Grand River Health Care has received an F grade based on CMS data, with a score of 25/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Chillicothe facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Grand River Health Care, with 2.96 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 60 deficiencies at Grand River Health Care, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.96 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.77 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.38 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.81 | 2.4 | Below Average |
| Weekend Total Nursing | 2.74 | 3.8 | Below Average |
| Weekend RN Hours | 0.65 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jan 8, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 8, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Mar 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0602 Severity DProtect each resident from the wrongful use of the resident's belongings or money.Mar 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.0% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 80.0% | 14.5% | Worse |
| Urinary tract infections | 2.8% | 2.5% | Worse |
| ADL decline (daily activities) | 12.0% | 14.0% | Better |
| Excessive weight loss | 3.3% | 7.5% | Better |
| New/worsened incontinence | 8.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $63,001
How This Grade Was Calculated
This facility's grade of F is based on a score of 25 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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