nursing home in Nevada, MO
Nathan Richard Health Care Center
700 East Highland Avenue, Nevada, MO 64772 · (417) 667-8889
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Nathan Richard Health Care Center at a glance
Nathan Richard Health Care Center is a 68-bed for-profit nursing home in Nevada, Missouri (Vernon County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 1.7 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 28, 2025) found 17 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $69,178.
Nursing staff turnover is 68.6% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 68
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Reliant Care Management
- Medicare-certified since
- October 12, 1993
- Resident/family council
- Resident
- County
- Vernon County
- CMS Certification Number
- 265558
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 1.72 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.28 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.15 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.66 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 68.6% | 56% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 17 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 159 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $69,178 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 68 | 103 | 107 | |
| Average residents per day | 61 | 73 | 86 | |
| Occupancy | 89.9% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.1% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 60.7% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.8% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 33.3% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24.9% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 73.1% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 57.3% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.5% | 17.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 73% | 90.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 44.8% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 27.3% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected May 4, 2026 |
| December 30, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 12, 2026 |
| February 28, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | E Potential harm, pattern | Corrected April 14, 2025 |
| February 28, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected April 14, 2025 |
| February 28, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected April 14, 2025 |
| February 28, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected April 14, 2025 |
| February 28, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 14, 2025 |
| February 28, 2025 Standard | 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 Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Standard | 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 Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Standard | 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 Deficiencies · Tag F0843 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 14, 2025 |
| February 28, 2025 Complaint | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected April 14, 2025 |
| February 28, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected April 14, 2025 |
| February 28, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 14, 2025 |
| February 28, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 14, 2025 |
| February 28, 2025 Standard | 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 Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 14, 2025 |
| February 28, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 14, 2025 |
| February 28, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 14, 2025 |
| February 28, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 14, 2025 |
| February 28, 2025 Standard | 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 Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected April 14, 2025 |
| June 16, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 20, 2023 |
| June 16, 2023 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected July 20, 2023 |
| June 16, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 20, 2023 |
| June 16, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 20, 2023 |
| June 16, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 20, 2023 |
| June 16, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected July 20, 2023 |
| June 16, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected July 20, 2023 |
| June 16, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 20, 2023 |
| June 16, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | K Immediate jeopardy, pattern | Corrected July 14, 2023 |
| June 16, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 20, 2023 |
| June 16, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected July 20, 2023 |
| June 16, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | 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 Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | 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 Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 16, 2023 Standard | 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 Deficiencies · Tag F0838 | C No harm, widespread | Corrected July 20, 2023 |
| November 6, 2020 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 18, 2020 |
| November 6, 2020 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected December 18, 2020 |
| November 6, 2020 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected December 18, 2020 |
| November 6, 2020 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 18, 2020 |
| November 6, 2020 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected December 21, 2020 |
| November 6, 2020 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 18, 2020 |
| November 6, 2020 Standard | 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 Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected December 28, 2020 |
| November 6, 2020 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected December 18, 2020 |
| November 6, 2020 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected December 18, 2020 |
| November 6, 2020 Standard | 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 Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 18, 2020 |
| November 6, 2020 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 18, 2020 |
| November 6, 2020 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 18, 2020 |
| November 6, 2020 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected December 18, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $69,178 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $69,178 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ARSHAD, ABDULLAH Individual | adp of the snf | NOT APPLICABLE | 09/15/2024 |
| DESTEFANE, RICHARD Individual | adp of the snf | NOT APPLICABLE | 08/01/2020 |
| NEVADA ASSOCIATES, L.L.C. Organization | adp of the snf | NOT APPLICABLE | 08/01/2020 |
| RELIANT CARE MANAGEMENT COMPANY LLC Organization | adp of the snf | NOT APPLICABLE | 06/27/2025 |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST Organization | adp of the snf | NOT APPLICABLE | 08/01/2020 |
| TLG II LLP Organization | adp of the snf | NOT APPLICABLE | 08/01/2020 |
| WILLIS, LAWRENCE Individual | adp of the snf | NOT APPLICABLE | 10/24/2020 |
| DESTEFANE, RICHARD Individual | corporate officer | NOT APPLICABLE | 08/01/2020 |
| RELIANT CARE GROUP LLC Organization | direct ownership interest | NOT APPLICABLE | 08/01/2020 |
| DESTEFANE, RICHARD Individual | indirect ownership interest | NOT APPLICABLE | 08/01/2020 |
| RCG INC Organization | indirect ownership interest | NOT APPLICABLE | 08/01/2020 |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST Organization | indirect ownership interest | NOT APPLICABLE | 08/01/2020 |
| ARSHAD, ABDULLAH Individual | operational/managerial control | NOT APPLICABLE | 09/15/2024 |
| DESTEFANE, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 08/01/2020 |
| RELIANT CARE MANAGEMENT COMPANY LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2020 |
| WILLIS, LAWRENCE Individual | operational/managerial control | NOT APPLICABLE | 10/24/2020 |
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Frequently asked questions
What is Nathan Richard Health Care Center's rating?
Nathan Richard Health Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Nathan Richard Health Care Center receive?
Its most recent standard health inspection found 17 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Nathan Richard Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Nathan Richard Health Care Center?
It is for profit - corporation and part of Reliant Care Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Nathan Richard Health Care Center and how do I contact it?
Nathan Richard Health Care Center is at 700 East Highland Avenue, Nevada, MO 64772. Phone: (417) 667-8889.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.