Livingston Manor Care Center has received an F grade based on CMS data, with a score of 10/100 — 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 at Livingston Manor Care Center exceed national averages, with 4.21 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.52 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 51 deficiencies at Livingston Manor Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: 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..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.21 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.50 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 3.19 | 2.4 | Above Average |
| Weekend Total Nursing | 3.66 | 3.8 | Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0727 Severity FHave 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.Aug 20, 2025 · Nursing and Physician Services Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 20, 2025 · Nutrition and Dietary Deficiencies
- Tag 0570 Severity EAssure the security of all personal funds of residents deposited with the facility.Aug 20, 2025 · Resident Rights Deficiencies
- Tag 0607 Severity EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Aug 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0628 Severity EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Aug 20, 2025 · Resident Rights 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 | 5.5% | 4.5% | Worse |
| Falls with major injury | 10.5% | 3.0% | Worse |
| On antipsychotic medication | 77.8% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 21.9% | 14.0% | Worse |
| Excessive weight loss | 3.0% | 7.5% | Better |
| New/worsened incontinence | 19.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $114,365
How This Grade Was Calculated
This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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