Nursing home
Livingston Manor Care Center
939 East Birch, Chillicothe, MO 64601 · Map
For profit - Corporation · Part of Juckette Family Homes (6 facilities) · 94 certified beds
Livingston Manor Care Center is a Medicare-certified nursing home in Chillicothe, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.21 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Aug 21, 2025 cited 13 deficiencies.
- 1 fine totaling $114,365In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Livingston Manor Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.21 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.52 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.19 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 78.6% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $114,365, 1 total penalty.
What inspectors found at Livingston Manor Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Aug 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 2, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 939 East Birch
Chillicothe, MO 64601 - CMS certification #
- 265621
- Ownership
- For profit - Corporation
- Certified beds
- 94
- Avg residents/day
- 32.4
- Provider type
- Medicare and Medicaid
- First certified
- 1995-07-01
- Chain
- Juckette Family Homes (6 facilities)
- Setting
- Rural
Part of Juckette Family Homes
Juckette Family Homes operates 6 nursing facilities across the United States. View all Juckette Family Homes facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Livingston Manor Care Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2014
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 1, 2014 to Jun 30, 2016. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Livingston Health Care Center (Livingston Manor Inc.). Case 1794340.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Hedrick Medical Center, Chillicothe. 1.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Grand River Health Care, Chillicothe. 0.5 miles away, straight line.
- Nearest home health agency office
- Serve Link Home Care, Inc, Trenton. 19.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Chillicothe Family Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 64601 as small town (small town core).
- Dialysis within 15 miles
- Davita Chillicothe Dialysis, Chillicothe, 1.5 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 64601.
- Nearest geriatric medicine practice
- Topaz Bay Senior Health PC, Independence. 68.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Livingston Manor Care Center a good nursing home?
CMS gives Livingston Manor Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Livingston Manor Care Center staffed?
Livingston Manor Care Center reports 4.21 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Livingston Manor Care Center had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Livingston Manor Care Center have?
Livingston Manor Care Center is certified for 94 beds.