Federal inspection record · CMS data as of October 1, 2026
Livingston Manor Care Center
939 East Birch, Chillicothe, MO · (660) 646-5177
- Cited for abuse (CMS abuse icon)
- Certified beds
- 94
- Residents per day
- 28
- Ownership
- For-Profit
- Chain
- Juckette Family Homes
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1995
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Missouri homes
Livingston Manor Care Center carries 200.75 inspection points. That is fewer than 12% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
56 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights14E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Assure the security of all personal funds of residents deposited with the facility.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Give residents a notice of rights, rules, services and charges.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Assure the security of all personal funds of residents deposited with the facility.
Quality of Life and Care9E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Ensure the activities program is directed by a qualified professional.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary7F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Freedom from Abuse, Neglect, and Exploitation6E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Pharmacy Service5E
- E
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.
- E
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.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure that residents are free from significant medication errors.
- E
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.
Resident Assessment and Care Planning5E
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- F
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.
- E
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.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-08-21
16 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-05-30
33 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
2022-10-05
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 58 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
2 h 58 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$149,377 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-21 | Fine | $35,012 |
| 2024-02-26 | Fine | $114,365 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 3.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better | 93.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts worse | 89.7% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 6.6% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20 pts better | 0.0% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 4.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts worse | 27.8% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication37.7 pts worse | 61.2% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.7 pts worse | 19.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts worse | 21.0% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 2.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.2 pts better | 8.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.5% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.1 pts worse | 48.6% | 65.7% | 82.3% |
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Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Chillicothe Industrial Development Corporation | 5% Or Greater Direct Ownership Interest · Organization | 50% | 1 facilities |
| Juckette, Joyce E | 5% Or Greater Direct Ownership Interest · Individual | 50% | 6 facilities |
| Biesenthal, Nichole | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Biesenthal, Nichole | Adp Of The SNF · Individual | 0% | 6 facilities |
| Hudlemeyer, Teresa | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Hudlemeyer, Teresa | Adp Of The SNF · Individual | 0% | 6 facilities |
| Juckette Management Services Inc | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Juckette Management Services Inc | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Juckette Management Services Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Juckette, Holly | Corporate Director · Individual | 0% | 6 facilities |
| Juckette, Holly | Corporate Officer · Individual | 0% | 6 facilities |
| Juckette, Holly | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Juckette, Holly | Adp Of The SNF · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Corporate Director · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Corporate Officer · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Juckette, Joyce E | Adp Of The SNF · Individual | 0% | 6 facilities |
| Mansour, Kristianna | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Mansour, Kristianna | Adp Of The SNF · Individual | 0% | 6 facilities |
| Neuroth, Teri | Corporate Director · Individual | 0% | 6 facilities |
| Neuroth, Teri | Corporate Officer · Individual | 0% | 6 facilities |
| Neuroth, Teri | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Neuroth, Teri | Adp Of The SNF · Individual | 0% | 6 facilities |
| Plowman, Audrey | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Plowman, Audrey | Adp Of The SNF · Individual | 0% | 6 facilities |
| Redmond, Christina | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Redmond, Christina | Adp Of The SNF · Individual | 0% | 2 facilities |
| Steele, Lisa | Corporate Director · Individual | 0% | 6 facilities |
| Steele, Lisa | Corporate Officer · Individual | 0% | 6 facilities |
| Steele, Lisa | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Steele, Lisa | Adp Of The SNF · Individual | 0% | 6 facilities |
| Steele, Randall | Corporate Director · Individual | 0% | 6 facilities |
| Steele, Randall | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Steele, Randall | Adp Of The SNF · Individual | 0% | 6 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have an enclosure around a vertical opening shaft.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
Egress4F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have properly located and lighted "Exit" signs.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Gas, Vacuum, and Electrical Systems2E
- D
Ensure proper usage of power strips and extension cords.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Electrical1F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Emergency Preparedness1E
- E
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
-
Grand River Health Care
Chillicothe, MO · James & Judy Lincoln · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 3 min
- Fines
- $68,226
-
Morningside Center
Chillicothe, MO · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0
-
Stonebridge Chillicothe
Chillicothe, MO · Stonebridge Senior Living
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0