Nathan Richard Health Care Center: Staffing, Turnover, and Inspection Record
Nathan Richard Health Care Center is a 68-bed for-profit nursing home in Nevada, Missouri, part of Reliant Care Management. In the CMS August 2026 release it reported 1.15 nurse aide hours per resident per day, 50% below the Missouri average of 2.29, and 68.6% nursing staff turnover (Missouri average 56.0%).
Nathan Richard Health Care Center
700 East Highland AvenueNevada, MO 64772
Vernon County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Nathan Richard Health Care Center, nurse aides logged 1.15 hours per resident per day, 50% below the Missouri average. With about 61 residents a day, that works out to roughly 70 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 4% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.15 | 2.29 | 2.32 |
| Licensed practical nurses | 0.29 | 0.68 | 0.86 |
| Registered nurses | 0.28 | 0.46 | 0.69 |
| All nursing staff | 1.72 | 3.43 | 3.86 |
| All nursing staff, weekends | 1.66 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
68.6% of nursing staff at Nathan Richard Health Care Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 28, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $69,178 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 28, 2025 | Fine | $69,178 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Nathan Richard Health Care Center holds 1 of 5 overall; the Missouri average is 2.5.
About Nathan Richard Health Care Center
- Ownership: For profit - Corporation
- Chain: Reliant Care Management, 34 homes
- Legal name: Nathan Richard Health Care Center LLC
- Medicare and Medicaid certified since: Oct 12, 1993
- Councils: resident council
- Area: rural
Nursing homes near Nathan Richard Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Medicalodges Nevada Nevada | 1.6 | 100 | 2.62 | 4.12 | 70.6% | 2 | None |
| Moore Few Care Center Nevada | 2.1 | 108 | 2.53 | 3.83 | 50.0% | 3 | None |
| Community Springs Healthcare Facility El Dorado Springs | 18.1 | 120 | 2.27 | 3.24 | 36.9% | 3 | None |
| Medicalodges Fort Scott Fort Scott | 20.1 | 45 | 2.97 | 4.18 | 48.8% | 4 | None |
| Truman Healthcare & Rehabilitation Center Lamar · abuse citation | 24.5 | 109 | 2.89 | 3.71 | 47.1% | 1 | None |
| Medicalodges Butler Butler | 27.1 | 105 | 2.67 | 4.14 | 25.0% | 4 | None |
| Butler Rehab and Healthcare Center Butler | 27.2 | 98 | 2.30 | 3.36 | 73.6% | 1 | None |
| Arma Operator, LLC Arma | 29.0 | 45 | 2.25 | 3.54 | 41.2% | 4 | $30,419 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.