Nursing home
Nathan Richard Health Care Center
700 East Highland Avenue, Nevada, MO 64772 · Map
For profit - Corporation · Part of Reliant Care Management (29 facilities) · 68 certified beds
Nathan Richard Health Care Center is a Medicare-certified nursing home in Nevada, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.22 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Feb 28, 2025 cited 16 deficiencies.
- 1 fine totaling $38,532In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Nathan Richard Health Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.22 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.31 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.63 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 67.6% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 16.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $38,532, 1 total penalty.
What inspectors found at Nathan Richard Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 30, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 28, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Feb 28, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 28, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 700 East Highland Avenue
Nevada, MO 64772 - CMS certification #
- 265558
- Ownership
- For profit - Corporation
- Certified beds
- 68
- Avg residents/day
- 63.3
- Provider type
- Medicare and Medicaid
- First certified
- 1993-10-12
- Chain
- Reliant Care Management (29 facilities)
- Setting
- Rural
Part of Reliant Care Management
Reliant Care Management operates 29 nursing facilities across the United States. View all Reliant Care Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Nathan Richard Health Care Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Nathan Richard Health Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
Nurses are available 24 hours per day.
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice
(page, checked Oct 15, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Nevada Regional Medical Center, Nevada. 2.0 miles away, straight line.
- Nearest Medicare nursing home
- Medicalodges Nevada, Nevada. 1.6 miles away, straight line.
- Nearest home health agency office
- At Home Independence Quality Home Care, LLC, Nevada. 1.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 19.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 64772 as small town (small town core).
- Dialysis within 15 miles
- Nevada Dialysis, Nevada, 1.3 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 64772.
- Nearest geriatric medicine practice
- Freeman-Oak Hill Health System, Lamar. 25.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Nathan Richard Health Care Center a good nursing home?
CMS gives Nathan Richard Health Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Nathan Richard Health Care Center staffed?
Nathan Richard Health Care Center reports 2.22 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Nathan Richard Health Care Center had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Nathan Richard Health Care Center have?
Nathan Richard Health Care Center is certified for 68 beds.