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Livingston Manor Care Center
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Chillicothe, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Livingston Manor Care Center

Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Chillicothe, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
939 E Birch Dr, Chillicothe, MO 64601-2189 View map Calculator: See prices in your area
Livingston Manor Care Center accepts Medicaid, Medicare, and private pay.
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Livingston Manor Care Center accepts Medicaid, Medicare, and private pay.

Overview of Livingston Manor Care Center

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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.

Facility Direct Line (660) 646-5177
Facility Direct Line (660) 646-5177
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 59.7% Below MO avg. ▼ 59.7% Below MO avg.MO average: 2.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 64.0% Below MO avg. ▼ 64.0% Below MO avg.MO average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 82.8% Above MO avg. ▲ 82.8% Above MO avg.MO average: 2.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 62.4% Below MO avg. ▼ 62.4% Below MO avg.MO average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Missouri averages

Rank #39 / 268Nurse hours — State benchmarkedThis home is ranked 39th out of 268 homes we track in Missouri for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 268 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 39th out of 268 homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 41m

25% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
57m
+105% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
29m
−29% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 15m
+40% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 42m
+21% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
0m
−80% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
43m
+113% State avg: 20m per day · National avg: 28m per day

2 of 6 metrics below state avg

Standout metric: Weekend RN is +113% above Missouri average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 94 Rank #209 / 450Bed count — State benchmarkedThis home is ranked 209th out of 450 homes we track in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #80 / 545Walk Score — State benchmarkedThis home is ranked 80th out of 545 homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
71 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #390 / 407Occupancy rate — State benchmarkedThis home is ranked 390th out of 407 homes we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
33% This home usually has availability
Lower than the Missouri average: 66.6%
Occupied beds
31 / 94
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
295 days

About this community

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceOctober 1, 2025
ExpirationSeptember 30, 2027
CountyLivingston
License Number053036
CMS Certification Number265621
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Livingston Manor Care Center is legally operated by Livingston Manor, Inc, and administered by Sara Hoover-Shaw.

Corporate EntityLIVINGSTON MANOR, INC
Owner NameLivingston Manor, Inc

Type Of Units

Skilled Nursing Facility
94 units
Total beds
94 units

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Memory & Specialized Care

1 service
Dedicated Alzheimer's Unit

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Activities
Activities

Contact Livingston Manor Care Center

Inspection History

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.

Since 2018 · 8 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 94 deficiencies 18 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average
Overall vs. MO average 2 Worse Metrics worse than Missouri average:
• Total deficiencies (42% above)
• Deficiencies per inspection (2% above) 0 Better No metrics in this bucket.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 9466 This facility has 42% more total deficiencies than a typical Missouri nursing home (94 vs. MO avg 66).↑ 42% worse
Deficiencies per inspection Info Average deficiencies per inspection. 5.25.12 This facility has 2% more deficiencies per inspection than a typical Missouri nursing home (5.2 vs. MO avg 5.12).↑ 2% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1812 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
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data
Total health inspections 7

State average 6.6

Last Health inspection on Aug 2025

Total health citations
44 Rank #196 / 274Health citations — State benchmarkedThis home is ranked 196th out of 274 homes we track in Missouri for health citations. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 274 MO facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 36.5

Citations per inspection
6.29 Rank #187 / 274Citations per inspection — State benchmarkedThis home is ranked 187th out of 274 homes we track in Missouri for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 274 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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.

Breakdown of citation severity (last 7 years)
Critical health citations
2
186% worse than State average

State average: 0.7

Serious health citations
0
100% better than State average

State average: 1

2 critical citations State average: 0.7
0 serious citations State average: 1
42 moderate citations State average: 33.6
0 minor citations State average: 1.2
Citations history (last 7 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

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 43
Employees 36
Contractors 7
Staff to resident ratio 1.39 : 1
18% fewer staff per resident than Missouri average
Missouri average ratio: 1.69 : 1 Missouri average ratio: 1.69 : 1See full Missouri ranking
Avg staff/day 16
Average shift 8.3 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 12,204

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 4 RN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 3 LPN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 18 CNA Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.2%

517 contractor hours this quarter

Speech Language Pathologist: 2 Physical Therapy Assistant: 1 Physical Therapy Aide: 1 Occupational Therapy Assistant: 1 Respiratory Therapy Technician: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant180185,70692100%9.1
Licensed Practical Nurse3031,4408390%8.9
Nurse Aide in Training5051,3968592%7.7
Nurse Practitioner2029987379%10
Registered Nurse4046876874%8.5
Dietitian1015595762%9.8
Medication Aide/Technician1015334650%11.6
Mental Health Service Worker1013645257%7
Speech Language Pathologist0223646571%5.6
Physical Therapy Aide011794549%1.8
Physical Therapy Assistant011321415%2.3
Occupational Therapy Aide0112233%7.3
Respiratory Therapy Technician011142123%0.7
Occupational Therapy Assistant011722%3.5
Administrator101411%3.5
18 Certified Nursing Assistant
% of Days 100%
3 Licensed Practical Nurse
% of Days 90%
5 Nurse Aide in Training
% of Days 92%
2 Nurse Practitioner
% of Days 79%
View All Staffing Data

Penalties and fines

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)

Total fines amount $114K Rank #252 / 276Federal fines — State benchmarkedThis home is ranked 252nd out of 276 homes we track in Missouri for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 276 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
57% higher than Missouri average

Missouri average: $73K

Number of fines 1
59% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $114K
Missouri average $73K
Penalty History

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

1 penalty in the past 3 years

Feb 26, 2024 · $114K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 26, 2024
$114K

Last updated: Jan 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.5
6% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.4
15% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Significantly below average Missouri avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.9%
16% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.1%
12% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.0%
44% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.3%
106% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
6% worse than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
69% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
45% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 63.9%
190% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
17% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
10% better than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.59
24% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.80
19% worse than Missouri average

Missouri average: 2.35

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
50% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 17.9%
706% worse than Missouri average

Missouri average: 2.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 31
Medicare
3
9.7% of residents
Medicaid
21
67.7% of residents
Private pay or other
7
22.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$544.7K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.6M Rank #243 / 251Net patient revenue — State benchmarkedThis home is ranked 243rd out of 251 homes we track in Missouri. Shows this facility's net patient revenue compared to the Missouri average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$544.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$7.3K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #222 / 251Payroll costs — State benchmarkedThis home is ranked 222nd out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$1.7M 68.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #29 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 29th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.1M
How we calculate these figures

This home is administered by Sara Hoover-Shaw.

This home is owned by Livingston Manor Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265621

Show certification details

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.

Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
36 total

Coverage residents most often arrive under.

Medicare 58%
Private pay 25%
Medicaid 17%
Discharges
40 total

Coverage residents most often leave under.

Medicare 30%
Private pay 30%
Medicaid 40%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Livingston Manor Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Chillicothe's city center to Livingston Manor Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Livingston Manor Care Center

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Address

Compare Nursing Homes around the area

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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Life Care Center of St Louis ★ ★ ★ ★ ☆
NH
SNF
Saint Louis
100
Facility 100
MO AVG 96
Rank #175 / 450
90.0%
Facility 90.0%
MO AVG 66.5%
Rank #33 / 407
+35%
3.91
Facility 3.91
MO AVG 3.74
Rank #99 / 268
 ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -8%+5%
$15.6k
Facility $15.6k
MO AVG $76.9k
Rank #186 / 276
41
Facility 41
MO AVG 36.5
Rank #184 / 274
8.2
Facility 8.2
MO AVG 5.7
Rank #243 / 274
190A+
92
Facility 92
MO AVG 46
Rank #23 / 545
Joanna Crooks
$8.9MFiscal year ending 02/2024
Facility $8.9MFiscal year ending 02/2024
MO AVG $7.4M
Rank #62 / 251
$5.8MFiscal year ending 02/2024
Facility $5.8MFiscal year ending 02/2024
MO AVG $3.9M
Rank #36 / 251
65.9%Fiscal year ending 02/2024
Facility 65.9%Fiscal year ending 02/2024
MO AVG 54.9%
Rank #40 / 251
265610
Life Care Center of Waynesville ★ ★ ★ ☆ ☆
NH
MC
SNF
Waynesville
120
Facility 120
MO AVG 96
Rank #87 / 450
63.3%
Facility 63.3%
MO AVG 66.5%
Rank #240 / 407
-5%
3.87
Facility 3.87
MO AVG 3.74
Rank #99 / 268
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +12%+4%
$22.1k
Facility $22.1k
MO AVG $76.9k
Rank #194 / 276
31
Facility 31
MO AVG 36.5
Rank #141 / 274
5.2
Facility 5.2
MO AVG 5.7
Rank #136 / 274
176A+
51
Facility 51
MO AVG 46
Rank #240 / 545
Kimberly Coyne
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #114 / 251
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #76 / 251
68.5%Fiscal year ending 12/2023
Facility 68.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #27 / 251
265373
The Manor ★ ★ ★ ☆ ☆
NH
MC
SNF
Poplar Bluff
90
Facility 90
MO AVG 96
Rank #225 / 450
77.8%
Facility 77.8%
MO AVG 66.5%
Rank #127 / 407
+17%
3.69
Facility 3.69
MO AVG 3.74
Rank #129 / 268
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ +61%-1%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
26
Facility 26
MO AVG 36.5
Rank #109 / 274
8.7
Facility 8.7
MO AVG 5.7
Rank #253 / 274
-70A+
67
Facility 67
MO AVG 46
Rank #102 / 545
Tammy Loughary
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #174 / 251
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #190 / 251
47.4%Fiscal year ending 12/2023
Facility 47.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #187 / 251
265442
Lakeview Post Acute ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
Florissant (Old Town Florissant)
120
Facility 120
MO AVG 96
Rank #87 / 450
79.2%
Facility 79.2%
MO AVG 66.5%
Rank #114 / 407
+19%
3.58
Facility 3.58
MO AVG 3.74
Rank #140 / 268
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -48%-4%
$194.5k
Facility $194.5k
MO AVG $76.9k
Rank #265 / 276
93
Facility 93
MO AVG 36.5
Rank #268 / 274
5.5
Facility 5.5
MO AVG 5.7
Rank #157 / 274
795A+
63
Facility 63
MO AVG 46
Rank #141 / 545
Kalvin Stewart$8.1M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$5.7M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.70%*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.265838
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 66.5%
Rank #390 / 407
-50%
4.69
Facility 4.69
MO AVG 3.74
Rank #39 / 268
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ +21%+25%
$114.4k
Facility $114.4k
MO AVG $76.9k
Rank #252 / 276
44
Facility 44
MO AVG 36.5
Rank #196 / 274
6.3
Facility 6.3
MO AVG 5.7
Rank #187 / 274
231-
71
Facility 71
MO AVG 46
Rank #80 / 545
Livingston Manor Inc
$2.6MFiscal year ending 06/2024
Facility $2.6MFiscal year ending 06/2024
MO AVG $7.4M
Rank #243 / 251
$1.7MFiscal year ending 06/2024
Facility $1.7MFiscal year ending 06/2024
MO AVG $3.9M
Rank #222 / 251
68.4%Fiscal year ending 06/2024
Facility 68.4%Fiscal year ending 06/2024
MO AVG 54.9%
Rank #29 / 251
265621
Nursing Home Explorer

Frequently Asked Questions about Livingston Manor Care Center

Who is the owner of Livingston Manor Care Center?

Livingston Manor Care Center is legally operated by Livingston Manor, Inc, and administered by Sara Hoover-Shaw.

Is Livingston Manor Care Center in a walkable area?

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.

What is the license number of Livingston Manor Care Center?

According to MO state health department records, Livingston Manor Care Center's license number is 053036.

When does Livingston Manor Care Center's license expire?

According to MO state health department records, Livingston Manor Care Center's license expires on September 30, 2027.

What is the occupancy rate at Livingston Manor Care Center?

Livingston Manor Care Center's occupancy is 33%.

Are pets allowed at Livingston Manor Care Center?

No, Livingston Manor Care Center has a no-pet policy.

Does Livingston Manor Care Center operate as a for-profit or non-profit?

Livingston Manor Care Center is registered as a for-profit in MO.

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