Heather Neff
Jul 2026
All departments work together to make sure residents are cared for. They care about the residents instead of money or census. I would highly recommend it for your loved one
Livingston Manor
939 East Birch
3.2(6 ratings)· Chillicothe average: 3.8
Quick Facts
- Total units
- 94
- Medicare rating
- 1 of 5
- Ownership
- For profit, Corporation
- Certified beds
- 94
- Inspections
- View history (68 citations)
- Memory Care
- Dedicated unit for Alzheimer's and dementia care
- Respite Stays
- Short-term respite care for family caregivers
- Room Setup
- Private rooms with a private Medicare hall
- Facility Size
- Small facility rather than a large campus
CMS Care Compare
What Families Think
Livingston Manor is a small skilled nursing facility in Chillicothe, Missouri offering short-term rehab, long-term care, and a dedicated memory care unit. Reviews are sharply split: several families report serious concerns about cleanliness, food quality, and lost belongings, while others praise the staff's compassion and teamwork.
The Good
- Staff described as caring and competent
- Coordinated rehab team for stroke and injury recovery
- Dedicated Alzheimer's and dementia care unit
- Respite care available for family caregivers
- Private rooms and private Medicare hall
The Bad
- Multiple reports of strong urine odor throughout facility
- One report of lost or missing personal belongings
- One report of inadequate food portions and quality
- Only 6 Google reviews, average rating 3.2
AI-generated from reviews and community data.
Livingston Manor is a senior living community in Chillicothe, Missouri offering Skilled Nursing / Long Term Care. Families rate it 3.2 out of 5 across 6 reviews.
About Livingston Manor
Livingston Manor Care Center in Chillicothe, Missouri is a skilled nursing facility providing short-term rehabilitation, long-term care, and specialized Alzheimer's and dementia services. The center operates as a small facility with a specialized care unit focused on Alzheimer's disease, dementia, cognitive impairment, and other complex needs, with compassionate care available 24 hours a day.
The facility features private rooms, a private Medicare hall, and scenic rural views designed to create a home-like setting. Residents benefit from professionally staffed nursing care around the clock, with an experienced rehabilitation team committed to helping individuals regain functional abilities and independence. Treatment programs address physical impairment, pain management, and recovery from conditions including stroke, brain injury, and neurological disorders.
Livingston Manor offers respite care to provide primary caregivers with short-term relief, allowing them to rest, travel, or spend time with loved ones. The facility provides a monthly activity calendar to residents and welcomes friends and family to visit and attend special events. Staff coordinate appointments, manage communication, and collaborate on care and discharge planning to support residents and families.
Types of Care at Livingston Manor
Skilled Nursing / Long Term Care
Need help deciding?
Tell us what you're looking for and we'll match you with communities that fit. Free, and you choose who contacts you.
Help Me ChooseReviews of Livingston Manor
3.2overall · 6 ratings combined
3.2★ on Google (6)
Emily Oswalt
Jul 2026
This is by far the worst nursing home in Missouri. My grandma was a resident here for two years, and during that time she lost so many of her personal belongings. One of the most heartbreaking losses was a handmade quilt that a family member made especially for her. It disappeared and was never found. Another upsetting experience was when my great-aunt brought my grandma flowers. Instead of giving them to her, staff took them to the nurses’ station and claimed they weren’t for her. There was no reason my grandma shouldn’t have received them. I work in a different nursing home myself, so I understand the level of care residents deserve. Unfortunately, that was not what I saw here. Residents were often not kept clean, and the overall quality of care was unacceptable. When you walk into this place, pee smell hits you right in the face when you come in. Families trust nursing homes to care for their loved ones with dignity, respect, and compassion. Based on our experience, this facility failed to do that. I would not recommend this nursing home to anyone looking for a safe and caring place for their loved one. SO PLEASE DO YOUR RESEARCH BEFORE PUTTING A LOVES ONE IN THE HOME.
Francis
Jul 2026
Would give this place a negative 1000 if I could. Absolutely the worst place to put a loved one in. Worst possible resident cares Absolutely no activities for the residents to enjoy. Food is absolutely a disgrace not allowed to even have a butter knife wont put ice in their drinks even on 100 degree days their "ice tea" is the same temp as coffee. Food portions are for a toddler the state of Missouri should shut this place down the smell of urine e absolutely knocks you off your feet as soon as you walk threw the front door the people who run this place & the workers should absolutely be ashamed of their selves
Vincent Staudenmyer
Mar 2018
My mom has been a resident here for over a year. I continue to be impressed with all aspects of this facility. The staff is caring and loving and competent. Thank you Livingston Manor for making a difficult situation so much easier to bear!
Government Inspection History
8 inspection visits in the last three years, 68 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
May 1, 2026Health Complaint1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jun 10, 2026
Apr 21, 2026Health Complaint2 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected May 14, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2026
Aug 21, 2025Fire Safety StandardHealth ComplaintHealth Standard14 citations
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 4, 2025
Provide properly protected cooking facilities.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 4, 2025
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 4, 2025
Assure the security of all personal funds of residents deposited with the facility.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 4, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 4, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 4, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 4, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 4, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 4, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 4, 2025
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 4, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 4, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 4, 2025
Jun 2, 2025Health Complaint1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 15, 2025
Apr 5, 2025Health Complaint1 citation
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 6, 2025
May 30, 2024Fire Safety StandardHealth Standard35 citations
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 12, 2024
Have an enclosure around a vertical opening shaft.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 12, 2024
Ensure that residents are free from significant medication errors.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Honor the resident's right to manage his or her financial affairs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Give residents a notice of rights, rules, services and charges.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Provide activities to meet all resident's needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 12, 2024
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 23, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 12, 2024
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 12, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 12, 2024
Ensure the activities program is directed by a qualified professional.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 12, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 12, 2024
Feb 26, 2024Health Complaint3 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Mar 1, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 1, 2024
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 1, 2024
Oct 5, 2022Fire Safety StandardHealth Standard11 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J of L: immediate jeopardy, isolatedCorrected Nov 19, 2022
Have properly located and lighted "Exit" signs.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 19, 2022
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 19, 2022
Develop and maintain an Emergency Preparedness Program (EP).
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2022
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2022
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2022
Have approved installation, maintenance and testing program for fire alarm systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2022
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2022
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 19, 2022
Assure the security of all personal funds of residents deposited with the facility.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 19, 2022
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Livingston Manor offer?
Livingston Manor offers Skilled Nursing / Long Term Care.
Where is Livingston Manor located?
Livingston Manor is located at 939 East Birch in Chillicothe, Missouri.
What do families say about Livingston Manor?
Livingston Manor is a small skilled nursing facility in Chillicothe, Missouri offering short-term rehab, long-term care, and a dedicated memory care unit. Reviews are sharply split: several families report serious concerns about cleanliness, food quality, and lost belongings, while others praise the staff's compassion and teamwork.
How did Livingston Manor do on recent health and safety inspections?
Livingston Manor had 8 government inspection visits in the last three years, with 68 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Livingston Manor?
Submit the Request Information form on this page to connect with Livingston Manor and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Livingston Manor? Claim this listing to update photos, pricing, and details. It's free.
Nearby Communities
Other senior living options within 25 miles of Chillicothe.
StoneBridge Senior Living - Chillicothe
Chillicothe, Missouri
3.8(26)
Skilled Nursing / Long Term Care
Morningside Center
Chillicothe, Missouri
4.3(25)
Skilled Nursing / Long Term Care
Legacy Living
Chillicothe, Missouri
3.1(7)
Assisted Living
Chillicothe Manor I
Chillicothe, Missouri
3.3(4)
Assisted Living
Ashbury Heights
Chillicothe, Missouri
3(2)
Assisted Living
St Luke's Home Health
Chillicothe, Missouri
5(1)