Home›Browse›Missouri›Nevada›Nathan Richard Health Care Center

Nursing homeFAID #7206

Nathan Richard Health Care Center

700 EAST HIGHLAND AVENUE, NEVADA, MO, 64772

(417) 667-8889

68 licensed beds

CMS rates Nathan Richard Health Care Center 1 out of 5 overall. Federal inspectors issued 57 citations across 9 inspections in the last three years, with $69,178 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

700 East Highland Avenue

Nevada, MO 64772

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Public record summary

What we can show you for free.

Bed capacity

State license

053892

CMS facility ID

265558

Care type

Nursing home

Facility name

Nathan Richard Health Care Center

Street address

700 EAST HIGHLAND AVENUE

City / state / ZIP

Nevada, MO 64772

Phone

(417) 667-8889

State license #

053892

About this facility — Nathan Richard Health Care Center

Nathan Richard Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Nevada, Missouri. It is licensed for 68 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 13 senior care facilities in Nevada and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Reliant Care Management, a group of 35 facilities on this site.

Federal inspectors have cited Nathan Richard Health Care Center 57 times across 9 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $69,178 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Nathan Richard Snf Opco Llc

Parent company

Reliant Care Management

Ownership type

For profit - Corporation

Administrator

Lawrence Willis

Registered owners & officers

Arshad, Abdullah

Operational control · Additional disclosable party — since 2024

Destefane, Richard

Indirect owner · Officer · Operational control · Additional disclosable party — since 2020

Nevada Associates, L.l.c.

Additional disclosable party — since 2020

Rcg Inc

Indirect owner — since 2020

Reliant Care Group Llc

Direct owner — since 2020

Reliant Care Management Company Llc

Operational control · Additional disclosable party — since 2020

Richard J Destefane Revocable Living Trust

Indirect owner · Additional disclosable party — since 2020

Tlg Ii Llp

Additional disclosable party — since 2020

Willis, Lawrence

Operational control · Additional disclosable party — since 2020

Regulatory standing

Federal court records

6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1993-10-12

License expires

2027-10-11

CMS overall rating

1 of 5 stars

Health deficiencies

17 at the last standard inspection

Federal fines

$69,178 total

Last standard inspection

2025-02-28

Nurse staffing

1.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$243 per day (≈ $7,390/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

92% Medicaid · 2% Medicare · 6% private/other

Occupancy

89% (fiscal year 2023)

Vs. state median

5% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

Licensed as

SNF

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-19Health inspectionComplaint-triggered1 citation

F-0740

D · No harm foundFrom a complaint

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2026-05-04

2025-12-30Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-12

6 earlier / fire-safety inspections (55 citations)

2025-02-28Health inspectionComplaint-triggered15 citations

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-04-14

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-14

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-14

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-14

F-0726

F · No harm found

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.

Corrected 2025-04-14

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-14

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-04-14

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-14

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-14

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-14

F-0843

F · No harm found

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.

Corrected 2025-04-14

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-14

F-0881

E · No harm foundFrom a complaint

Implement a program that monitors antibiotic use.

Corrected 2025-04-14

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-04-14

F-0947

F · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-04-14

2023-06-16Health inspection12 citations

F-0578

D · No harm found

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.

Corrected 2023-07-20

F-0625

D · No harm found

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.

Corrected 2023-07-20

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-20

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-07-20

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-20

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-20

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-07-20

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-07-20

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-07-20

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-20

F-0838

C · No harm found

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.

Corrected 2023-07-20

F-0880

K · Immediate jeopardy

Provide and implement an infection prevention and control program.

Corrected 2023-07-14

2020-11-06Health inspection9 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-12-18

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2020-12-18

F-0625

D · No harm found

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.

Corrected 2020-12-18

F-0700

E · No harm found

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.

Corrected 2020-12-28

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2020-12-18

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2020-12-18

F-0761

E · No harm found

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.

Corrected 2020-12-18

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2020-12-21

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2020-12-18

2025-02-28Fire-safety inspection7 citations

K-0161

F · No harm found

Use approved construction type or materials.

Corrected 2025-04-14

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-14

K-0341

E · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-04-14

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-04-14

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-04-14

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-14

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-14

2023-06-16Fire-safety inspection8 citations

K-0161

F · No harm found

Use approved construction type or materials.

Corrected 2023-07-20

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-07-20

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-20

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-20

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-07-20

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-20

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-20

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-07-20

2020-11-06Fire-safety inspection4 citations

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2020-12-18

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2020-12-18

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2020-12-18

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2020-12-18

Federal penalties

2025-02-28Fine$69,178

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265558.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 57% of nursing homes in the state

State median: 50

Federal fines, 3 years

$69,178

More than 84% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

1.7

Among the lowest of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

81%

Higher than 95% of nursing homes in the state

State median: 57%

Resident outcomes

On 21 federal quality measures, this facility does better than the Missouri average on 9 and worse on 12. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	25.5%	17.4%	13.5%	Worse than state
Lose too much weight	0.0%	5.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.3%	0.9%	0.7%	Better than state
With a urinary tract infection	0.9%	2.2%	1.5%	Better than state
Have depressive symptoms	72.0%	20.0%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	4.0%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	67.2%	84.0%	93.7%	Worse than state
Ability to walk independently worsened	22.2%	15.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	60.7%	25.6%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	32.3%	90.8%	95.3%	Worse than state
With pressure ulcers	2.4%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	18.8%	17.1%	18.3%	Worse than state
Received an antipsychotic medication	61.6%	23.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	2.82	1.98	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.51	2.16	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	46.5%	65.7%	82.3%	Worse than state
Newly received an antipsychotic medication	15.0%	2.1%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	5.0%	61.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	8.7%	25.7%	23.4%	Better than state
Had an outpatient emergency department visit	3.7%	13.4%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0759 3 inspections. Ensure medication error rates are not 5 percent or greater.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
K-0712 3 inspections. Have simulated fire drills held at unexpected times.
F-0756 2 inspections. Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
K-0161 2 inspections. Use approved construction type or materials.

What its owners also hold

Rcg Inc has an ownership stake on file at 23 nursing homes, averaging 1.3 of 5 on CMS's overall rating.
Reliant Care Group Llc has an ownership stake on file at 21 nursing homes, averaging 1.3 of 5 on CMS's overall rating.
Richard J Destefane Revocable Living Trust has an ownership stake on file at 3 nursing homes, averaging 1.3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Nevada Regional Medical Center, about 2.0 miles.
Cedar County Memorial Hospital, about 18 miles.
Cox Barton County Hospital, about 25 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Medicalodges Nevada, Nevada, about 1.6 miles. CMS rating 3 of 5.
Moore Few Care Center, Nevada, about 2.1 miles. CMS rating 3 of 5.
Community Springs Healthcare Facility, El Dorado Springs, about 18 miles. CMS rating 4 of 5.
Medicalodges Fort Scott, Fort Scott, about 20 miles. CMS rating 3 of 5.
Truman Healthcare & Rehabilitation Center, Lamar, about 25 miles. CMS rating 1 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 57 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered