7, 2025
Tag 0600 D Feb 27, 2025

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

✓ Corrected: Apr 7, 2025
Tag 0657 E Feb 27, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 7, 2025
Tag 0658 E Feb 27, 2025

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

✓ Corrected: Apr 7, 2025
Tag 0684 D Feb 27, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 7, 2025
Tag 0692 E Feb 27, 2025

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 7, 2025
Tag 0695 E Feb 27, 2025

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

✓ Corrected: Apr 7, 2025
Tag 0759 E Feb 27, 2025

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 7, 2025
Tag 0761 E Feb 27, 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.

✓ Corrected: Apr 7, 2025
Tag 0812 F Feb 27, 2025

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

✓ Corrected: Apr 7, 2025
Tag 0880 E Feb 27, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 7, 2025

2023 14 violations

Tag 0550 E Apr 24, 2023

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

✓ Corrected: Jun 6, 2023
Tag 0576 E Apr 24, 2023

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Jun 6, 2023
Tag 0578 D Apr 24, 2023

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.

✓ Corrected: Jun 6, 2023
Tag 0623 D Apr 24, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jun 6, 2023
Tag 0677 E Apr 24, 2023

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

✓ Corrected: Jun 6, 2023
Tag 0689 D Apr 24, 2023

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

✓ Corrected: Jun 6, 2023
Tag 0693 D Apr 24, 2023

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.

✓ Corrected: Jul 27, 2023
Tag 0756 E Apr 24, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jun 6, 2023
Tag 0759 E Apr 24, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 6, 2023
Tag 0760 E Apr 24, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 6, 2023
Tag 0761 E Apr 24, 2023

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.

✓ Corrected: Jun 6, 2023
Tag 0812 F Apr 24, 2023

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

✓ Corrected: Jun 6, 2023
Tag 0880 E Apr 24, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 27, 2023
Tag 0881 E Apr 24, 2023

Implement a program that monitors antibiotic use.

✓ Corrected: Jun 6, 2023
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2022 2 violations

Tag 0604 J Mar 22, 2022

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Apr 14, 2022
Tag 0684 G Mar 22, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 14, 2022

2021 21 violations

Tag 0610 D Jul 13, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Aug 3, 2021
Tag 0565 E Feb 10, 2021

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

Tag 0580 D Feb 10, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0585 E Feb 10, 2021

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.

Tag 0623 D Feb 10, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Tag 0625 D Feb 10, 2021

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.

✓ Corrected: May 18, 2021
Tag 0658 D Feb 10, 2021

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

Tag 0684 E Feb 10, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 6, 2021
Tag 0689 D Feb 10, 2021

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

Tag 0692 E Feb 10, 2021

Provide enough food/fluids to maintain a resident's health.

Tag 0695 D Feb 10, 2021

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

Tag 0758 D Feb 10, 2021

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.

Tag 0759 D Feb 10, 2021

Ensure medication error rates are not 5 percent or greater.

Tag 0761 D Feb 10, 2021

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.

Tag 0800 D Feb 10, 2021

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Tag 0812 D Feb 10, 2021

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

Tag 0813 D Feb 10, 2021

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Tag 0825 D Feb 10, 2021

Provide or get specialized rehabilitative services as required for a resident.

Tag 0880 E Feb 10, 2021

Provide and implement an infection prevention and control program.

Tag 0908 D Feb 10, 2021

Keep all essential equipment working safely.

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2019 15 violations

Tag 0656 D Oct 9, 2019

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

✓ Corrected: Nov 5, 2019
Tag 0550 E Aug 9, 2019

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

✓ Corrected: Oct 9, 2019
Tag 0578 D Aug 9, 2019

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.

✓ Corrected: Oct 9, 2019
Tag 0604 D Aug 9, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Oct 9, 2019
Tag 0623 E Aug 9, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Oct 9, 2019
Tag 0625 E Aug 9, 2019

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.

✓ Corrected: Oct 9, 2019
Tag 0656 E Aug 9, 2019

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

✓ Corrected: Nov 5, 2019
Tag 0658 E Aug 9, 2019

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

✓ Corrected: Oct 9, 2019
Tag 0677 E Aug 9, 2019

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

✓ Corrected: Nov 5, 2019
Tag 0685 D Aug 9, 2019

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Oct 9, 2019
Tag 0686 D Aug 9, 2019

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

✓ Corrected: Oct 9, 2019
Tag 0759 E Aug 9, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Oct 9, 2019
Tag 0761 E Aug 9, 2019

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.

✓ Corrected: Oct 9, 2019
Tag 0812 F Aug 9, 2019

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

✓ Corrected: Oct 9, 2019
Tag 0880 D Aug 9, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 5, 2019

2018 14 violations

Tag 0580 D Nov 1, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Dec 3, 2018
Tag 0658 D Nov 1, 2018

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

✓ Corrected: Mar 22, 2019
Tag 0677 D Nov 1, 2018

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

✓ Corrected: Dec 3, 2018
Tag 0550 E Jul 12, 2018

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

✓ Corrected: Aug 26, 2018
Tag 0582 E Jul 12, 2018

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

✓ Corrected: Aug 26, 2018
Tag 0584 D Jul 12, 2018

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.

✓ Corrected: Aug 26, 2018
Tag 0658 D Jul 12, 2018

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

✓ Corrected: Aug 26, 2018
Tag 0677 E Jul 12, 2018

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

✓ Corrected: Aug 26, 2018
Tag 0689 D Jul 12, 2018

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

✓ Corrected: Aug 26, 2018
Tag 0727 F Jul 12, 2018

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.

✓ Corrected: Aug 26, 2018
Tag 0759 D Jul 12, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 26, 2018
Tag 0761 E Jul 12, 2018

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.

✓ Corrected: Aug 26, 2018
Tag 0804 F Jul 12, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Aug 26, 2018
Tag 0880 E Jul 12, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 26, 2018
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2017 7 violations

Tag 0225 D Nov 20, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Dec 18, 2017
Tag 0323 J Oct 17, 2017

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

✓ Corrected: Nov 16, 2017
Tag 0226 E Jul 28, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Sep 11, 2017
Tag 0241 E Jul 28, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Sep 11, 2017
Tag 0279 E Jul 28, 2017

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

✓ Corrected: Sep 11, 2017
Tag 0281 E Apr 21, 2017

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

✓ Corrected: Jun 5, 2017
Tag 0325 D Apr 21, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: Jun 5, 2017
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