Grand River Health Care
118 Trenton Road, Chillicothe, MO, 64601
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: James & Judy Lincoln
- Certified beds
- 60 · avg 29 residents/day
- Total nursing staff turnover
- 90.9% — higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $68,226 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 265480
- Certified beds
- 60 beds · avg 29 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- N & R Of Chillicothe, Inc.
- Chain affiliation
- James & Judy Lincoln
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the James & Judy Lincoln chain — 56 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (7 on record)
- Kent Lauhoff
W-2 Managing Employee · 100% · since 2022
- Timothy o Drake
Corporate Officer · 50% · since 2022
- Charlotte a Stutts
Corporate Officer · 50% · since 1998
- Gary Crane
Corporate Director · 50% · since 1998
- James c Lincoln
5% or Greater Direct Ownership Interest · 50% · since 1998
- Judy l Lincoln
5% or Greater Direct Ownership Interest · 50% · since 1998
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 60)
- D0609·Jan 9, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- J0600·Jan 9, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0600·Nov 21, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0609·Mar 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0602·Mar 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- G0600·Mar 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F0812·Feb 27, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0600·Feb 27, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20261 fine · $42K
- 20241 fine · $27K · 1 payment denial
Most recent events
- Jan 9, 2026Fine · $42K
- Dec 5, 2024Payment denial · 2 days · starting Jan 8, 2025
- Dec 5, 2024Fine · $27K
Largest single fine on record: $42K.
Fire-safety citations
36 Life-Safety-Code citations on file. Most recent: Feb 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Grand River Health Careinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.