Livingston Manor Care Center
Nursing Home · Chillicothe, MO
CMS certification number265621
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
939 East BirchChillicothe, MO 64601
Livingston County
- Phone
- (660) 646-5177
- ZIP code
- 64601 – all care providers
Facility details
- Certified beds
- 94
- Residents per day
- 26.2 (28% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Livingston Manor INC
- Chain
- Juckette Family Homes (6 facilities, avg 2.0★)
- Medicare certified since
- July 1, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.99 (state 3.43 · U.S. 3.86)
- Registered nurses (RN)
- 0.81 (state 0.46 · U.S. 0.69)
- Licensed practical nurses
- 0.42 (state 0.68 · U.S. 0.86)
- Nurse aides
- 2.76 (state 2.29 · U.S. 2.32)
- Weekend total
- 3.15 (state 3.02 · U.S. 3.42)
- Nursing staff turnover
- 61.9 (state 56.0 · U.S. 45.8)%
- RN turnover
- —
Inspections
- Last standard inspection
- August 21, 2025
- Health deficiencies (last cycle)
- 14.0 (state 11.5 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 54 health · 14 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-10 |
| 2026-04-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-14 |
| 2026-04-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-14 |
| 2025-08-21 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Assure the security of all personal funds of residents deposited with the facility. F0570 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | 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. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-08-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-04 |
| 2025-06-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-15 |
| 2025-04-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2024-05-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Give residents a notice of rights, rules, services and charges. F0572 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | 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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | 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. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | 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. F0801 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. F0661 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-05-30 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-12 |
| 2024-02-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-03-01 |
| 2024-02-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
| 2024-02-26 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-01 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $168,230 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-21 | Fine | $53,865 |
| 2024-02-26 | Fine | $114,365 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Chillicothe Industrial Development Corporation (organization) | 5%+ Direct Ownership Interest · 50% | |
| Juckette, Joyce E (individual) | 5%+ Direct Ownership Interest · 50% | |
| Biesenthal, Nichole (individual) | Administrator · NOT APPLICABLE | |
| Hudlemeyer, Teresa (individual) | Administrator · NOT APPLICABLE | |
| Juckette Management Services INC (organization) | Administrator · NOT APPLICABLE | |
| Juckette, Holly (individual) | Administrator · NOT APPLICABLE | |
| Juckette, Joyce E (individual) | Administrator · NOT APPLICABLE | |
| Mansour, Kristianna (individual) | Administrator · NOT APPLICABLE | |
| Neuroth, Teri (individual) | Administrator · NOT APPLICABLE | |
| Plowman, Audrey (individual) | Administrator · NOT APPLICABLE | |
| Redmond, Christina (individual) | Administrator · NOT APPLICABLE | |
| Steele, Lisa (individual) | Administrator · NOT APPLICABLE | |
| Steele, Randall (individual) | Administrator · NOT APPLICABLE | |
| Juckette, Holly (individual) | Corporate Director · NOT APPLICABLE | |
| Juckette, Joyce E (individual) | Corporate Director · NOT APPLICABLE | |
| Neuroth, Teri (individual) | Corporate Director · NOT APPLICABLE | |
| Steele, Lisa (individual) | Corporate Director · NOT APPLICABLE | |
| Steele, Randall (individual) | Corporate Director · NOT APPLICABLE | |
| Juckette, Holly (individual) | Corporate Officer · NOT APPLICABLE | |
| Juckette, Joyce E (individual) | Corporate Officer · NOT APPLICABLE | |
| Neuroth, Teri (individual) | Corporate Officer · NOT APPLICABLE | |
| Steele, Lisa (individual) | Corporate Officer · NOT APPLICABLE | |
| Juckette Management Services INC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| 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 |
Frequently asked questions
What is the rating of Livingston Manor Care Center?
Livingston Manor Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.
How many beds does Livingston Manor Care Center have?
It has 94 certified beds and cares for about 26 residents per day.
Has Livingston Manor Care Center been fined?
Yes. CMS lists 2 penalties totaling $168,230 in the last three years.
Who owns Livingston Manor Care Center?
It is part of Juckette Family Homes and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Livingston Manor Care Center?
(660) 646-5177. The facility is located at 939 East Birch, Chillicothe, MO 64601.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.