GoodStanding

Nursing home report

NATHAN RICHARD HEALTH CARE CENTER

NEVADA, MO · Medicare-certified · 68 beds

Needs attention
For-profitChain member
1 of 5 overall

Nathan Richard Health Care Center in Nevada, MO has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It reports 2.26 nurse hours per resident per day versus the 4.1 federal benchmark, and it has had $68,088 in fines in the last 24 months along with a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.2579 hrs/resident/day

Quality measures

Last inspection: December 30, 2025Penalties, last 24 months: $68,088recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.2579.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
0.27
Nurse aides
1.74
Weekend nursing
2.22

Hours per resident per day.

Total staff turnover: 62%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

59.3%Worsening

Residents with a fall causing major injury

0%Steady

Residents with pressure ulcers (bedsores)

5.6%Improving

Residents with a urinary tract infection

2.2%Improving

Residents who lost too much weight

0%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

45%Improving

Residents whose ability to walk got worse

32.9%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

48.2%Worsening

Residents with a long-term catheter

0.3%Worsening

Residents with new or worsening incontinence

27.5%Steady

Residents with depressive symptoms

54.1%Worsening

Long-stay residents given the seasonal flu vaccine

73%Steady

Long-stay residents given the pneumonia vaccine

24.3%Improving

Short-stay residents given the pneumonia vaccine

9.1%Steady

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 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 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 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. PENALTY

    A federal fine of $68,088 was recorded.

  4. INSPECTION

    Health inspection found 15 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $106,620 in total fines.

  • Federal fine

    Feb 28, 2025

    $68,088
  • Federal fine

    Jun 16, 2023

    $38,532

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of RELIANT CARE MANAGEMENT · 32 homes · 1.2 stars avg
Occupancy
60.4 residents on an average day (89% 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.