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Nursing homeFAID #7338

Richland Care Center

400 TRI-COUNTY LANE, RICHLAND, MO, 65556

(573) 765-3243

86 licensed beds

CMS rates Richland Care Center 5 out of 5 overall. Federal inspectors issued 45 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

400 Tri-county Lane

Richland, MO 65556

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Public record summary

What we can show you for free.

Bed capacity

State license

053278

CMS facility ID

265755

Care type

Nursing home

Facility name

Richland Care Center

Street address

400 TRI-COUNTY LANE

City / state / ZIP

Richland, MO 65556

Phone

(573) 765-3243

State license #

053278

About this facility — Richland Care Center

Richland Care Center is a Medicare/Medicaid-certified skilled nursing facility in Richland, Missouri. It is licensed for 86 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 2 senior care facilities in Richland and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Richland Care Center 45 times across 7 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. 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

Richland Care Center, Inc

Ownership type

Non profit - Corporation

Administrator

Beverly Derrickson

Registered owners & officers

Alexander, Jeanne

Director — since 2009

Avila, Julie

Operational control · Additional disclosable party — since 2024

Belshe, Timothy

Director · Trustee — since 2021

Frederick, Lynn

Director — since 2024

Howlett, David

Director — since 2021

Jacobson, Douglas

Director — since 2016

Mitschele, Shirley

Director — since 2011

Oursbourn, Wilma

Director — since 2021

Prewett, Johnny

Director — since 2004

Richland Care Center, Inc.

Operational control — since 1966

Struckhoff, Kenneth

Director — since 1988

Warren, David

Director — since 1978

Winfrey, Glenda

Director — since 2019

Regulatory standing

Federal court records

1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2003-07-01

License expires

2027-08-31

CMS overall rating

5 of 5 stars

Health deficiencies

0 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-05

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$191 per day (≈ $5,810/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

74% Medicaid · 7% Medicare · 19% private/other

Occupancy

37% (fiscal year 2024)

Vs. state median

26% 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 2 food-safety citations on its three-year record — flagged below among the inspections.

2024-09-20Health inspection5 citations

F-0568

E · No harm found

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2024-10-11

F-0569

C · No harm found

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-10-11

F-0607

D · No harm found

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

Corrected 2024-10-10

F-0804

E · No harm foundFood safety

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

Corrected 2024-10-07

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-11

2023-12-07Health inspectionComplaint-triggered2 citations

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 2024-01-05

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-01-05

4 earlier / fire-safety inspections (38 citations)

2023-05-24Health inspection3 citations

F-0575

C · No harm found

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2023-07-08

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 2023-07-08

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-07-08

2026-03-05Fire-safety inspection11 citations

K-0161

E · No harm found

Use approved construction type or materials.

Corrected 2026-04-16

K-0345

F · No harm found

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

Corrected 2026-04-13

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-04-13

K-0364

E · No harm found

Install properly constructed windows in hallway walls or doors.

Corrected 2026-04-16

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-04-16

K-0500

F · No harm found

Meet other general requirements that are deficient.

Corrected 2026-04-20

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-04-10

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-04-16

K-0918

F · No harm found

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

Corrected 2026-04-16

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-04-20

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-04-10

2024-09-20Fire-safety inspection10 citations

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-10-14

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-09-27

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-10-14

K-0345

F · No harm found

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

Corrected 2024-10-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-04

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-09

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-10-09

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-09-25

K-0761

F · No harm found

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

Corrected 2024-10-09

K-0918

F · No harm found

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

Corrected 2024-10-10

2023-05-24Fire-safety inspection14 citations

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2023-07-08

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-07-08

K-0345

F · No harm found

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

Corrected 2023-07-08

K-0346

F · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-07-08

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-08

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-07-08

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-07-08

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-07-08

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-07-08

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-07-08

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-07-08

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-07-08

K-0918

F · No harm found

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

Corrected 2023-07-08

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2023-07-08

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 265755.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 43% of nursing homes in the state

State median: 50

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

2.9

Higher than 22% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

51%

Higher than 35% 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 15 and worse on 3. 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	15.3%	17.4%	13.5%	Better than state
Lose too much weight	3.5%	5.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	2.0%	0.9%	0.7%	Worse than state
With a urinary tract infection	0.7%	2.2%	1.5%	Better than state
Have depressive symptoms	3.4%	20.0%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.3%	4.0%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	84.0%	93.7%	Better than state
Ability to walk independently worsened	8.5%	15.8%	12.7%	Better than state
Received an antianxiety or hypnotic medication	18.6%	25.6%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	90.8%	95.3%	Better than state
With pressure ulcers	0.7%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	11.1%	17.1%	18.3%	Better than state
Received an antipsychotic medication	23.2%	23.5%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	0.80	1.98	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	3.12	2.16	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.2%	65.7%	82.3%	Better than state
Newly received an antipsychotic medication	2.0%	2.1%	1.5%	Near state average
Were assessed and appropriately given the seasonal influenza vaccine	93.1%	61.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	25.2%	25.7%	23.4%	Near state average
Had an outpatient emergency department visit	17.7%	13.4%	11.8%	Worse 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.

K-0345 3 inspections. Have approved installation, maintenance and testing program for fire alarm systems.
K-0712 3 inspections. Have simulated fire drills held at unexpected times.
K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.
K-0372 2 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K-0923 2 inspections. Have proper medical gas storage and administration areas.
F-0880 2 inspections. Provide and implement an infection prevention and control program.

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

Mercy Hospital Lebanon, about 18 miles. CMS rating 4 of 5.
Lake Regional Health System, about 24 miles. CMS rating 3 of 5.
Phelps County Regional Medical Center, about 34 miles. CMS rating 2 of 5.

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

Nearby facilities with inspection records

Life Care Center of Waynesville, Waynesville, about 9.8 miles. CMS rating 3 of 5.
Lebanon North Nursing & Rehab, Lebanon, about 19 miles. CMS rating 1 of 5.
Lebanon South Nursing & Rehab, Lebanon, about 21 miles. CMS rating 2 of 5.
Osage Beach Rehabilitation and Health Care Center, Osage Beach, about 23 miles. CMS rating 2 of 5.
Stonebridge Lake Ozark, Osage Beach, about 23 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 45 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

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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