CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2656212026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Livingston Manor Care Center

939 East Birch · Chillicothe, MO 64601 · Livingston County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds94CMS provider file
Recent citation rows68current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-08-21142025-08-213
Cycle 22024-05-30332024-05-304
Cycle 32022-10-0572022-10-057
02 / CITATION DETAIL

68 rows in the current release

4 rows carry G–L scope/severity codes; 2 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-01 · HEALTHF0600Severity G · isolated actual harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2026-06-10 · complaint
2026-04-21 · HEALTHF0600Severity G · isolated actual harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2026-05-14 · complaint
2026-04-21 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2026-05-14 · complaint
2025-08-21 · HEALTHF0568Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0570Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Assure the security of all personal funds of residents deposited with the facility.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0607Severity E · pattern; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0628Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0695Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0727Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0803Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction field: Deficient, Provider has date of correction · 2025-10-04 · complaint
2025-08-21 · HEALTHF0805Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-10-04 · complaint
2025-08-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · FIREK0222Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-08-21 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-10-04
2025-06-02 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2025-07-15 · complaint
2025-04-05 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-05-06 · complaint
2024-05-30 · HEALTHF0550Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2024-07-12
2024-05-30 · HEALTHF0565Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Correction field: Deficient, Provider has date of correction · 2024-07-12
2024-05-30 · HEALTHF0567Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

Correction field: Deficient, Provider has date of correction · 2024-07-12
2024-05-30 · HEALTHF0568Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Correction field: Deficient, Provider has date of correction · 2024-07-12
2024-05-30 · HEALTHF0572Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Give residents a notice of rights, rules, services and charges.

Correction field: Deficient, Provider has date of correction · 2024-07-12
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2026-04-21Fine$53,8650
2024-02-26Fine$114,3650
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CHILLICOTHE INDUSTRIAL DEVELOPMENT CORPORATIONOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    50% · since 12/01/2025
  • JUCKETTE, JOYCE EIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    50% · since 11/03/2015
  • JUCKETTE MANAGEMENT SERVICES INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/01/2015
  • JUCKETTE, HOLLYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/03/2015
  • JUCKETTE, JOYCE EIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/03/2015
  • NEUROTH, TERIIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/03/2015
  • STEELE, LISAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/03/2015
  • STEELE, RANDALLIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 07/01/2009
  • JUCKETTE, HOLLYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/03/2015
  • JUCKETTE, JOYCE EIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/03/2015
  • NEUROTH, TERIIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/03/2015
  • STEELE, LISAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/03/2015
  • JUCKETTE MANAGEMENT SERVICES INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2015
  • BIESENTHAL, NICHOLEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/26/2024
  • HUDLEMEYER, TERESAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2021
  • JUCKETTE, HOLLYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2015
  • JUCKETTE, JOYCE EIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/03/2015
  • MANSOUR, KRISTIANNAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/26/2020

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.99per resident day
RN hours0.81per resident day
Weekend nurse hours3.15per resident day
Staff turnover61.9%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.