Livingston Manor Care Center
939 East Birch · Chillicothe, MO · 64601 · 6606465177
94 certified beds For profit - Corporation Chain: Juckette Family Homes
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 4.20 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $114,365 |
Inspection citations (53 in the current record)
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Actual harm · G April 21, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 21, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 14, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 21, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected October 4, 2025 · Resident Rights
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Potential for harm · E August 21, 2025
Assure the security of all personal funds of residents deposited with the facility.
Corrected October 4, 2025 · Resident Rights
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Potential for harm · E August 21, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 4, 2025 · Resident Rights
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Potential for harm · E August 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 4, 2025 · Quality of Life and Care
-
Potential for harm · F August 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.
Corrected October 4, 2025 · Nursing and Physician Services
-
Potential for harm · E August 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.
Corrected October 4, 2025 · Pharmacy Service
-
Potential for harm · E August 21, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 4, 2025 · Nutrition and Dietary
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Potential for harm · D August 21, 2025
Provide and implement an infection prevention and control program.
Corrected October 4, 2025 · Infection Control
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Potential for harm · E August 21, 2025 · found via complaint
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.
Corrected October 4, 2025 · Nutrition and Dietary
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Potential for harm · F August 21, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 4, 2025 · Nutrition and Dietary
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Potential for harm · D June 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 6, 2025 · Infection Control
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Potential for harm · E May 30, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 30, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 30, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 30, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected July 12, 2024 · Resident Rights
-
Potential for harm · E May 30, 2024
Give residents a notice of rights, rules, services and charges.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 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.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 30, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 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.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 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.
Corrected July 12, 2024 · Resident Rights
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Potential for harm · E May 30, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2024 | Fine | $114,365 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265621 · certified since July 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.