Grand River Health Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1992-01-08. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (660) 646-0353 or your local Medicaid office to verify current eligibility.

Grand River Health Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 62.1/100, placing it #11385 of 14703 facilities nationally and #233 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Grand River Health Care receives a reported average of 2 hours 58 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 46 minutes; Licensed Practical Nurse (LPN) — 23 minutes; Nurse Aide — 1 hour 49 minutes. On weekends, total nurse staffing is 2 hours 45 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 84.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Grand River Health Care with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $63,001. 20 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 2 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $63,001, and 2 Medicare payment denial(s). Total penalties: 4. The Total Weighted Health Survey Score is 231.75 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Grand River Health Care ranks 11385th out of 14,703 facilities (composite score: 62.1/100), placing it in the bottom 25% nationwide. Within MO, it ranks 233rd out of 487 nursing homes. In Chillicothe, it ranks 1st out of 4 facilities. Among facilities sharing its ZIP code, it ranks 1st of 4. For 2026 staffing: total nurse hours rank #13,289 nationally and RN hours rank #3,938 nationally (#30 in MO). Our composite quality score of 62.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Chillicothe, visit: https://nursinghomesnearme.org/missouri/chillicothe/