At a glance
Official CMS profileCMS overall rating
1 / 5
Certified beds
68
Residents / day
62.3
Ownership
For profit - Corporation
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- County
- Vernon
- Certified beds
- 68
- Average residents per day
- 62.3
- First certified
- October 12, 1993
CMS quality ratings
- Overall
- 1 / 5
- Health inspections
- 2 / 5
- Staffing
- 1 / 5
- Quality measures
- 4 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Vernon, Missouri. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 1.00 | 3.00 (n=2) | 2.62 |
| Nurse hours / resident / day | 1.70 | 3.53 (n=2) | 3.40 (n=475) |
| Weekend nurse hours / resident / day | 1.55 | 2.93 (n=2) | 2.97 (n=475) |
| Nursing staff turnover (%) | 81.40 | 58.00 (n=2) | 56.89 (n=425) |
CMS overall rating / 5
- This home
- 1.00
- County peers
- 3.00
- n=2
- State peers
- 2.62
Nurse hours / resident / day
- This home
- 1.70
- County peers
- 3.53
- n=2
- State peers
- 3.40
- n=475
Weekend nurse hours / resident / day
- This home
- 1.55
- County peers
- 2.93
- n=2
- State peers
- 2.97
- n=475
Nursing staff turnover (%)
- This home
- 81.40
- County peers
- 58.00
- n=2
- State peers
- 56.89
- n=425
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 8.3% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 81.4% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 19
- Health citations
- 38
- Resident measures
- 17
- Ownership records
- 16
- Penalties
- 1
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 1.69503
- Reported RN Staffing Hours per Resident per Day
- 0.22703
- Reported LPN Staffing Hours per Resident per Day
- 0.22558
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.24241
- Total number of nurse staff hours per resident per day on the weekend
- 1.55354
- Registered Nurse hours per resident per day on the weekend
- 0.17408
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.00772
- Total nursing staff turnover
- 81.4
- Registered Nurse turnover
- 83.3
- Number of administrators who have left the nursing home
- 1
- Chain Name
- RELIANT CARE MANAGEMENT
- Number of Facilities in Chain
- 35
- Chain Average Overall 5-star Rating
- 1.3
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- Resident
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- MO
- Urban
- N
- Chain ID
- 446
- Latitude
- 37.858
- Location
- 700 EAST HIGHLAND AVENUE,NEVADA,MO,64772
- ZIP Code
- 64772
- City/Town
- NEVADA
- Longitude
- -94.348
- QM Rating
- 4
- Abuse Icon
- N
- Chain Name
- RELIANT CARE MANAGEMENT
- County/Parish
- Vernon
- Provider Name
- NATHAN RICHARD HEALTH CARE CENTER
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 1
- Ownership Type
- For profit - Corporation
- Number of Fines
- 1
- Processing Date
- 2026-10-01
- Staffing Rating
- 1
- Provider Address
- 700 EAST HIGHLAND AVENUE
- Telephone Number
- 4176678889
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- NATHAN RICHARD HEALTH CARE CENTER LLC
- Long-Stay QM Rating
- 3
- High Performing Icon
- N
- Short-Stay QM Rating
- 5
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.68041
- Chain Average QM Rating
- 3.3
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 2
- Number of Certified Beds
- 68
- Provider SSA County Code
- 990
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 83.3
- Total Number of Penalties
- 1
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 1.19157
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 81.4
- Chain Average Staffing Rating
- 1.0
- Number of Facilities in Chain
- 35
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 265558
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 69178.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 160
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 159.000
- With a Resident and Family Council
- Resident
- Average Number of Residents per Day
- 62.3
- Chain Average Overall 5-star Rating
- 1.3
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 156
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 1.7
- Rating Cycle 1 Health Deficiency Score
- 160
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 156
- Rating Cycle 1 Standard Survey Health Date
- 2025-02-28
- Rating Cycle 2 Standard Health Survey Date
- 2023-06-16
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.18904
- Case-Mix RN Staffing Hours per Resident per Day
- 0.82413
- Reported RN Staffing Hours per Resident per Day
- 0.22703
- Adjusted LPN Staffing Hours per Resident per Day
- 0.18783
- Case-Mix LPN Staffing Hours per Resident per Day
- 1.02696
- Reported LPN Staffing Hours per Resident per Day
- 0.22558
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 17
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 12
- Rating Cycle 1 Number of Standard Health Deficiencies
- 15
- Rating Cycle 2 Number of Standard Health Deficiencies
- 12
- Reported Licensed Staffing Hours per Resident per Day
- 0.45262
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 4
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 1.03449
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.79703
- Number of administrators who have left the nursing home
- 1
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.24241
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 1.41136
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 4.64812
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 0
- Reported Total Nurse Staffing Hours per Resident per Day
- 1.69503
- Registered Nurse hours per resident per day on the weekend
- 0.17408
- Date First Approved to Provide Medicare and Medicaid Services
- 1993-10-12
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.00772
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 1.29355
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 4.09068
- Total number of nurse staff hours per resident per day on the weekend
- 1.55354
COMMUNITY EXPERIENCE
Reviews of NATHAN RICHARD HEALTH CARE CENTER
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
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Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026