NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriNathan Richard Health Care Center

Nathan Richard Health Care Center

700 East Highland Avenue, Nevada, MO 647724176678889
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
1/5
Beds
68
certified
1 fine(s) totaling $38,532

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 68 certified beds with an average of 63.3 residents per day (93% occupancy)

• Last health inspection found 16 deficiencies (inspected Feb 28, 2025)

• Has been fined a total of $38,532 across 1 fine(s)

• Total nursing staff: 2.22 hours per resident per day

• Staff turnover rate: 67.6% (high)

• Part of the Reliant Care Management chain (30 facilities)

Nathan Richard Health Care Center is a 1-star Medicare and Medicaid certified nursing home in Nevada, Missouri with 68 certified beds. It has been operating since 1993. The facility scored below average compared to Missouri facilities.

Beds
68
Avg Residents/Day
63.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 12, 1993
Sprinklers
Yes
Council
Resident
County
Vernon
Last Inspection
Feb 28, 2025
Deficiencies (Cycle 1)
16
Weighted Score
156.0
Infection Citations
0

Deficiency Citations (37)

F0609Potential for Harm

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

Survey: Dec 30, 2025Corrected: NoCycle: 1
F0607Potential for Harm

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

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0843Potential for Harm

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0838Minimal Harm

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0880Immediate Jeopardy

Provide and implement an infection prevention and control program.

Survey: Jun 16, 2023Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Nov 6, 2020Corrected: NoCycle: 3
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Nov 6, 2020Corrected: NoCycle: 3

+ 7 more deficiencies

Total Fines
$38,532
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJun 16, 2023
$38,532

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.63 hrs
National avg: 2.35 hrs
LPN0.28 hrs
National avg: 0.86 hrs
RN0.31 hrs
National avg: 0.68 hrs
Total Nursing2.22 hrs
National avg: 3.89 hrs
Weekend Total2.21 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
67.6%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
RELIANT CARE MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 1, 2020
ARSHAD, ABDULLAHOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 15, 2024
DESTEFANE, RICHARDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2020
WILLIS, LAWRENCEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 24, 2020
DESTEFANE, RICHARDCORPORATE OFFICERIndividualN/AAug 1, 2020

Nearby Nursing Homes

All Missouri facilities

Medicalodges Nevada

Nevada, MO · 100 beds

For profit
Health
Staffing
Quality
1.6 mi

Moore Few Care Center

Nevada, MO · 108 beds

Government$13,662 in fines
Health
Staffing
Quality
2.1 mi

Frequently Asked Questions

What is the CMS rating for Nathan Richard Health Care Center?▾
Nathan Richard Health Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
Has Nathan Richard Health Care Center had any health inspection violations?▾
Nathan Richard Health Care Center had 16 deficiency citations in its most recent health inspection (Feb 28, 2025). The facility has been fined a total of $38,532 across 1 fine(s).
What are the staffing levels at Nathan Richard Health Care Center?▾
Nathan Richard Health Care Center provides 2.22 total nursing staff hours per resident per day, including 0.31 RN hours, 0.28 LPN hours, and 1.63 nurse aide hours. The total staff turnover rate is 67.6%.
How many beds does Nathan Richard Health Care Center have?▾
Nathan Richard Health Care Center has 68 certified beds with an average of 63.3 residents per day, resulting in approximately 93% occupancy. The facility is For profit - Corporation owned and is part of the Reliant Care Management chain.
Are there other nursing homes near Nathan Richard Health Care Center?▾
Yes, there are 2 other nursing homes in Nevada, Missouri with an average rating of 2/5. You can compare all facilities on the Nevada nursing homes page.

Part of Reliant Care Management

This chain operates 30 facilities. View all →