Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Livingston Manor, Inc., and administrator Sara Hoover-Shaw coordinate care at Livingston Manor Care Center, a 94-bed skilled nursing community located on East Birch Drive in Chillicothe, Missouri. The business office organizes patient billing through typical setups like Medicare, Medicaid, and private payments. Guests visiting the building can navigate the surrounding area easily on foot, as the neighborhood carries a walkability score of 71 out of 100, letting people handle multiple errands without a car.
On average, residents live in the community for 295 days, a timeframe that highlights a routine balancing continuous residential care with shorter post-hospital recovery schedules. To manage day-to-day medical treatments and physical support, the 24-hour staffing framework provides an average of 3 hours and 25 minutes of total nursing care per resident each day. The building splits this clinical focus across a dedicated Private Medicare Hall and a Special Care Unit designed for individualized rehabilitation.
Inspection reports show that recent surveys cited specific procedural corrections regarding resident banking funds, employee background tracking, nurse staffing adjustments, respiratory care, basic environmental sanitation, and resident safety rules, keeping the overall citation rate above zero.
Older adults can look into the community’s monthly activity setups, social calendars, and tailored rehabilitation programs. The indoor layout is configured to support physical recovery and memory care needs under continuous medical supervision. Families can call the main office directly to look over insurance requirements, ask about specific safety safeguards, or schedule an in-person walkthrough of the residential halls.
Livingston Manor Care Center is legally operated by Livingston Manor, Inc, and administered by Sara Hoover-Shaw.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 94 | 35 | This facility has 169% more total deficiencies than a typical Missouri nursing home (94 vs. MO avg 35).↑ 169% worse |
|
Deficiencies per inspection
| 5.2 | 2.9 | This facility has 79% more deficiencies per inspection than a typical Missouri nursing home (5.2 vs. MO avg 2.9).↑ 79% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 18 | 12 | This facility has had 50% more total inspections than the Missouri average (18 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more |
State average 6.6
Last Health inspection on Aug 2025
State average 36.5
State average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
37 of 44 citations resulted from standard inspections; and 7 of 44 resulted from complaint investigations.
State average: 0.7
State average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
517 contractor hours this quarter
| Certified Nursing Assistant | 18 | 0 | 18 | 5,706 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,440 | 83 | 90% | 8.9 |
| Nurse Aide in Training | 5 | 0 | 5 | 1,396 | 85 | 92% | 7.7 |
| Nurse Practitioner | 2 | 0 | 2 | 998 | 73 | 79% | 10 |
| Registered Nurse | 4 | 0 | 4 | 687 | 68 | 74% | 8.5 |
| Dietitian | 1 | 0 | 1 | 559 | 57 | 62% | 9.8 |
| Medication Aide/Technician | 1 | 0 | 1 | 533 | 46 | 50% | 11.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 364 | 52 | 57% | 7 |
| Speech Language Pathologist | 0 | 2 | 2 | 364 | 65 | 71% | 5.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 79 | 45 | 49% | 1.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 32 | 14 | 15% | 2.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 22 | 3 | 3% | 7.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 14 | 21 | 23% | 0.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 7 | 2 | 2% | 3.5 |
| Administrator | 1 | 0 | 1 | 4 | 1 | 1% | 3.5 |
Includes penalties issued in 2024
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 26, 2024 · $114K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
58% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Livingston Manor Care Center from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Chillicothe's city center to Livingston Manor Care Center's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Ignite Medical Resort Blue Springs | NH PC SNF | Blue Springs | 90
Facility
90
MO AVG
96
Rank
#225 / 450 |
98.9%
Facility
98.9%
MO AVG
65.1
Rank
#5 / 418 | +52% | 3.14
Facility
3.14
MO AVG
3.74
Rank
#214 / 270 | +136% | -16% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 16
Facility
16
MO AVG
36.5
Rank
#50 / 274 | 3.2
Facility
3.2
MO AVG
5.7
Rank
#29 / 274 | - | 89 | - |
68
Facility
68
MO AVG
45
Rank
#92 / 563 | Ignite Ind LLC | $14.2MFiscal year ending 12/2023
Facility
$14.2MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#17 / 277 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#39 / 277 | 36.2%Fiscal year ending 12/2023
Facility
36.2%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#268 / 277 | 265880 | ||||
| Nixa Nursing &Amp; Rehab | NH HOS SNF | Nixa | 82
Facility
82
MO AVG
96
Rank
#262 / 450 |
79.3%
Facility
79.3%
MO AVG
65.1
Rank
#112 / 418 | +22% | 3.78
Facility
3.78
MO AVG
3.74
Rank
#121 / 270 | -32% | +1% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 3.0
Facility
3.0
MO AVG
5.7
Rank
#22 / 274 | - | 65 | - |
63
Facility
63
MO AVG
45
Rank
#141 / 563 | N & R Of Nixa, LLC | $6.0MFiscal year ending 12/2023
Facility
$6.0MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#137 / 277 | $2.8MFiscal year ending 12/2023
Facility
$2.8MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#131 / 277 | 47.2%Fiscal year ending 12/2023
Facility
47.2%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#96 / 277 | 265322 | ||||
| Aberdeen Heights | NH AL HOS IL MC SNF | Kirkwood | 91
Facility
91
MO AVG
96
Rank
#219 / 450 |
37.4%
Facility
37.4%
MO AVG
65.1
Rank
#380 / 418 | -43% | 5.18
Facility
5.18
MO AVG
3.74
Rank
#20 / 270 | -52% | +39% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | - | 34 | - |
89
Facility
89
MO AVG
45
Rank
#29 / 563 | Ashfield Active Living And Wellness Communities, Inc | $23.4MFiscal year ending 06/2024
Facility
$23.4MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#4 / 277 | $8.1MFiscal year ending 06/2024
Facility
$8.1MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#11 / 277 | 34.7%Fiscal year ending 06/2024
Facility
34.7%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#270 / 277 | 265841 | ||||
| Good Shepherd Care Center | NH HOS PC RC SNF | Versailles | 164
Facility
164
MO AVG
96
Rank
#38 / 450 |
29.9%
Facility
29.9%
MO AVG
65.1
Rank
#397 / 418 | -54% | 4.09
Facility
4.09
MO AVG
3.74
Rank
#82 / 270 | -5% | +10% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 10
Facility
10
MO AVG
36.5
Rank
#17 / 274 | 5.0
Facility
5.0
MO AVG
5.7
Rank
#120 / 274 | - | 49 | - |
46
Facility
46
MO AVG
45
Rank
#283 / 563 | Good Shepherd Care Center | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#120 / 277 | $3.1MFiscal year ending 06/2024
Facility
$3.1MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#161 / 277 | 56.6%Fiscal year ending 06/2024
Facility
56.6%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#218 / 277 | 265528 | ||||
| Livingston Manor Care Center | NH HOS MC RC SNF | Chillicothe | 94
Facility
94
MO AVG
96
Rank
#209 / 450 |
33.0%
Facility
33.0%
MO AVG
65.1
Rank
#390 / 418 | -49% | 3.41
Facility
3.41
MO AVG
3.74
Rank
#177 / 270 | +21% | -9% | $114.4k
Facility
$114.4k
MO AVG
$76.9k
Rank
#252 / 276 | 44
Facility
44
MO AVG
36.5
Rank
#195 / 274 | 6.3
Facility
6.3
MO AVG
5.7
Rank
#186 / 274 | 2 | 31 | - |
71
Facility
71
MO AVG
45
Rank
#80 / 563 | Livingston Manor Inc | $2.6MFiscal year ending 06/2024
Facility
$2.6MFiscal year ending 06/2024
MO AVG
$8.4M
Rank
#262 / 277 | $1.7MFiscal year ending 06/2024
Facility
$1.7MFiscal year ending 06/2024
MO AVG
$3.3M
Rank
#243 / 277 | 68.4%Fiscal year ending 06/2024
Facility
68.4%Fiscal year ending 06/2024
MO AVG
45.6%
Rank
#22 / 277 | 265621 |
Livingston Manor Care Center is legally operated by Livingston Manor, Inc, and administered by Sara Hoover-Shaw.
Livingston Manor Care Center has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to MO state health department records, Livingston Manor Care Center's license number is 053036.
According to MO state health department records, Livingston Manor Care Center's license expires on September 30, 2027.
Livingston Manor Care Center's occupancy is 33%.
No, Livingston Manor Care Center has a no-pet policy.
Livingston Manor Care Center is registered as a for-profit in MO.
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