What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

Virtual Tours & Videos

Check out our photo album Check out our virtual tours Check out our home videos

Resident interviews at our senior living facilities

Check out our resident interviews

Grand River Health Care | Missouri | Photos & Videos

Overview of Grand River Health Care

Grand River Health Care is a long-term care facility located in Chillicothe, Missouri. It provides a wide range of services including professional medical care, rehabilitation services, and complete dining services. The facility is committed to ensuring the highest practicable physical, mental, and psychosocial well-being of its residents.

(660) 646-0353

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.72/day

Overall rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

4/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 60

This home usually has availability

Lower occupancy suggests more openings may be available.

42.2%

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for

Long-term daily care Ongoing support needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

10% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

5% of new residents, often for short stays.

Typical stay 4 months

Medicaid

86% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Home revenue

$1.9M

Operating loss

-$315.6K

Proprietary home Corporation

Home revenue

$1,878,663.00

Operating loss

$-315,635.00

Payroll costs

$947.5K

50.4% of revenue

Other operating costs

$1.2M

Total costs $2.2M

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Facility Type

SNF

Additional licensing details

CMS Certification Number: 265480

Certification type: Medicare/Medicaid

County: LIVINGSTON

Ownership & operating entity

Grand River Health Care is administrated by REBECCA WOODARD-BAUGHMAN.

Owner name: N & R OF CHILLICOTHE, INC

Care Services

Accepts Medicaid

Accepts Medicare

Doctor on Staff

Nursing Services

Rehabilitation Services

Respite Care

Memory Care

Skilled Nursing

Licensed Nurses/CNAs

24-Hour Staffing

Short-Term Rehab

All Levels of Care

Skilled Nursing Care

Physical and Occupational Therapies

Behavioral and Alzheimer’s Care

Activities

Hospice

Amenities & Lifestyle

Programs & Activities

Specific Programs

Professional Medical Care, Infusion Treatment, Wound Care, Rehab Services, Respite Care, Geri-Psychiatric, Behavioral Health Services, Complete Dining Services, Medicare & Medicaid Certified, Transportation Available, Behavioral Health Services – Horizons, IV Therapy

Dining & Nutrition

Food Description

Complete dining services with a variety of nutritious meals and snacks based on individual preferences.

Meals Included

Yes

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

Grand River Health Care

SNF

MO 64601-4002

N & R OF CHILLICOTHE, INC.

42.2%

$1,737,630.00

$947,548.00

54.5%

25.10

1/5

4.7200

1/5

4/5

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

Operator: CHANCE, DON

CCN: 265678

Occupancy: 78.8%

Home Revenue: $5,145,452.00

Payroll Costs: $2,268,233.00

Payroll %: 44.1%

Avg Residents/Day: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

Grand River Health Care

Type of care: SNF AL

Community: MO 64601-4002

Bed Count: 60

Pets Allowed: No

Operator: N & R OF CHILLICOTHE, INC.

CCN: 265480

Occupancy: 42.2%

Home Revenue: $1,737,630.00

Payroll Costs: $947,548.00

Payroll %: 54.5%

Avg Residents/Day: 25.10

Overall Rating: 1/5

Adj Nurse Hours: 4.7200

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 4/5

Number of Fines: 1

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

CHILLICOTHE, MO 64601-4002

Calculate Travel Distance to Grand River Health Care

Add your location

Total Staff

Employees

Contractors

8,656

Total Hours (Quarter)

Avg Staff/Day

7.3

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	11	9.7	Yes
Licensed Practical Nurse	5	7.5	Yes
Certified Nursing Assistant	18	7	Yes

Staff by Category

Administration

1 staff

6.7hs shift avg

Nursing Staff

50 staff

7.6hs shift avg

Physicians & Practitioners

1 staff

7.6hs shift avg

Therapy Services

7 staff

2hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

1 staff

1.2hs shift avg

Dietary Services

0 staff

0hs shift avg

Other Services

4 staff

5.3hs shift avg

Contractor Analysis

13.9%

of total hours from contractors

1,200 contractor hours this quarter

Registered Nurse: 8 Certified Nursing Assistant: 11 Occupational Therapy Assistant: 1 Licensed Practical Nurse: 4 Occupational Therapy Aide: 1 Respiratory Therapy Technician: 1 Speech Language Pathologist: 2 Physical Therapy Assistant: 1 Physical Therapy Aide: 1 Qualified Social Worker: 1

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Nurse Aide in Training	15	0	15	2,389	90	99%	7
Certified Nursing Assistant	7	11	18	2,118	88	97%	7
Registered Nurse	3	8	11	1,991	91	100%	9.7
Dental Services Staff	4	0	4	607	63	69%	5.3
Licensed Practical Nurse	1	4	5	489	62	68%	7.5
Nurse Practitioner	1	0	1	486	64	70%	7.6
Administrator	1	0	1	470	70	77%	6.7
Speech Language Pathologist	0	2	2	28	22	24%	1.3
Occupational Therapy Aide	0	1	1	27	4	4%	6.7
Physical Therapy Assistant	0	1	1	13	6	7%	2.1
Occupational Therapy Assistant	0	1	1	11	3	3%	3.5
Physical Therapy Aide	0	1	1	10	8	9%	1.2
Respiratory Therapy Technician	0	1	1	9	5	5%	1.8
Medication Aide/Technician	1	0	1	8	1	1%	7.5
Qualified Social Worker	0	1	1	2	2	2%	1.2

View All Staffing Data

Total Health inspections 7

6% above Missouri average

Missouri average: 6.6

Last Health inspection on Mar 2025

Total Health citations 57

56% above Missouri average

Missouri average: 36.5

8.14 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 49 citations

Complaint investigations 11 citations

Breakdown of citations

Critical Health citations 0

100% below Missouri average

Missouri average: 0.7

Serious Health citations 3

200% above Missouri average

Missouri average: 1.0

Moderate Health citations 54

Minor Health citations 0

Citations history (last 3 years)

Abuse/Neglect serious citation Mar 25, 2025

Corrected

Abuse/Neglect moderate citation Mar 25, 2025

Corrected

Abuse/Neglect moderate citation Mar 25, 2025

Corrected

Abuse/Neglect moderate citation Feb 27, 2025

Corrected

Ownership: For-Profit Corporation

Part of: HEALTH SYSTEMS

Resident Census by Payment Source

27 Total Residents

Medicare 1 (3.7%)

Medicaid 26 (96.3%)

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 5.1

53% better than Missouri average

Missouri average: 10.9

Functional decline score 7.2

63% better than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 9.6%

52% below Missouri average.

Walking Ability Worsened 8.7%

58% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 3.4%

81% below Missouri average.

Falls with Major Injury 0.0%

100% below Missouri average.

High Risk Residents with Pressure Ulcers 4.0%

21% below Missouri average.

Urinary Tract Infection 3.7%

36% above Missouri average.

Depressive Symptoms 1.1%

92% below Missouri average.

Antipsychotic Use 63.6%

189% above Missouri average.

Pneumococcal Vaccine 2.7%

97% below Missouri average.

Influenza Vaccine 96.6%

6% above Missouri average.

Lost Too Much Weight 3.3%

41% below Missouri average.

Total fines amount $27K

This home paid 64% less in fines than the state average.

Missouri average: $73K

Number of Fines 1

This home received 59% fewer fines than the state average.

Missouri average: 2.4

Payment Denials 2

This home had 191% more payment denials than the state average.

Missouri average: 0.7

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Dec 5, 2024

$27K

Payment Denial Dec 5, 2024

2 days

Payment Denial Apr 24, 2023

24 days

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for Grand River Health Care based on CMS SNF Cost Reports.

Occupancy Rate 42.2% ↓ 3.9pp vs 2022

Net Income -$315,635 ↑ ~$96K vs 2022

Total Payroll $1,143,006 ↓ ~$124K vs 2022

Profit Margin -18.2% ↑ 3.4pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	60.3%	62.1%	71.9%	71.7%	68.0%	72.5%	70.3%	69.7%	76.5%	59.5%	54.8%	46.1%	42.2%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	-$351,983	-$39,343	$269,144	$283,333	$211,254	$314,564	$401,947	$321,537	$443,789	$429,346	$209,442	-$411,989	-$315,635
Gross Revenue	$2,111,698	$2,320,076	$2,613,056	$2,765,386	$2,552,419	$2,727,105	$2,758,778	$2,856,087	$3,218,664	$2,611,788	$2,318,469	$1,914,306	$1,737,630
Operating Expenses	$2,245,285	$2,140,008	$2,243,361	$2,256,079	$2,222,757	$2,305,494	$2,204,394	$2,276,448	$2,507,636	$2,494,743	$2,431,393	$2,453,681	$2,278,376
Net Patient Revenue	$1,887,293	$2,092,290	$2,504,274	$2,530,677	$2,422,814	$2,606,876	$2,594,713	$2,585,232	$2,932,952	$2,428,007	$2,310,905	$1,908,159	$1,821,708
Total Payroll	$949,444	$947,922	$1,067,466	$1,044,296	$1,032,934	$1,096,973	$1,037,699	$1,096,451	$1,250,048	$1,242,985	$1,245,798	$1,267,327	$1,143,006
Profit Margin %	-16.7%	-1.7%	10.3%	10.3%	8.3%	11.5%	14.6%	11.3%	13.8%	16.4%	9.0%	-21.5%	-18.2%
Medicare %	4.6%	5.2%	3.3%	4.1%	2.9%	1.7%	2.1%	3.4%	5.4%	6.5%	3.4%	2.4%	0.7%
Medicaid %	80.0%	79.5%	82.6%	85.4%	87.6%	88.4%	90.6%	89.6%	89.1%	88.7%	92.4%	95.1%	97.9%
Private %	15.4%	15.3%	14.1%	10.5%	9.5%	9.9%	7.3%	7.0%	5.6%	4.8%	4.2%	2.5%	1.3%
Revenue/Day	$143	$153	$159	$161	$163	$164	$168	$169	$175	$186	$193	$189	$197
Cost/Day	$170	$157	$142	$144	$149	$145	$143	$149	$150	$191	$203	$243	$247
Avg Length of Stay	185.9 days	243.6 days	366.2 days	238.0 days	261.4 days	224.2 days	236.9 days	224.5 days	138.4 days	124.4 days	139.5 days	177.1 days	256.6 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

Grand River Health Care

Grand River Health Care is a Nursing Home in Missouri

Grand River Health Care is a Nursing Home in Missouri

Grand River Health Care

Grand River Health Care is a Nursing Home in Missouri

Grand River Health Care is a Nursing Home in Missouri

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly long-term care residents

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

All Levels of Care

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Access & Eligibility

Payment & Funding Options

Compare Nursing Homes around Missouri

Places of interest near Grand River Health Care

Calculate Travel Distance to Grand River Health Care

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

Send Checklist to Your Email

Write a review for Grand River Health Care

Rate your overall experience with this community

Just a few quick questions

Your feedback is important to us.