Nathan Richard Health Care Center
700 East Highland Avenue · Nevada, MO · 64772 · 4176678889
68 certified beds For profit - Corporation Chain: Reliant Care Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$69,107 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.26 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.22 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $69,107 |
Inspection citations (38 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 4, 2026 · Quality of Life and Care
-
Potential for harm · D December 30, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 12, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 28, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 14, 2025 · Quality of Life and Care
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Actual harm · G February 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · E February 28, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 28, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · F February 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.
Corrected April 14, 2025 · Nursing and Physician Services
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Potential for harm · D February 28, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 14, 2025 · Pharmacy Service
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Potential for harm · D February 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.
Corrected April 14, 2025 · Pharmacy Service
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Potential for harm · D February 28, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 14, 2025 · Pharmacy Service
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Potential for harm · F February 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 14, 2025 · Nutrition and Dietary
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Potential for harm · D February 28, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · F February 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.
Corrected April 14, 2025 · Administration
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Potential for harm · E February 28, 2025
Provide and implement an infection prevention and control program.
Corrected April 14, 2025 · Infection Control
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Potential for harm · D February 28, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 14, 2025 · Infection Control
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Potential for harm · F February 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.
Corrected April 14, 2025 · Nursing and Physician Services
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Potential for harm · E February 28, 2025 · found via complaint
Implement a program that monitors antibiotic use.
Corrected April 14, 2025 · Infection Control
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Immediate jeopardy · K June 16, 2023
Provide and implement an infection prevention and control program.
Corrected July 14, 2023 · Infection Control
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Potential for harm · D June 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.
Corrected July 20, 2023 · Resident Rights
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Potential for harm · D June 16, 2023
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.
Corrected July 20, 2023 · Resident Rights
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Potential for harm · D June 16, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 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.
Corrected July 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 20, 2023 · Quality of Life and Care
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Potential for harm · D June 16, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 20, 2023 · Quality of Life and Care
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Potential for harm · D June 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.
Corrected July 20, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2025 | Fine | $69,107 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265558 · certified since October 12, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.