Life Safety Index

Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NATHAN RICHARD HEALTH CARE CENTER

NEVADA, MO · 68 certified beds · Last Life Safety survey February 28, 2025

CMS Certification Number 265558 · first certified October 1993

Ownership

Operated by RELIANT CARE MANAGEMENT · For profit - Corporation

  • Ownership changed August 1, 2020 (change of ownership)from N & R OF NEVADA LLC
19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within MO

19 citations — more than 50% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: May 2026 to November 2026. This facility’s last Life Safety survey was February 2025. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility19MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
42020-1182023-0672025-02
Citations at each Life Safety survey
Survey dateCitations
November 6, 20204
June 16, 20238
February 28, 20257

Most-cited tags

Most-cited tags at this facility
K-07123K-03632K-09202K-02222K-01612K-07611K-03411K-02931
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-02-28
K-0363Install corridor and hallway doors that block smoke.22025-02-28
K-0920Ensure proper usage of power strips and extension cords.22025-02-28
K-0222Add 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.22025-02-28
K-0161Use approved construction type or materials.22025-02-28
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-02-28
K-0341Install a fire alarm system that can be heard throughout the facility.12025-02-28
K-0293Have properly located and lighted "Exit" signs.12023-06-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Egress Deficiencies 4
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies4
Egress Deficiencies4
Construction Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 28, 2025 — 7 citations

Citations issued on February 28, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 14, 2025)
K-0222Add 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.Deficient, Provider has date of correction (April 14, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 14, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 14, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 14, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 14, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 14, 2025)

June 16, 2023 — 8 citations

Citations issued on June 16, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 20, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (July 20, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 20, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 20, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 20, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 20, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 20, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 20, 2023)

November 6, 2020 — 4 citations

Citations issued on November 6, 2020
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (December 18, 2020)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (December 18, 2020)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 18, 2020)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 18, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.