Grand River Health Care is a skilled nursing home in Chillicothe, Missouri, operated by N & R Of Chillicothe, Inc. The 60-bed facility is at 118 Trenton Rd, which scores 71 out of 100 for walkability. Most residents and visiting family can handle everyday errands on foot. Medicaid, Medicare, and private pay are accepted, providing families multiple options to cover short-term rehabilitation or longer-term nursing care.
The facility has a wide range of clinical services, including rehabilitation, respite care, skilled nursing care, and physical and occupational therapy. There are also specialized programs in behavioral health and Alzheimer’s care. A doctor is on staff, and the facility provides 24-hour nursing coverage.
Residents with more complex medical needs can access infusion therapy and hospice services. Total nurse staffing averages approximately 4 hours and 43 minutes per resident each day. The care team is composed of registered nursing, licensed practical nursing, and nurse aide support.
The facility’s current occupancy rate is 52%, and residents stay an average of 257 days. The home serves both short-term rehabilitation patients and those needing ongoing skilled care. Residents have access to comprehensive dining services, including nutritious meals tailored to individual preferences. These help support resident recovery and well-being.
State inspections documented concerns in areas related to resident safety and abuse prevention, medication management, infection control, food safety, and the timeliness of protective actions. Families evaluating the facility should carefully review the inspection history and ask how it addresses ongoing matters.















