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HomeMissouriNathan Richard Health Care Center

Nathan Richard Health Care Center

700 East Highland Avenue, Nevada, MO 647724176678889WebsiteGoogle Maps
3.8on Google(15 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
2/5
Beds
68
certified
1 fine(s) totaling $69,107

How Nathan Richard Health Care Center Compares in Missouri

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.

CMS overall rating
1/5
MO average
2.5/5
Below state average
Health inspection rating
2/5
MO average
2.8/5
Below state average
Staffing rating
1/5
MO average
2.2/5
Below state average
Nursing hours per resident
1.72 hrs/day
MO average
3.43 hrs/day
Below state average
RN hours per resident
0.28 hrs/day
MO average
0.46 hrs/day
Below state average
Staff turnover
68.6%
MO average
56.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Missouri average of 2.5/5.
Its 2/5 health inspection rating is below the Missouri average of 2.8/5.
Reported nursing time is 1.72 hours per resident per day, below the state average of 3.43.
Reported RN time is 0.28 hours per resident per day, below the state average of 0.46.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
12
deficiency citations
Inspected Jun 16, 2023
Most recent cycle
17
deficiency citations
Inspected Feb 28, 2025
The most recent cycle recorded 5 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,540/mo
Missouri median
Private Room
$6,236/mo
Missouri median
Vernon County 65+
3,978
20.1% of county
County Population
19,777
Vernon County

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.

Beds
68
Avg Residents/Day
61.1
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)
17
Weighted Score
159.0
Infection Citations
0

Deficiency Citations (38)

F0740Potential for Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: Mar 19, 2026Corrected: NoCycle: 1
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
F0684Actual Harm

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

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
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
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
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
F0607Potential for Harm

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

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

Provide and implement an infection prevention and control program.

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

Implement a program that monitors antibiotic use.

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
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
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
F0883Potential for Harm

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

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0880Immediate Jeopardy

Provide and implement an infection prevention and control program.

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
F0804Potential for Harm

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

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

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

Survey: Nov 6, 2020Corrected: NoCycle: 3

+ 8 more deficiencies

Total Fines
$69,107
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineFeb 28, 2025
$69,107

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

Nurse Aide1.15 hrs
National avg: 2.32 hrs
LPN0.29 hrs
National avg: 0.86 hrs
RN0.28 hrs
National avg: 0.69 hrs
Total Nursing1.72 hrs
National avg: 3.86 hrs
Weekend Total1.66 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
68.6%
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 (16)

NameRoleTypeOwnership %Since
RELIANT CARE GROUP LLCDIRECT OWNERSHIP INTERESTOrganizationN/AAug 1, 2020
RCG INCINDIRECT OWNERSHIP INTERESTOrganizationN/AAug 1, 2020
RICHARD J DESTEFANE REVOCABLE LIVING TRUSTINDIRECT OWNERSHIP INTERESTOrganizationN/AAug 1, 2020
DESTEFANE, RICHARDINDIRECT OWNERSHIP INTERESTIndividualN/AAug 1, 2020
DESTEFANE, RICHARDCORPORATE OFFICERIndividualN/AAug 1, 2020
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
NEVADA ASSOCIATES, L.L.C.ADP OF THE SNFOrganizationN/AAug 1, 2020
RELIANT CARE MANAGEMENT COMPANY LLCADP OF THE SNFOrganizationN/AJun 27, 2025
RICHARD J DESTEFANE REVOCABLE LIVING TRUSTADP OF THE SNFOrganizationN/AAug 1, 2020
TLG II LLPADP OF THE SNFOrganizationN/AAug 1, 2020
ARSHAD, ABDULLAHADP OF THE SNFIndividualN/ASep 15, 2024
DESTEFANE, RICHARDADP OF THE SNFIndividualN/AAug 1, 2020
WILLIS, LAWRENCEADP OF THE SNFIndividualN/AOct 24, 2020

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Nathan Richard Health Care Center and nearby alternatives.

All Missouri facilities
Nathan Richard Health Care Center
Nevada, MOCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $69,107
Medicalodges Nevada
Nevada, MO1.6 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Moore Few Care Center
Nevada, MO2.1 mi
CMS
3/5
Health
4/5
Staffing
4/5
Recorded fines: $13,662
Community Springs Healthcare Facility
El Dorado Springs, MO18.1 mi
CMS
3/5
Health
4/5
Staffing
2/5
Recorded fines: None
Truman Healthcare & Rehabilitation Center
Lamar, MO24.5 miAbuse flag
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: None
Medicalodges Butler
Butler, MO27.1 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Butler Rehab and Healthcare Center
Butler, MO27.2 mi
CMS
1/5
Health
3/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Nathan Richard Health Care Center
Nevada, MO · Current facility
—1/52/51/5$69,107
Medicalodges Nevada
Nevada, MO
1.6 mi2/52/54/5None recorded
Moore Few Care Center
Nevada, MO
2.1 mi3/54/54/5$13,662
Community Springs Healthcare Facility
El Dorado Springs, MO
18.1 mi3/54/52/5None recorded
Truman Healthcare & Rehabilitation Center
Lamar, MO
24.5 mi1/51/54/5None recorded
Medicalodges Butler
Butler, MO
27.1 mi4/54/54/5None recorded
Butler Rehab and Healthcare Center
Butler, MO
27.2 mi1/53/51/5None recorded

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.

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 2/5. This facility is rated below average.
How much does Nathan Richard Health Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Missouri is $5,540/month for a semi-private room and $6,236/month for a private room (Genworth/CareScout 2024). Nathan Richard Health Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Nathan Richard Health Care Center had any health inspection violations?▾
Nathan Richard Health Care Center had 17 deficiency citations in its most recent health inspection (Feb 28, 2025). The current CMS dataset records 1 fine(s) totaling $69,107.
What are the staffing levels at Nathan Richard Health Care Center?▾
Nathan Richard Health Care Center provides 1.72 total nursing staff hours per resident per day, including 0.28 RN hours, 0.29 LPN hours, and 1.15 nurse aide hours. The total staff turnover rate is 68.6%.
How many beds does Nathan Richard Health Care Center have?▾
Nathan Richard Health Care Center has 68 certified beds with an average of 61.1 residents per day, resulting in approximately 90% 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. This page lists 6 nearby nursing homes in Missouri, including 2 in Nevada. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Nathan Richard Health Care Center?▾
On Google Maps, Nathan Richard Health Care Center has a rating of 3.8 out of 5 based on 15 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Reliant Care Management

This chain operates 33 facilities. View all →