01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-02-28 | 17 | 2025-02-28 | 7 |
| Cycle 2 | 2023-06-16 | 12 | 2023-06-16 | 8 |
| Cycle 3 | 2020-11-06 | 9 | 2020-11-06 | 4 |
CMS CCN 2655582026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Nathan Richard Health Care Center
700 East Highland Avenue · Nevada, MO 64772 · Vernon County
Certified beds68CMS provider file
Recent citation rows57current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
57 rows in the current release
3 rows carry G–L scope/severity codes; 1 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-19 · HEALTHF0740Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2026-05-04 · complaint2025-12-30 · HEALTHF0609Severity D · isolated; 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.
Correction field: Deficient, Provider has date of correction · 2026-01-12 · complaint2025-02-28 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-04-14 · complaint2025-02-28 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0726Severity F · widespread; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0812Severity F · widespread; 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.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0843Severity F · widespread; 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.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0881Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-04-14 · complaint2025-02-28 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · HEALTHF0947Severity F · widespread; 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.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · FIREK0341Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-28 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-04-1403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-02-28 | Fine | $69,178 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- RELIANT CARE GROUP LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2020
- RCG INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2020
- RICHARD J DESTEFANE REVOCABLE LIVING TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2020
- DESTEFANE, RICHARDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2020
- DESTEFANE, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2020
- RELIANT CARE MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2020
- ARSHAD, ABDULLAHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/15/2024
- DESTEFANE, RICHARDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2020
- WILLIS, LAWRENCEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/24/2020
- NEVADA ASSOCIATES, L.L.C.Organization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2020
- RELIANT CARE MANAGEMENT COMPANY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/27/2025
- RICHARD J DESTEFANE REVOCABLE LIVING TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2020
- TLG II LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/01/2020
- ARSHAD, ABDULLAHIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/15/2024
- DESTEFANE, RICHARDIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/01/2020
- WILLIS, LAWRENCEIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/24/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours1.72per resident day
RN hours0.28per resident day
Weekend nurse hours1.66per resident day
Staff turnover68.6%CMS reported field
06 / LOCAL RECORDS
Open the Nevada ledger →