CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
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. Its overall CMS rating is 1 out of 5.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 8 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| RELIANT CARE GROUP LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 1, 2020 |
| RCG INC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 1, 2020 |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 1, 2020 |
| DESTEFANE, RICHARD | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Aug 1, 2020 |
| DESTEFANE, RICHARD | CORPORATE OFFICER | Individual | N/A | Aug 1, 2020 |
| RELIANT CARE MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Aug 1, 2020 |
| ARSHAD, ABDULLAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 15, 2024 |
| DESTEFANE, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 1, 2020 |
| WILLIS, LAWRENCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 24, 2020 |
| NEVADA ASSOCIATES, L.L.C. | ADP OF THE SNF | Organization | N/A | Aug 1, 2020 |
| RELIANT CARE MANAGEMENT COMPANY LLC | ADP OF THE SNF | Organization | N/A | Jun 27, 2025 |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST | ADP OF THE SNF | Organization | N/A | Aug 1, 2020 |
| TLG II LLP | ADP OF THE SNF | Organization | N/A | Aug 1, 2020 |
| ARSHAD, ABDULLAH | ADP OF THE SNF | Individual | N/A | Sep 15, 2024 |
| DESTEFANE, RICHARD | ADP OF THE SNF | Individual | N/A | Aug 1, 2020 |
| WILLIS, LAWRENCE | ADP OF THE SNF | Individual | N/A | Oct 24, 2020 |
Compare CMS ratings and recorded fines for Nathan Richard Health Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 33 facilities. View all →