Nursing homes › Missouri › Nathan Richard Health Care Center
700 East Highland Avenue, Nevada, MO 64772 · 4176678889 · 68 certified beds
Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 33 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $4,513,946 in federal fines. This facility rates below its group average (1.2/5).
Total nurse staffing: 1.72 (Missouri median: 3.36). RN hours: 0.28. Weekend total: 1.66. Nursing staff turnover: 69%.
All-time on record: 38 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-19 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2026-05-04 |
| 2025-12-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-01-12 |
| 2025-02-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-04-14 |
| 2025-02-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-04-14 |
| 2025-02-28 | 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. | F | Health | corrected 2025-04-14 |
| 2025-02-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-04-14 |
| 2025-02-28 | 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. | F | Health | corrected 2025-04-14 |
| 2025-02-28 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Health | corrected 2025-04-14 |
| 2025-02-28 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2025-04-14 |
| 2025-02-28 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-14 |
| 2025-02-28 | Implement a program that monitors antibiotic use. | E | complaint | corrected 2025-04-14 |
| 2025-02-28 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-04-14 |
| 2025-02-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-04-14 |
| 2025-02-28 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-04-14 |
| 2025-02-28 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-04-14 |
| 2025-02-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-04-14 |
| 2025-02-28 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-04-14 |
| 2023-06-16 | Provide and implement an infection prevention and control program. | K | Health | corrected 2023-07-14 |
| 2023-06-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-07-20 |
| 2023-06-16 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-07-20 |
| 2023-06-16 | Honor 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. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Notify 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. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-07-20 |
| 2023-06-16 | Conduct 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. | C | Health | corrected 2023-07-20 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-28 | Fine | $69,107 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RELIANT CARE GROUP LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2020 |
| RCG INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2020 |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2020 |
| DESTEFANE, RICHARD | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/01/2020 |
| DESTEFANE, RICHARD | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2020 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/01/2020 |
| ARSHAD, ABDULLAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/15/2024 |
| DESTEFANE, RICHARD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2020 |
| WILLIS, LAWRENCE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/24/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265558. Corrections: data@carerecords.org.