MyLivingChoice

Nathan Richard Health Care Center

700 East Highland Avenue

3.9(16 ratings)· Nevada average: 4.2

Nathan Richard Health Care Center, photo 11 / 3

Quick Facts

Total units
68
Medicare rating
1 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
68
Staffing
CNAs provide care around the clock
Insurance accepted
Accepts both Medicare and Medicaid patients

What Families Think

Reviews of Nathan Richard Health Care Center are mixed: some families and a current resident praise the caring staff, clean facility, and strong therapy services, while others report serious understaffing and management problems. The community appears to work hard on activities and communication for many residents, but a couple of reviewers describe troubling staffing shortages and inconsistent treatment by leadership.

The Good

  • Staff described as kind and accommodating
  • Facility kept clean
  • Therapy services praised by a resident's family
  • Wide range of activities like bingo and karaoke
  • Staff communicate well with families
  • CNAs praised for around-the-clock resident care

The Bad

  • One report of severe understaffing leaving one aide covering an entire floor
  • Multiple concerns about management competence and responsiveness
  • One report of HR staff favoring certain residents over others

AI-generated from reviews and community data.

Nathan Richard Health Care Center is a senior living community in Nevada, Missouri offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 3.9 out of 5 across 16 reviews.

About Nathan Richard Health Care Center

Nathan Richard Health Care Center is a skilled nursing and long-term care facility in Nevada, Missouri, with a licensed capacity of 68 residents.

Families consistently praise the facility's cleanliness and describe the nursing staff as caring and attentive. Multiple reviewers highlighted specific staff members, particularly Crystal, the assistant director of nursing, and nurses including Anna and Megan, as going above and beyond in their interactions with residents. One family noted that staff members take time to say goodbye to residents throughout their day. The facility accommodates family events, including birthday celebrations in its activity room, and maintains health screening protocols for visitors.

However, reviews reveal significant concerns about management and staffing levels. Several families reported frustration with understaffing that they believe affects resident care quality, and others criticized administrative responsiveness to resident needs and family concerns. One reviewer currently residing at the facility acknowledged these tensions while noting that the administrator works to resolve issues when they arise. Communication challenges, including difficulty reaching the facility by phone, were also mentioned.

Nathan Richard Health Care Center holds a 3.9 out of 5 Google rating based on 16 reviews, reflecting mixed experiences where direct care quality contrasts sharply with operational and management concerns.

Types of Care at Nathan Richard Health Care Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Wheelchair Accessible

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Birthday / Holiday Parties
  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Nathan Richard Health Care Center

3.9overall · 16 ratings combined

3.9★ on Google (16)

Kyle Nelson

Feb 2026

via Google

TERRIBLE management, this place is making my girlfriend that’s 8 months pregnant work by herself cause they can’t staff anyone so that in return makes it to where the residents can’t get the proper care efficiently cause of only having one person on the floor and the management does nothing about it….. THIS PLACE SUCKS

Huey Edwards

Oct 2025

via Google

I am a current resident at this facility. I am not going to say everything is perfect. No place is. But, the majority of the staff here cares about the residents and each other. The administrator here is a man of integrity. If something isn't going right he works tirelessly until the situation is resolved.

Alyssa Beckmann

Nov 2023

via Google

Anna and the team are so wonderful. Great communication. Phenomenal client care. They love each of their patients so well. It was clean and well kept.

Lisiana Michelle

May 2023

via Google

Great caring staff, I definitely want to give a shout out to Crystal the Assistant Nursing Director, Megan & Nurse Anna

Cindy Rose

Mar 2023

via Google

2023-March.<br><br>We visited my mother-in-law who has been in this facility for a few weeks.<br><br>They scan everyone at the entry for vitals and give everyone a face mask.<br><br>The facility is clean.<br><br>The staff is very kind and accommodating.<br><br>We were able to use the activity room to celebrate my mother-in-law's 87th birthday. She looks better.<br><br>We pushed her wheelchair to her room as soon as the party was over.<br><br>The only thing I noticed was her side of the room was pretty dark. It seems it needs more light especially when the privacy curtain blocks the natural light.<br><br>Thank you and have a great day 😊.

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Government Inspection History

5 inspection visits in the last three years, 57 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Mar 19, 2026Health Complaint1 citation
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 4, 2026

Dec 30, 2025Health Complaint1 citation
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 12, 2026

Feb 28, 2025Fire Safety StandardHealth ComplaintHealth Standard22 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Apr 14, 2025

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity G of L: actual harm, isolatedCorrected Apr 14, 2025

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • Install corridor and hallway doors that block smoke.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • Use approved construction type or materials.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • Ensure proper usage of power strips and extension cords.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 14, 2025

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2025

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2025

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2025

  • Install a fire alarm system that can be heard throughout the facility.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2025

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2025

  • Implement a program that monitors antibiotic use.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 14, 2025

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2025

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2025

  • Ensure medication error rates are not 5 percent or greater.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2025

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2025

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2025

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2025

Jun 16, 2023Fire Safety StandardHealth Standard20 citations
  • Provide and implement an infection prevention and control program.

    Severity K of L: immediate jeopardy, patternCorrected Jul 14, 2023

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2023

  • Use approved construction type or materials.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2023

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2023

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2023

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2023

  • Ensure proper usage of power strips and extension cords.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 20, 2023

  • Have proper medical gas storage and administration areas.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 20, 2023

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 20, 2023

  • Have properly located and lighted "Exit" signs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 20, 2023

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • Ensure medication error rates are not 5 percent or greater.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 2023

  • 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.

    Severity C of L: potential for minimal harm, widespreadCorrected Jul 20, 2023

Nov 6, 2020Fire Safety StandardHealth Standard13 citations
  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 18, 2020

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 18, 2020

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 21, 2020

  • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 28, 2020

  • Ensure that residents are free from significant medication errors.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2020

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2020

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2020

  • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2020

  • Install corridor and hallway doors that block smoke.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2020

  • Ensure medication error rates are not 5 percent or greater.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2020

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2020

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2020

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 18, 2020

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Nathan Richard Health Care Center offer?

Nathan Richard Health Care Center offers Skilled Nursing / Long Term Care.

Where is Nathan Richard Health Care Center located?

Nathan Richard Health Care Center is located at 700 East Highland Avenue in Nevada, Missouri.

What do families say about Nathan Richard Health Care Center?

Reviews of Nathan Richard Health Care Center are mixed: some families and a current resident praise the caring staff, clean facility, and strong therapy services, while others report serious understaffing and management problems. The community appears to work hard on activities and communication for many residents, but a couple of reviewers describe troubling staffing shortages and inconsistent treatment by leadership.

How did Nathan Richard Health Care Center do on recent health and safety inspections?

Nathan Richard Health Care Center had 5 government inspection visits in the last three years, with 57 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Nathan Richard Health Care Center?

Submit the Request Information form on this page to connect with Nathan Richard Health Care Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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