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.
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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $68,088 was recorded.
INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 12 health deficiencies.
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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.