Starfile / Missouri

NATHAN RICHARD HEALTH CARE CENTER

700 EAST HIGHLAND AVENUE, NEVADA, MO 64772 · CCN 265558

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$38,532

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

RELIANT CARE MANAGEMENT

Facilities in chain

29

Chain avg overall

1.10 / 5

Inspection citations (37)1 immediate jeopardy2 actual harm

1. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-30 · Health · corrected 2026-01-12

   Potential for more than minimal harm

2. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-02-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

4. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-28 · Health · corrected 2025-04-14

   Actual harm

5. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-28 · Health · corrected 2025-04-14

   Actual harm

6. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

7. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

8. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

9. DF0759Ensure medication error rates are not 5 percent or greater.2025-02-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

12. FF0843Have 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.2025-02-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

13. EF0880Provide and implement an infection prevention and control program.2025-02-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

14. EF0881Implement a program that monitors antibiotic use.2025-02-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

15. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

16. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-02-28 · Health · corrected 2025-04-14

    Potential for more than minimal harm

17. DF0578Honor 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.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

18. DF0625Notify 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.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

20. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

22. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

23. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

25. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

26. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-16 · Health · corrected 2023-07-20

    Potential for more than minimal harm

27. CF0838Conduct 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.2023-06-16 · Health · corrected 2023-07-20

    Potential for minimal harm

28. KF0880Provide and implement an infection prevention and control program.2023-06-16 · Health · corrected 2023-07-14

    Immediate jeopardy

29. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2020-11-06 · Health · corrected 2020-12-18

    Potential for more than minimal harm

30. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2020-11-06 · Health · corrected 2020-12-18

    Potential for more than minimal harm

31. DF0625Notify 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.2020-11-06 · Health · corrected 2020-12-18

    Potential for more than minimal harm

32. EF0700Try 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.2020-11-06 · Health · corrected 2020-12-28

    Potential for more than minimal harm

33. EF0759Ensure medication error rates are not 5 percent or greater.2020-11-06 · Health · corrected 2020-12-18

    Potential for more than minimal harm

34. EF0760Ensure that residents are free from significant medication errors.2020-11-06 · Health · corrected 2020-12-18

    Potential for more than minimal harm

35. EF0761Ensure 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.2020-11-06 · Health · corrected 2020-12-18

    Potential for more than minimal harm

36. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-11-06 · Health · corrected 2020-12-21

    Potential for more than minimal harm

37. EF0880Provide and implement an infection prevention and control program.2020-11-06 · Health · corrected 2020-12-18

    Potential for more than minimal harm

Ownership

Other facilities in NEVADA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.