43/100
Below average
700 East Highland Avenue, Nevada, MO 64772
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$69,107 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 69%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 28, 2025 (1 year ago).
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
Nursing and Physician Services Deficiencies
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.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Administration Deficiencies
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.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
No actual harm, potential for more than minimal harm
Part of RELIANT CARE MANAGEMENT, which operates 33 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| RELIANT CARE GROUP LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| RCG INC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| DESTEFANE, RICHARD | Individual | INDIRECT OWNERSHIP INTEREST | — |
| DESTEFANE, RICHARD | Individual | CORPORATE OFFICER | — |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| ARSHAD, ABDULLAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DESTEFANE, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| WILLIS, LAWRENCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| NEVADA ASSOCIATES, L.L.C. | Organization | ADP OF THE SNF | — |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | ADP OF THE SNF | — |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST | Organization | ADP OF THE SNF | — |
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Nathan Richard Health Care Center holds an ElderGrade of D (43 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 1.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 38 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Nathan Richard Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.