Livingston Manor Care Center

Livingston Manor Care Center is a Nursing Home in Missouri

Livingston Manor Care Center is a Nursing Home in Missouri

Livingston Manor Care Center

CHILLICOTHE, MO 64601-2189 View Map

Livingston Manor Care Center is a Nursing Home in Missouri

Livingston Manor Care Center is a Nursing Home in Missouri

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Overview of Livingston Manor Care Center
Livingston Manor Care Center is a skilled nursing facility located in Chillicothe, MO. It offers nursing services, rehabilitation, and specialized care for dementia patients. The center provides a home-like atmosphere with a focus on enhancing health and quality of life.
(660) 646-5177

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.41/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 94

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 34.3%
Residents per day (avg) 38
Occupancy rate
34.3%
Residents per day (avg)
38

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

58% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

25% of new residents, often for short stays.

Typical stay 1 years

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Proprietary home
Corporation
Home revenue
$2.7M
Operating loss
-$537.4K
Proprietary home Corporation
Home revenue
$2,707,096.00
Operating loss
$-537,383.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
58% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
Total costs $3.2M
Bed community size
94-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265621
Certification type: Medicare/Medicaid
County: LIVINGSTON

Ownership & operating entity

Livingston Manor Care Center is administrated by CHRISTINA REDMOND.

Owner name: LIVINGSTON MANOR, INC

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing
Rehabilitation
Dementia Care

Amenities & Lifestyle

Private Medicare hall
private rooms
special care unit
individualized rehabilitation programs
social programs and activities

Programs & Activities

Activities
Monthly activity calendar provided to residents.
Specific Programs
Nursing Services, Rehabilitation Services, Dementia Care, Social Services, Activities

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

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

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Bertrand Nursing And Rehab Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Bertrand
60
No
5
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

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64505-1872
180
No
-
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
1
Amberwood Estates Nursing and Rehabilitation
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 63121-1407
115
No
-
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
4
Livingston Manor Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MO 64601-2189
94
No
-
LIVINGSTON MANOR INC
34.3%
$2,699,795.00
$1,570,137.00
58.2%
37.50
1/5
3.4114
1/5
1/5
1/5
1
Good Shepherd Care Community
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Livingston Manor Care Center

Address 0.0 miles from city center

Address CHILLICOTHE, MO 64601-2189

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

95
Total Staff
82
Employees
13
Contractors
11,580
Total Hours (Quarter)
15
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse58.2 No
Licensed Practical Nurse99 No
Certified Nursing Assistant568.8 No
Staff by Category
Administration
2 staff
7.7hs shift avg
Nursing Staff
76 staff
8.9hs shift avg
Physicians & Practitioners
2 staff
9.8hs shift avg
Therapy Services
12 staff
2.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.3hs shift avg
Dietary Services
1 staff
9.3hs shift avg
Other Services
1 staff
6.8hs shift avg
Contractor Analysis
2.8%
of total hours from contractors
322 contractor hours this quarter
Occupational Therapy Assistant: 1 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Speech Language Pathologist: 4
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant560566,39991100%8.8
Licensed Practical Nurse9091,4278897%9
Nurse Aide in Training4041,0656673%9.3
Nurse Practitioner2029507178%9.8
Dietitian1015706167%9.3
Mental Health Service Worker1014035965%6.8
Registered Nurse5052523033%8.2
Medication Aide/Technician2021701415%11.3
Physical Therapy Aide0221576066%2.6
Speech Language Pathologist044673640%1.9
Respiratory Therapy Technician033371719%2.2
Physical Therapy Assistant011321719%1.9
Administrator2022333%7.7
Occupational Therapy Aide0111533%5
Qualified Social Worker011978%1.3
Occupational Therapy Assistant011522%2.3

Health Inspection History

Total Health inspections 7
6% above Missouri average
Missouri average: 6.6

Last Health inspection on Aug 2025

Total Health citations 44
21% above Missouri average
Missouri average: 36.5

6.29 citations per inspection (avg)

Citations origin

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

Standard inspections 37 citations
Complaint investigations 7 citations
Breakdown of citations
Critical Health citations 2
186% above Missouri average
Missouri average: 0.7
Serious Health citations 0
100% below Missouri average
Missouri average: 1.0
Moderate Health citations 42

Minor Health citations 0
Citations history (last 3 years)
Nutrition moderate citation Aug 21, 2025
Corrected

Nutrition moderate citation Aug 21, 2025
Corrected

Abuse/Neglect moderate citation Jun 02, 2025
Corrected

Infection Control moderate citation Apr 05, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Resident Census by Payment Source
31 Total Residents
Medicare 3 (9.7%)
Medicaid 21 (67.7%)
Private Pay/Other 7 (22.6%)
Specialized Care Beds
34 Total Specialty Beds
36.2% of Bed Capacity
34
Alzheimer's / Dementia Beds
36.2%
Programs & Services
Residents' Group
Family Engagement

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

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score 11.5
6% worse than Missouri average
Missouri average: 10.9
Functional decline score 22.4
15% worse than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 22.9%
16% above Missouri average.

Walking Ability Worsened 18.1%
12% below Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 26.0%
44% above Missouri average.
Safety & clinical stability

Falls with Major Injury 8.3%
106% above Missouri average.

High Risk Residents with Pressure Ulcers 5.3%
6% above Missouri average.

Urinary Tract Infection 0.8%
69% below Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Missouri average.

Antipsychotic Use 63.9%
190% above Missouri average.
Preventive care

Pneumococcal Vaccine 100.0%
17% above Missouri average.

Influenza Vaccine 100.0%
10% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 3.1%
45% below Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 100.0%

50% better than Missouri average
Antipsychotic medication increase 17.9%

706% worse than Missouri average

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $114K
This home paid 57% more 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 0
This home had 100% fewer 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 Feb 26, 2024
$114K

Last updated: Jan 2026

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

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

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

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

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

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

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

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

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

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

$9,430 (individual), $14,130 (couple).

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

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

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

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

Not assessed; need-based.

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

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

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

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Missouri VA Aid and Attendance/Housebound

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

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

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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