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Nursing home report

NATHAN RICHARD HEALTH CARE CENTER

NEVADA, MO · Medicare-certified · 68 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Nathan Richard Health Care Center in Nevada, MO has a 1-star overall rating, with 1-star staffing and reported nurse staffing well below the federal benchmark (1.72 vs 4.1 hours per resident per day). It also has a recent federal penalty, $69,107 in fines over the last 24 months, and recent inspection citations for infection control, following care orders and preferences, and pressure ulcer care.

Facility ratings

Health inspections

Staffing

1.7222 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $69,107recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.7222.

Staffing detail

Registered nurses
0.28
Licensed practical nurses
0.29
Nurse aides
1.15
Weekend nursing
1.66

Hours per resident per day.

Total staff turnover: 69%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

50%65.2%Worsening

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

5.5%0%Improving

Residents with a urinary tract infection

3.4%0%Improving

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

41.2%7.1%Improving

Residents whose ability to walk got worse

17.4%10.6%Improving

Long-stay residents on antianxiety or sleep medication

41.1%75.9%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

34.3%18.5%Improving

Residents with depressive symptoms

69.1%78.8%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

73%

Long-stay residents given the pneumonia vaccine

8.3%98.3%Improving

Short-stay residents given the pneumonia vaccine

0%

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: K

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited February 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $69,107 was recorded.

  6. PENALTY

    A federal fine of $68,088 was recorded.

  7. INSPECTION

    Health inspection found 15 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $69,107 in total fines.

  • Federal fine

    Feb 28, 2025

    $69,107

Operator & ownership

Recent ownership change · Aug 1, 2020

Now operated by Nathan Richard Health Care Center, previously Nevada Nursing & Rehab.

Ownership
For profit - Corporation
Chain
Part of RELIANT CARE MANAGEMENT · 33 homes · 1.2 stars avg
Occupancy
61.1 residents on an average day (90% of 68 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.