Show Inspection Reports
Total health inspections
6
Missouri average 6.6
Last Health inspection on Sep 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Richland Care Center, Inc
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Richland Care Center, Inc
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Richland Care Center is a skilled nursing facility located in Richland, Missouri. It offers a range of services including skilled nursing care, rehabilitation therapy, and respite care. The center is committed to providing quality, compassionate care in a supportive environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 102nd out of 251 homes in Missouri.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 102nd out of 251 homes in Missouri.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 54m per day
vs Missouri avg
+3%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
86
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
37.2%
Avg. Length of Stay
121 days
Occupancy rate
37.2%
Avg. Length of Stay
121 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
31% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
35% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Voluntary non-profit community
Home revenue
$3.2M
Surplus of revenue
$532.6K
Voluntary non-profit community
Home revenue
$3.2M
Surplus of revenue
$532.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$2.6M
86-bed community
A larger shared setting that may offer more common spaces and organized community services.
42 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeSnf
CountyPulaski
CMS Certification Number265755
Certification TypeMedicare/Medicaid
Richland Care Center, Inc is legally operated by Richland Care Center, Inc., and administrated by Julie Avila.
Owner NameRICHLAND CARE CENTER, INC
Staffing
Key information about the people who lead and staff this community.
ContactKay Smith
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Skilled Nursing Care
Rehabilitation Therapy
Hospice
Respite Care
Cable Television
Wireless Internet
Housekeeping
Laundry Services
Beauty/Barber Shop
Dining Room
Bingo
Daily Activities
ActivitiesA variety of social activities including worship services, bingo, movies, and special event parties.
Specific ProgramsInpatient and outpatient rehabilitation therapy, skilled nursing care, hospice, respite care, beauty/barber services, church services.
Religious ServicesYes
Food DescriptionThree delicious meals every day, accommodating regular and special diets.
Meals IncludedYes
Special DietsYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
0 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Health Inspection History
Inspections
Total health citations
14
Missouri average 36.5
Citations per inspection
2.33
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 14 citations resulted from standard inspections; and 4 of 14 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
1
In line with Missouri averageMissouri average: 1
0 critical citations
1 serious citation
11 moderate citations
2 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 20, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 20, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 20, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 20, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 20, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 20, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 20, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 20, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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| Bertrand Nursing And Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bertrand | 60 | 78.8% | +18% | 3.65 | +42% | -2% | 0 | 10 | 3.3 | 0 | 54 | - | 5 | Chance, Don | $5.1M | $2.3M | 44.1% | 265678 | ||||
| Richland Care Center, Inc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Richland | 86 | 37.2% | -44% | 3.90 | -51% | +4% | 0 | 14 | 2.3 | 1 | 41 | A+ | - | Richland Care Center, Inc. | $2.2M | $1.6M | 73.5% | 265755 | ||||
| Good Shepherd Care Community | - |
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HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concordia | 20 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | 38 | Good Shepherd Nursing Home District | - | - | - | - |
| Abbey Senior Health | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | O'fallon | 10 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | Mount Carmel Communities - O'fallon, Llc | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
53
Employees
41
Contractors
12
Staff to resident ratio
1.51:1
12% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
19
Average shift
8 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
13,758
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.7%
514 contractor hours this quarter
Physical Therapy Assistant: 6
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Speech Language Pathologist: 1
Staff by category
| Certified Nursing Assistant | 20 | 0 | 20 | 7,132 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,201 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 2 | 0 | 2 | 601 | 67 | 74% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 564 | 63 | 69% | 9 |
| Dietitian | 2 | 0 | 2 | 523 | 67 | 74% | 7 |
| Mental Health Service Worker | 1 | 0 | 1 | 467 | 62 | 68% | 7.5 |
| Administrator | 1 | 0 | 1 | 421 | 55 | 60% | 7.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 381 | 68 | 75% | 5.6 |
| Registered Nurse | 2 | 0 | 2 | 254 | 32 | 35% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 81 | 26 | 29% | 3 |
| Physical Therapy Assistant | 0 | 6 | 6 | 81 | 33 | 36% | 2.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 48 | 24 | 26% | 1.8 |
| Qualified Social Worker | 0 | 2 | 2 | 4 | 7 | 8% | 0.6 |
20 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
2 Medication Aide/Technician
% of Days
74%
1 Nurse Practitioner
% of Days
69%
2 Dietitian
% of Days
74%
1 Mental Health Service Worker
% of Days
68%
1 Administrator
% of Days
60%
1 Speech Language Pathologist
% of Days
75%
2 Registered Nurse
% of Days
35%
2 Clinical Nurse Specialist
% of Days
29%
6 Physical Therapy Assistant
% of Days
36%
3 Respiratory Therapy Technician
% of Days
26%
2 Qualified Social Worker
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
35
Medicare
7
20% of residents
Medicaid
19
54.3% of residents
Private pay or other
9
25.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
7% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
7% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.5%
Percent of long-stay residents whose need for help with daily activities has increased
16.5%
17% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.9%
Percent of long-stay residents whose ability to move independently worsened
26.9%
31% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.0%
5% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
8.0%
Percent of long-stay residents experiencing one or more falls with major injury
8.0%
99% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.4%
Percent of long-stay high risk residents with pressure ulcers
4.4%
12% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
31% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.5%
Percent of long-stay residents who lose too much weight
2.5%
55% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.9%
Percent of long-stay residents who have depressive symptoms
1.9%
85% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
26.3%
Percent of long-stay residents who received an antipsychotic medication
26.3%
20% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
44% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
30% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.9%
48% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Richland Care Center, Inc based on CMS SNF Cost Reports.
Occupancy Rate
37.2%
↑ 2.9pp vs 2023
Net Income
$532.6K
↑ ~$765.3K vs 2023
Total Payroll
$2.1M
↑ ~$98.4K vs 2023
Profit Margin
23.8%
↑ 34.8pp vs 2023
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