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Nathan Richard Health Care Center

700 East Highland Avenue, Nevada, MO 647724176678889Ownership: For profit - CorporationCertified beds: 68Avg. daily residents: 61Chain: Reliant Care Management (34 facilities)County: Vernon

The complete public record on Nathan Richard Health Care Center, a Medicare & Medicaid–certified nursing home in Nevada, Missouri, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Missouri average: 2.5 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Nathan Richard Health Care Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 69% is well above the Missouri average of 56%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $69,178 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

1.72 total nurse staff hours per resident per day
below the state average (3.43)
0.28 RN hours per resident per day
below the state average (0.46)
1.66 weekend nurse staff hours per resident per day
68.6% total nursing staff turnover
above the state average (56.0)
Not reported RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 28, 2025 most recent standard health inspection
17 health deficiencies cited in the most recent inspection cycle
above the state average (11.5)
12 health deficiencies in the two prior cycles combined
$69,178 in federal fines across 1 penalty (last 3 years)
above the state average ($36,698)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

38 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 19, 20260740Ensure each resident must receive and the facility must provide necessary behavioral health care and services. ComplaintD · Potential for more than minimal harm
December 30, 20250609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
February 28, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintG · Actual harm
February 28, 20250686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G · Actual harm
February 28, 20250726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's…F · Potential for more than minimal harm
February 28, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
February 28, 20250843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to…F · Potential for more than minimal harm
February 28, 20250947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F · Potential for more than minimal harm
February 28, 20250607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E · Potential for more than minimal harm
February 28, 20250880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.