{
 "id": "265480",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Grand River Health Care",
 "slug": "grand-river-health-care",
 "path": "/mo/livingston/chillicothe/grand-river-health-care",
 "address": {
  "street": "118 TRENTON ROAD",
  "city": "Chillicothe",
  "county": "Livingston",
  "state": "MO",
  "state_name": "Missouri",
  "zip": "64601"
 },
 "phone": "6606460353",
 "coords": null,
 "capacity": 60,
 "residents_per_day": 30,
 "status": "Medicare and Medicaid",
 "licensee": "N & R of Chillicothe, INC.",
 "administrator": null,
 "licensed_since": "1992-01-08",
 "last_visit": "2025-02-27",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Corporation",
  "chain": "JAMES & JUDY LINCOLN",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": true,
  "special_focus": null,
  "ratings": {
   "overall": 1,
   "health_inspection": 1,
   "staffing": 1,
   "quality": 2
  },
  "cycle1": {
   "date": "2025-02-27",
   "total": 18,
   "standard": 15,
   "complaint": 6
  },
  "fines": {
   "count": 2,
   "dollars": 68226,
   "penalties": 3
  },
  "staffing": {
   "nurse_hours_per_resident_day": 2.8397,
   "turnover_pct": 81.3
  },
  "on_record": {
   "immediate_jeopardy": 1,
   "actual_harm": 3,
   "potential_harm": 56,
   "minimal": 0
  },
  "penalties_on_file": {
   "count": 3,
   "dollars": 68226
  },
  "owners": [
   {
    "name": "LINCOLN, JAMES",
    "role": "Individual",
    "since": "since 08/01/1998",
    "share": "50%"
   },
   {
    "name": "LINCOLN, JUDY",
    "role": "Individual",
    "since": "since 08/01/1998",
    "share": "50%"
   },
   {
    "name": "LAUHOFF, KENT",
    "role": "Individual",
    "since": "since 04/25/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CRANE, GARY",
    "role": "Individual",
    "since": "since 08/01/1998",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "DRAKE, TIMOTHY",
    "role": "Individual",
    "since": "since 04/25/2022",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "STUTTS, CHARLOTTE",
    "role": "Individual",
    "since": "since 08/01/1998",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "N & R OF CHILLICOTHE, INC.",
    "role": "Organization",
    "since": "since 08/01/1998",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-01-09",
   "tag": "0600",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2026-01-09",
   "tag": "0609",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-11-21",
   "tag": "0600",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-03-25",
   "tag": "0600",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2025-03-25",
   "tag": "0602",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-03-25",
   "tag": "0609",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-02-27",
   "tag": "0812",
   "sev": "F",
   "complaint": true
  },
  {
   "date": "2025-02-27",
   "tag": "0550",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2025-02-27",
   "tag": "0558",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0561",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0567",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0584",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0657",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0658",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0692",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0695",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0759",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0761",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0880",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-02-27",
   "tag": "0600",
   "sev": "D",
   "complaint": true
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "265480"
 }
}