GRAND RIVER HEALTH CARE

πŸ“ 118 TRENTON ROAD, chillicothe, MO 64601 πŸ“ž 6606460353 πŸ›οΈ 60 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐
1/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

91
Total Violations
7 years of data
$50,454
Total Fines
7 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

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.

βœ“ Corrected: Apr 22, 2025
Tag 0602 D Mar 25, 2025

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Apr 7, 2025
Tag 0558 E Feb 27, 2025

Reasonably accommodate the needs and preferences of each resident.

βœ“ 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.

βœ“ Corrected: Apr 7, 2025
Tag 0567 E Feb 27, 2025

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Apr 7, 2025
Tag 0658 E Feb 27, 2025

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

βœ“ Corrected: Apr 7, 2025
Tag 0684 D Feb 27, 2025

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

βœ“ Corrected: Apr 7, 2025
Tag 0692 E Feb 27, 2025

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

βœ“ Corrected: Apr 7, 2025
Tag 0695 E Feb 27, 2025

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

βœ“ Corrected: Apr 7, 2025
Tag 0759 E Feb 27, 2025

Ensure medication error rates are not 5 percent or greater.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Apr 7, 2025
Tag 0880 E Feb 27, 2025

Provide and implement an infection prevention and control program.

βœ“ 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.

βœ“ Corrected: Jun 6, 2023
Tag 0576 E Apr 24, 2023

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Jun 6, 2023
Tag 0759 E Apr 24, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jun 6, 2023
Tag 0760 E Apr 24, 2023

Ensure that residents are free from significant medication errors.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Jun 6, 2023
Tag 0880 E Apr 24, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 27, 2023
Tag 0881 E Apr 24, 2023

Implement a program that monitors antibiotic use.

βœ“ Corrected: Jun 6, 2023

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.

βœ“ Corrected: Apr 14, 2022
Tag 0684 G Mar 22, 2022

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

βœ“ Corrected: Apr 14, 2022

2021 21 violations

Tag 0610 D Jul 13, 2021

Respond appropriately to all alleged violations.

βœ“ 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.

βœ“ 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.

βœ“ 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.

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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Nov 5, 2019
Tag 0658 E Aug 9, 2019

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

βœ“ 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.

βœ“ Corrected: Nov 5, 2019
Tag 0685 D Aug 9, 2019

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

βœ“ Corrected: Oct 9, 2019
Tag 0686 D Aug 9, 2019

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

βœ“ Corrected: Oct 9, 2019
Tag 0759 E Aug 9, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Oct 9, 2019
Tag 0880 D Aug 9, 2019

Provide and implement an infection prevention and control program.

βœ“ 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.

βœ“ Corrected: Dec 3, 2018
Tag 0658 D Nov 1, 2018

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

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 26, 2018
Tag 0582 E Jul 12, 2018

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

βœ“ 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.

βœ“ Corrected: Aug 26, 2018
Tag 0658 D Jul 12, 2018

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

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Aug 26, 2018
Tag 0759 D Jul 12, 2018

Ensure medication error rates are not 5 percent or greater.

βœ“ 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.

βœ“ Corrected: Aug 26, 2018
Tag 0804 F Jul 12, 2018

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

βœ“ Corrected: Aug 26, 2018
Tag 0880 E Jul 12, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 26, 2018

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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ 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.

βœ“ Corrected: Sep 11, 2017
Tag 0281 E Apr 21, 2017

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

βœ“ Corrected: Jun 5, 2017
Tag 0325 D Apr 21, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Jun 5, 2017

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
Fine
March 22, 2022
Average: $20,040 | Range: $20,040 - $20,040

2021 2 penalties totaling $9,750

$9,750
Fine
February 10, 2021
$0
Payment Denial
February 10, 2021
Average: $4,875 | Range: $0 - $9,750

2018 2 penalties totaling $13,514

$13,514
Fine
November 1, 2018
$0
Payment Denial
November 1, 2018
Average: $6,757 | Range: $0 - $13,514

2017 2 penalties totaling $7,150

$7,150
Fine
October 17, 2017
$0
Payment Denial
October 17, 2017
Average: $3,575 | Range: $0 - $7,150

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

April 24, 2023
0.00

Health

March 22, 2022
0.00

Health

July 13, 2021
0.00

Health

February 10, 2021
0.00

Health

August 9, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
265480
265480
6606460353
Livingston

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Organization