Livingston Manor Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1995-07-01. 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) 646-5177 or your local Medicaid office to verify current eligibility.

Livingston Manor Care Center 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 (2★), Staffing (1★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 51.8/100, placing it #13813 of 14703 facilities nationally and #387 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 Livingston Manor Care Center receives a reported average of 4 hours 13 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 31 minutes; Licensed Practical Nurse (LPN) — 30 minutes; Nurse Aide — 3 hours 11 minutes. On weekends, total nurse staffing is 3 hours 40 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 78.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $114,365. 5 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $114,365, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 161.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Livingston Manor Care Center ranks 13813th out of 14,703 facilities (composite score: 51.8/100), placing it in the bottom 25% nationwide. Within MO, it ranks 387th out of 487 nursing homes. In Chillicothe, it ranks 4th out of 4 facilities. Among facilities sharing its ZIP code, it ranks 4th of 4. For 2026 staffing: total nurse hours rank #3,572 nationally and RN hours rank #8,354 nationally (#128 in MO). Our composite quality score of 51.8/100 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/