CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2657552026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Richland Care Center Inc

400 Tri-County Lane · Richland, MO 65556 · Pulaski County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds86CMS provider file
Recent citation rows45current CMS citation release
Penalty rows0current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-0502026-03-0511
Cycle 22024-09-2052024-09-2010
Cycle 32023-05-2452023-05-2414
02 / CITATION DETAIL

45 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-05 · FIREK0161Severity E · pattern; potential for more than minimal harm

Construction Deficiencies

Use approved construction type or materials.

Correction field: Deficient, Provider has date of correction · 2026-04-16
2026-03-05 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-03-05 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2026-04-13
2026-03-05 · FIREK0364Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install properly constructed windows in hallway walls or doors.

Correction field: Deficient, Provider has date of correction · 2026-04-16
2026-03-05 · FIREK0372Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2026-04-16
2026-03-05 · FIREK0500Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Meet other general requirements that are deficient.

Correction field: Deficient, Provider has date of correction · 2026-04-20
2026-03-05 · FIREK0521Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2026-04-10
2026-03-05 · 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 · 2026-04-16
2026-03-05 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2026-04-16
2026-03-05 · FIREK0920Severity E · pattern; 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 · 2026-04-20
2026-03-05 · FIREK0923Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2026-04-10
2024-09-20 · FIREE0018Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

Correction field: Deficient, Provider has date of correction · 2024-10-14
2024-09-20 · HEALTHF0568Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Correction field: Deficient, Provider has date of correction · 2024-10-11
2024-09-20 · HEALTHF0569Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Correction field: Deficient, Provider has date of correction · 2024-10-11
2024-09-20 · HEALTHF0607Severity D · isolated; 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 · 2024-10-10
2024-09-20 · HEALTHF0804Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction field: Deficient, Provider has date of correction · 2024-10-07
2024-09-20 · HEALTHF0880Severity F · widespread; 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 · 2024-10-11
2024-09-20 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2024-09-27
2024-09-20 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2024-10-14
2024-09-20 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-10-07
2024-09-20 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-10-04
2024-09-20 · FIREK0372Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2024-10-09
2024-09-20 · FIREK0374Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2024-10-09
2024-09-20 · 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 · 2024-09-25
03 / 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.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ALEXANDER, JEANNEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/01/2009
  • BELSHE, TIMOTHYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/01/2021
  • FREDERICK, LYNNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • HOWLETT, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/01/2021
  • JACOBSON, DOUGLASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/01/2016
  • MITSCHELE, SHIRLEYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/01/2011
  • OURSBOURN, WILMAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2021
  • PREWETT, JOHNNYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/01/2004
  • STRUCKHOFF, KENNETHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/01/1988
  • WARREN, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/1978
  • WINFREY, GLENDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/01/2019
  • RICHLAND CARE CENTER, INC.Organization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/1966
  • AVILA, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/25/2024
  • BELSHE, TIMOTHYIndividual · TRUSTEE OF THE SNF
    NOT APPLICABLE · since 06/01/2021
  • AVILA, JULIEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 09/26/2024

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 hours2.95per resident day
RN hours0.28per resident day
Weekend nurse hours2.67per resident day
Staff turnover55.9%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Missouri ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.