Morningside Center
1700 Morningside Drive, Chillicothe, MO 64601 · Livingston County · 60 certified beds · avg 53 residents/day · certified since Jun 1, 2007
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 14, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 20, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 14, 2026 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 16, 2025 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jun 2, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 2, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 2, 2023 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jun 2, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jun 2, 2023 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2025 | 7 | 0 | E |
| 2026 | 10 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.61 | 3.66 | 3.95 | top 17% in Missouri; top 20% in the U.S. |
| Registered Nurse hours | 1.22 | 0.49 | 0.69 | top 2% in Missouri; top 9% in the U.S. |
| Weekend total nurse staffing | 3.97 | 3.22 | 3.50 | top 18% in Missouri; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.72 | 0.33 | 0.48 | top 3% in Missouri; top 15% in the U.S. |
| Total nursing staff turnover (%) | 50.7 | 56.0 | 45.8 | top 35% in Missouri; bottom 35% in the U.S. |
| RN turnover (%) | 23.1 | 47.8 | 42.9 | top 18% in Missouri; top 18% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.71, RN 0.98, weekend 3.19. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Livingston County Nursing Home District | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/22/2007 |
| Cady, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 03/09/2025 |
| Corbin, Lugenis | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2021 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 03/09/2020 |
| Hughes, Darlene | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/17/2025 |
| Jones, Connie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/17/2016 |
| Jones, Connie | Individual | Corporate Director | NOT APPLICABLE | 03/17/2016 |
| Lewis, Jodina | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Lewis, Jodina | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Livingston County Nursing Home District | Organization | ADP of the SNF | NOT APPLICABLE | 01/22/2007 |
| Melte, Harri Ann | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Melte, Harri Ann | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Midwest Physical Therapy PC | Organization | ADP of the SNF | NOT APPLICABLE | 04/04/2013 |
| Rardon, Sharon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2014 |
| Sensenich, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Sensenich, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2013 |
| Thompson, Debra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/17/2025 |
| Usda Rural Development | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/22/2007 |
| Washburn, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/23/2024 |
| Winfrey, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/22/2007 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Grand River Health Care | 0.4 mi | Chillicothe, MO | ★☆☆☆☆ | 1/5 | abuse |
| Stonebridge Chillicothe | 0.7 mi | Chillicothe, MO | ★★★★★ | 5/5 | |
| Livingston Manor Care Center | 0.9 mi | Chillicothe, MO | ★☆☆☆☆ | 1/5 | abuse |
| Eastview Manor Care Center | 19.9 mi | Trenton, MO | ★☆☆☆☆ | 1/5 | abuse |
| Sunnyview Nursing Home & Apartments | 19.9 mi | Trenton, MO | ★☆☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 265813.