Nursing home · Nevada, MO
Nathan Richard Health Care Center
700 East Highland Avenue, Nevada, MO 64772 · 68 certified beds · for profit ownership · part of Reliant Care Management
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Mar 19, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Feb 28, 2025) it had 17 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 1.72 hours per resident per day here, 50% less than the Missouri average (3.43) and 55% less than the U.S. average (3.86). Registered nurses account for 0.28 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 69% over the past year, 13 points higher than Missouri (56%) and 23 points higher than the U.S. (46%).
How Nathan Richard Health Care Center compares
This home's latest CMS figures next to the averages for Nevada-area homes (16), Missouri (487) and the U.S. (14,680).
| This home | Nevada area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 1.72 | 3.35 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.28 | 0.46 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 1.66 | 2.93 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 69% | 52% | 56% | 46% |
| Registered nurse turnover (past year) | — | 44% | 48% | 43% |
| Citations at the most recent standard inspection | 17 | 11.0 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 38 of 38 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Mar 19, 2026 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Dec 30, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Feb 28, 2025 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Feb 28, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | D | Deficient, Provider has date of correction |
| Feb 28, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 28, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 28, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 28, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | D | Deficient, Provider has date of correction |
| Feb 28, 2025 | Implement a program that monitors antibiotic use. Infection control · complaint | E | Deficient, Provider has date of correction |
| Feb 28, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Feb 28, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Feb 28, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and physician services | F | Deficient, Provider has date of correction |
| Feb 28, 2025 | 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. Administration | F | Deficient, Provider has date of correction |
| Feb 28, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Feb 28, 2025 | 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. Nursing and physician services | F | Deficient, Provider has date of correction |
| Feb 28, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of life and care | G actual harm | Deficient, Provider has date of correction |
| Feb 28, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | G actual harm | Deficient, Provider has date of correction |
| Jun 16, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | 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. Administration | C | Deficient, Provider has date of correction |
| Jun 16, 2023 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary | E | Deficient, Provider has date of correction |
| Jun 16, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | 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. Resident rights | D | Deficient, Provider has date of correction |
| Jun 16, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jun 16, 2023 | Provide and implement an infection prevention and control program. Infection control | K immediate jeopardy | Deficient, Provider has date of correction |
| Nov 6, 2020 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Nov 6, 2020 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of life and care | E | Deficient, Provider has date of correction |
| Nov 6, 2020 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | E | Deficient, Provider has date of correction |
| Nov 6, 2020 | Ensure that residents are free from significant medication errors. Pharmacy service | E | Deficient, Provider has date of correction |
| Nov 6, 2020 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy service | E | Deficient, Provider has date of correction |
| Nov 6, 2020 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Nov 6, 2020 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | D | Deficient, Provider has date of correction |
| Nov 6, 2020 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | D | Deficient, Provider has date of correction |
| Nov 6, 2020 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | D | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Feb 28, 2025 | Fine | $69,178 |
Location
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Reviews
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Questions about Nathan Richard Health Care Center
Answers computed from CMS data for this facility.
What is Nathan Richard Health Care Center's Medicare rating?
Medicare rates Nathan Richard Health Care Center 1 out of 5 stars overall (much below average). The average for Nevada-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.
How did Nathan Richard Health Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Mar 19, 2026, when they cited 1 problem from a complaint investigation. The most common area was quality of life and care (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Feb 28, 2025) it had 17 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.
Has Nathan Richard Health Care Center been fined?
Yes. CMS reports 1 fine totaling $69,178 in the past three years.
Does Nathan Richard Health Care Center accept Medicaid?
Nathan Richard Health Care Center is certified for both Medicare and Medicaid. Call (417) 667-8889 to ask whether a Medicaid bed is open.
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.