Nursing homeActive
Livingston Manor Care Center
939 East Birch, Chillicothe, MO 64601660646517794 certified beds · 26 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2022
Deficiencies
54
● 0● 50● 4
Penalties · 3 yrs
$168,230
2 fines
Last survey
2026-05-01
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-01 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-04-21 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-08-21 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2025-06-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-30 | Standard | 0310 | CMS-2567 (Care Compare) | — |
| 2024-02-26 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2022-10-05 | Standard | 031 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-10Record 265621-20260501-F600
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-14Record 265621-20260421-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-14Record 265621-20260421-F609
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F568
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F570
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F607
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F628
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F695
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F727
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F761
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F803
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 265621-20250821-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-15Record 265621-20250602-F600
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-06Record 265621-20250405-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F550
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F565
F567Honor the resident's right to manage his or her financial affairs.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F567
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F568
F572Give residents a notice of rights, rules, services and charges.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F572
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F582
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F584
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F585
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F607
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F636
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F658
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F661
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F677
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F679
F680Ensure the activities program is directed by a qualified professional.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F680
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F695
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F700
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F727
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F759
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F760
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 265621-20240530-F919
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-03-01Record 265621-20240226-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 265621-20240226-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 265621-20240226-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-11-19Record 265621-20221005-F684
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-19Record 265621-20221005-F570
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-19Record 265621-20221005-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-19Record 265621-20221005-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-04-21 | Civil money penalty | $53,865 | CMS · Penalties |
| 2024-02-26 | Civil money penalty | $114,365 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.81
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.99
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.15
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover62%
Facility
Missouri
National
Missouri 56% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.8% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 68.6% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.8% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.1% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.1% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.5% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Chillicothe Industrial Development Corporation Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Juckette, Joyce E Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Biesenthal, Nichole Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hudlemeyer, Teresa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Juckette Management Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Juckette, Holly Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Juckette, Joyce E Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mansour, Kristianna Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Neuroth, Teri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Plowman, Audrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Redmond, Christina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Steele, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Steele, Randall Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Biesenthal, Nichole Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hudlemeyer, Teresa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juckette Management Services Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Juckette Management Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juckette, Holly Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Juckette, Holly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juckette, Holly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juckette, Joyce E Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Juckette, Joyce E Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juckette, Joyce E Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mansour, Kristianna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Neuroth, Teri Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Neuroth, Teri Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Neuroth, Teri Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Plowman, Audrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Redmond, Christina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Steele, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Steele, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Steele, Lisa Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Steele, Randall Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Steele, Randall Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Juckette Family Homes — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Livingston.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Grand River Health Care Chillicothe | 0.5 mi | 2026-01-09 | 0224 |
| Morningside Center Chillicothe | 0.9 mi | 2026-03-20 | 0161 |
| Stonebridge Chillicothe Chillicothe | 1.5 mi | 2025-04-14 | 001 |
| Eastview Manor Care Center Trenton | 20.6 mi | 2026-05-27 | 1566 |
| Sunnyview Nursing Home & Apartments Trenton | 20.6 mi | 2025-10-03 | 0161 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |