Nathan Richard Health Care Center
700 East Highland Avenue, Nevada, MO 64772 · (417) 667-8889
For profit - Corporation · 68 certified beds
Nathan Richard Health Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2025, found 15 citations, 2 for actual harm or immediate jeopardy (the Missouri average is 11.4). It was fined 1 time in the last three years, $69,178 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 28, 2025 found 15 citations. What an inspection citation means
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 28, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 28, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- 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.February 28, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 28, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.February 28, 2025 · F0843 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.February 28, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 28, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 28, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Implement a program that monitors antibiotic use.February 28, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.February 28, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 28, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.February 28, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.February 28, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 28, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.February 28, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 4 citations.
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.March 19, 2026 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 30, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 28, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.February 28, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $69,178February 28, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 1.72 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.28 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.29 | 0.68 | 0.86 |
| Nurse aides | 1.15 | 2.29 | 2.32 |
| Total nursing staff turnover | 68.6% | 56% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 68 |
| Average residents per day | 61.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Moore Few Care Center Nevada · ★★★★★ 3 out of 5 stars
- Medicalodges Nevada Nevada · ★★★★★ 3 out of 5 stars
- Baptist Homes of Adrian Adrian · ★★★★★ 4 out of 5 stars
- Appleton City Manor Appleton City · ★★★★★ 1 out of 5 stars
- Medicalodges Butler Butler · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Nathan Richard Health Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.