Nathan Richard Health Care CenterCMS ratings, inspections and fines
- Address
- 700 East Highland Avenue, Nevada, MO 64772
- CCN
- 265558
- Ownership type
- For-profit, corporation
- Certified beds
- 68
- Residents per day
- 61
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Nathan Richard Health Care Center an overall rating of 1 of 5 stars. The last standard survey was on 28 Feb 2025. The latest survey cycle has 17 health citations. The median for nursing homes in Missouri is 9. CMS lists 1 fine of $69,178 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Vernon County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 4.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 28 Feb 2025 | 17 | 9 |
| Cycle 2 | 16 Jun 2023 | 12 | 10 |
| Cycle 3 | No date | 9 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 4 May 2026 |
| 30 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Jan 2026 |
| 28 Feb 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 14 Apr 2025 |
| 28 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0726 | 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. | F | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0843 | 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. | F | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 14 Apr 2025 |
| 28 Feb 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 14 Apr 2025 |
| 28 Feb 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 14 Apr 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2023 | F0578 | 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. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0625 | 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. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0838 | 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. | C | Standard survey | 20 Jul 2023 |
| 16 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | K | Standard survey | 14 Jul 2023 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Nov 2020 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Dec 2020 |
| 6 Nov 2020 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 18 Dec 2020 |
| 6 Nov 2020 | F0625 | 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. | D | Standard survey | 18 Dec 2020 |
| 6 Nov 2020 | F0700 | 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. | E | Standard survey | 28 Dec 2020 |
| 6 Nov 2020 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 18 Dec 2020 |
| 6 Nov 2020 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 18 Dec 2020 |
| 6 Nov 2020 | F0761 | 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. | E | Standard survey | 18 Dec 2020 |
| 6 Nov 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Dec 2020 |
| 6 Nov 2020 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Dec 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 28 Feb 2025 | Fine | $69,178 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 1.72 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.28 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.29 | 0.68 | |
| Nurse aides | 1.15 | 2.29 | |
| All nurse staff, weekends | 1.66 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 68.6%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 60.7% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Nathan Richard Health Care Center LLC
- Chain
- Reliant Care Management (34 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Reliant Care Group LLC | Direct ownership interest | 1 Aug 2020 | |
| RCG Inc | Indirect ownership interest | 1 Aug 2020 | |
| Reliant Care Management Company LLC | Operational/managerial control | 1 Aug 2020 | |
| Nevada Associates, L.L.C. | Adp of the snf | 1 Aug 2020 | |
| Reliant Care Management Company LLC | Adp of the snf | 27 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Vernon County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Medicalodges Nevada | Nevada | 2 of 5 | 17 | $0 | 18 Jun 2024 | |
| Moore Few Care Center | Nevada | 3 of 5 | 5 | $0 | 31 Jul 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Nathan Richard Health Care Center (CCN 265558). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/nathan-richard-health-care-center-nevada-mo-265558/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Nathan Richard Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 19 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 16 Jun 2023.
- Who operates Nathan Richard Health Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Reliant Care Management. The CMS ownership file names Reliant Care Management Company LLC for operational or managerial control. This site does not show the names of persons.
- Is Nathan Richard Health Care Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.