All states › Missouri › Nevada › Nathan Richard Health Care Center
700 East Highland Avenue Nevada, MO 64772 · Vernon County
All 3 nursing homes in Nevada, MO (3 take Medicaid)
CMS certification number 265558 · See this home on Medicare Care Compare
Is Nathan Richard Health Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Nathan Richard Health Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 1.70 hours per resident per day at Nathan Richard Health Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.23 of those hours are from registered nurses. On weekends it falls to 1.55 hours, 8% below its all-week average. 81.4% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Nathan Richard Health Care Center: Medicare and Medicaid
Nathan Richard Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 28, 2025 and found 13 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Nathan Richard Health Care Center across 5 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 16, 2023. The most common areas cited were pharmacy service (8) and quality of life and care (6). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level K, June 16, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
March 19, 2026 · 1 citation · includes complaint inspection
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
December 30, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 28, 2025 · 15 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHave 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.
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide and implement an infection prevention and control program.
EImplement a program that monitors antibiotic use.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure medication error rates are not 5 percent or greater.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
June 16, 2023 · 12 citations, includes immediate jeopardy
KProvide and implement an infection prevention and control program.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor 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.
DNotify 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure medication error rates are not 5 percent or greater.
CConduct 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.
November 6, 2020 · 9 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ETry 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.
EEnsure medication error rates are not 5 percent or greater.
EEnsure that residents are free from significant medication errors.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
Questions to ask on a tour of Nathan Richard Health Care Center
- Inspectors cited the home at the immediate-jeopardy level on June 16, 2023 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on December 30, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 81.4% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $69,178 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 28, 2025 | Fine | $69,178 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near Nathan Richard Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.0 mi
Nevada Regional Medical Center NevadaEmergency roomMedian ER visit 1h 35m for patients treated and sent home
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18.0 mi
Cedar County Memorial Hospital El Dorado SpringsEmergency roomMedian ER visit 1h 46m for patients treated and sent home
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24.5 mi
Barton County Memorial Hospital LamarEmergency roomMedian ER visit 1h 31m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Nathan Richard Health Care Center › All nursing homes in Nevada ›
Compare Nathan Richard Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Medicalodges Nevada · Nevada · 3 stars · 1.6 mi
- Moore Few Care Center · Nevada · 3 stars · 2.1 mi
Other Reliant Care Management nursing homes in Missouri
- Greenville Health Care Center · Greenville · 3 stars
- Portageville Health Care Center · Portageville · 3 stars
- Cedargate Health Care Center · Poplar Bluff · 2 stars
- Sarcoxie Health Care Center · Sarcoxie · 2 stars
- Edgewood Manor Health Care Center · Raytown · 2 stars
- Nick's Health Care Center · Plattsburg · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 35 Reliant Care Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.