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D
Poor

GRAND RIVER HEALTH CARE

118 TRENTON ROAD · CHILLICOTHE, MO 64601

6606460353 · For profit - Corporation

60 beds28.4 residents52 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
A
Very Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GRAND RIVER HEALTH CARE receives an overall staffing grade of D (Poor). With 2.9673 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.93 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.98% compared to weekdays. The facility has low agency staff usage (3.69% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9673 HPRD — needs 0.51 more hours per resident per day.

✨ Strengths (4)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.69%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 9.98% drop-off
Total Nurse HPRD
2.9673hrs/resident/day▼ 0.93
CMS benchmark: 3.48
RN HPRD
0.7764hrs/resident/day▲ 0.09
Recommended: 0.75
Weekend Drop-off
9.98%
3.0534 weekday → 2.7486 weekend
Agency Staff
3.69%
8.73% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0.9059hrs/resident/day
Direct care aides
LPN HPRD
0.3812hrs/resident/day
Licensed practical nurses
Consistency
0.4047std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Livingston County Average-0.68 HPRD
3.65
02.97 HPRD
vs. Missouri State Average-0.51 HPRD
3.48
02.97 HPRD
vs. National Average-0.93 HPRD
3.90
02.97 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
GRAND RIVER HEALTH CARE ★
CHILLICOTHE · This facility
—
D
2.96730.7764★★☆☆☆
HILL CREST MANOR
HAMILTON
24.6 mi
D
3.0880.3143★☆☆☆☆
LIFE CARE CENTER OF BROOKFIELD
BROOKFIELD
25.4 mi
B
3.61560.5728★★☆☆☆
LIFE CARE CENTER OF CARROLLTON
CARROLLTON
29.5 mi
F
3.54130.2433★★★★☆
PIONEER SKILLED NURSING CENTER
MARCELINE
31.5 mi
D
3.15970.2911★★★☆☆
MILAN HEALTH CARE CENTER
MILAN
34.3 mi
F
2.26470.2415★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
58
Total Deficiencies
$63,001
Fines Assessed
Nov 21, 2025Health
1 deficiency cited
▼
Mar 25, 2025Health
3 deficiencies cited· Includes actual harm
▼
Feb 27, 2025Health
15 deficiencies cited
▼
Dec 16, 2024Health
1 deficiency cited· Includes actual harm
▼
Dec 5, 2024Health
2 deficiencies cited· Includes actual harm
▼
Sep 11, 2024Health
2 deficiencies cited
▼
Apr 24, 2023Health
14 deficiencies cited
▼
Feb 10, 2021Health
20 deficiencies cited
▼

Penalty History

Jan 9, 2026Fine
$36,390
Dec 5, 2024Fine
$26,611
Dec 5, 2024Payment Denial
Apr 24, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.