Nathan Richard Health Care Center

Nursing Home · Nevada, MO

CMS overall rating 1/5 For profit - Corporation

CMS certification number265558

Contact & location

700 East Highland Avenue
Nevada, MO 64772
Vernon County
Phone
(417) 667-8889
ZIP code
64772 – all care providers

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Facility details

Certified beds
68
Residents per day
61.1 (90% occupied)
Ownership
For profit - Corporation
Legal name
Nathan Richard Health Care Center LLC
Chain
Reliant Care Management (34 facilities, avg 1.2★)
Medicare certified since
October 12, 1993
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 2/5
State avg 2.7
Long-stay quality★★★★★ 2/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
1.72 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.28 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.29 (state 0.68 · U.S. 0.86)
Nurse aides
1.15 (state 2.29 · U.S. 2.32)
Weekend total
1.66 (state 3.02 · U.S. 3.42)
Nursing staff turnover
68.6 (state 56.0 · U.S. 45.8)%
RN turnover
—
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 28, 2025
Health deficiencies (last cycle)
17.0 (state 11.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
38 health · 19 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-19 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-04
2025-12-30 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-12
2025-02-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-04-14
2025-02-28 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-04-14
2025-02-28 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.
F0726 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 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.
F0843 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2025-02-28 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-14
2023-06-16 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2023-07-14
2023-06-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-20
2023-06-16 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.
F0838 · Administration Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2023-07-20
2020-11-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2020-12-21
2020-11-06 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.
F0700 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-12-28
2020-11-06 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-12-18
2020-11-06 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-12-18
2020-11-06 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-12-18
2020-11-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2020-12-18
2020-11-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-12-18
2020-11-06 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-12-18
2020-11-06 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-12-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $69,178 in fines.

DateTypeAmount
2025-02-28Fine$69,178

Ownership & management

NameRoleSince
Arshad, Abdullah (individual)Administrator · NOT APPLICABLE
Destefane, Richard (individual)Administrator · NOT APPLICABLE
Nevada Associates, L.L.C. (organization)Administrator · NOT APPLICABLE
Reliant Care Management Company LLC (organization)Administrator · NOT APPLICABLE
Richard J Destefane Revocable Living Trust (organization)Administrator · NOT APPLICABLE
TLG II LLP (organization)Administrator · NOT APPLICABLE
Willis, Lawrence (individual)Administrator · NOT APPLICABLE
Destefane, Richard (individual)Corporate Officer · NOT APPLICABLE
Reliant Care Group LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Destefane, Richard (individual)Indirect Ownership Interest · NOT APPLICABLE
RCG INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Richard J Destefane Revocable Living Trust (organization)Indirect Ownership Interest · NOT APPLICABLE
Arshad, Abdullah (individual)Operational/managerial Control · NOT APPLICABLE
Destefane, Richard (individual)Operational/managerial Control · NOT APPLICABLE
Reliant Care Management Company LLC (organization)Operational/managerial Control · NOT APPLICABLE
Willis, Lawrence (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Nathan Richard Health Care Center?

Nathan Richard Health Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Nathan Richard Health Care Center have?

It has 68 certified beds and cares for about 61 residents per day.

Has Nathan Richard Health Care Center been fined?

Yes. CMS lists 1 penalty totaling $69,178 in the last three years.

Who owns Nathan Richard Health Care Center?

It is part of Reliant Care Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Nathan Richard Health Care Center?

(417) 667-8889. The facility is located at 700 East Highland Avenue, Nevada, MO 64772.

Other nursing homes in Nevada

Compare all nursing homes in Nevada, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.