Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Pleasant Valley Manor Care Center runs 102 certified beds in Liberty under corporate for-profit ownership, and its inspection record is mostly clean, a 4-out-of-5 health inspection rating, with no deficiencies at the harm or jeopardy level. The 24 total deficiencies on file include three flagged as abuse-related, and one fine totaling $24,235, so it isn't spotless. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends run about 8% below its own weekday level, a dip families should ask about directly. Staff turnover, though, is 32.7% against a national 45.8%, which is meaningfully steadier than most homes. Last inspected September 2025.
Independence Manor runs about 3.30 nursing hours per resident per day, roughly 15% under the national average of 3.86, a real gap if your family member needs help with daily tasks or has complex medical needs. The current record shows 23 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and state inspectors were last in the building in December 2025. Staff turnover of 43.6% sits slightly better than the national 45.8%, and weekend coverage barely dips from weekday levels. Ownership is for-profit corporate, and its quality measure rating of 2 out of 5 is the softest number in the file.
Warrensburg Manor runs on thin staffing: 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday levels, so coverage is at its lightest when families tend to visit. Turnover sits at 56.6%, more than a quarter above the national rate, which means the aides and nurses who know your mother's routines may not be there in six months. Twenty deficiencies appear on the current record, including one abuse-related finding, though none rose to harm or jeopardy. Inspectors last visited in September 2024. A for-profit corporation owns the 88-bed building, and that combination of below-average staffing and above-average turnover shapes the rest.
Livingston Manor Care Center in Chillicothe runs a for-profit corporate operation with 94 certified beds, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average of 3.86. That's the strongest number here, though weekends drop roughly 21% below the home's own weekday staffing, and annual turnover hits 61.9% against a national average of 45.8%. The inspection record is where it gets hard to ignore: 54 deficiencies on file, including four at the harm or jeopardy level and nine tied to abuse, plus a $114,365 fine. CMS rated health inspections and quality measures 1 out of 5, with staffing at 4. The most recent inspection was August 21, 2025.
Kirksville Manor Care Center runs 119 certified beds under corporate for-profit ownership, and the numbers here are hard to read. Nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average, but that average hides a real drop on weekends, when coverage falls about 15% below the home's own weekday level. Meanwhile, annual turnover is 57.4%, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 54 deficiencies, seven at harm or jeopardy level, one tied to abuse, and $250,823 in fines across two penalties.
Fulton Manor runs on thin staffing: 2.60 nurse hours per resident per day against a national average of 3.86, and weekends drop about 13% below what the home manages on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. Staff turnover sits at 85.9%, nearly double the national rate, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 49 deficiencies, six tied to abuse, with the most recent survey in January 2025. The corporate owner operates for profit. Taken together, the numbers describe a home where care depends heavily on a workforce that keeps changing.