Facility type
Snf
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Richland Care Center, Inc
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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%
Residents per day (avg)
41
Occupancy rate
37.2%
Residents per day (avg)
41
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
$3,179,711.00
Surplus of revenue
$532,612.00
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
License details
County:
PULASKI
Additional licensing details
CMS Certification Number:
265755
Certification type:
Medicare/Medicaid
Ownership & operating entity
Richland Care Center, Inc is administrated by JULIE AVILA.
Owner name:
RICHLAND CARE CENTER, INC
Safety & Compliance
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Kay Smith
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Activities
A variety of social activities including worship services, bingo, movies, and special event parties.
Specific Programs
Inpatient and outpatient rehabilitation therapy, skilled nursing care, long-term care, hospice, respite care, social activities, beauty/barber services, church services.
Religious Services
Yes
Pricing & Financial Information
Dining & Nutrition
Food Description
Three delicious meals every day, accommodating regular and special diets.
Meals Included
Yes
Special Diets
Yes
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.
Health Inspection History
Inspections
Total health inspections
6
Missouri average 6.6
Last Health inspection on Sep 2024
Total health citations
14
Citations per inspection
2.33
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
Sep 20, 2024
Corrected
Infection Control moderate citation
Sep 20, 2024
Corrected
Nutrition moderate citation
Sep 20, 2024
Corrected
Resident Rights moderate citation
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.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
-
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
-
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
54
3.6515
10
-
+42%-2%+18%
Richland Care Center, Inc
-51%
+4%
-44%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65556-8582
86
A+
-
RICHLAND CARE CENTER, INC.
37.2%
$2,239,938.00
$1,645,242.00
73.5%
40.70
3.9043
14
1
-51%+4%-44%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
-
38
-
-
-
-
-
-
-
-
-
-
-
Abbey Senior Health
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63366-2299
55
-
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
54
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Richland Care Center, Inc
Type of care:
SNF
AL
Community:
MO 65556-8582
Bed Count:
86
Operator:
RICHLAND CARE CENTER, INC.
CCN:
265755
Occupancy:
37.2%
Home Revenue:
$2,239,938.00
Payroll Costs:
$1,645,242.00
Payroll %:
73.5%
Avg Residents/Day:
40.70
Overall Rating:
Adj Nurse Hours:
3.9043
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
Severe Citations:
1
RN share vs State Avg:
-51%
-51%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
-44%
-44%
Places of interest near Richland Care Center, Inc
0.0 miles from city center
RICHLAND, MO 65556-8582
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
53
Total Staff
41
Employees
12
Contractors
13,758
Total Hours (Quarter)
19
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 2 | 7.9 | No |
| Licensed Practical Nurse | 10 | 8.7 | No |
| Certified Nursing Assistant | 20 | 8.2 | No |
Staff by Category
Administration ⓘ
1 staff
7.7hs shift avg
Nursing Staff ⓘ
34 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.2hs shift avg
Therapy Services ⓘ
10 staff
3.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
0.6hs shift avg
Dietary Services ⓘ
2 staff
7hs shift avg
Other Services ⓘ
1 staff
7.5hs shift avg
Contractor Analysis
3.7%
of total hours from contractors
514 contractor hours this quarter
Respiratory Therapy Technician: 3
Speech Language Pathologist: 1
Physical Therapy Assistant: 6
Qualified Social Worker: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
35 residents
Residents by payment source
Medicare
7 residents (20%)
Medicaid
19 residents (54.3%)
Private pay or other
9 residents (25.7%)
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
$532,612
↑ ~$765K vs 2023
Total Payroll
$2,069,666
↑ ~$98K vs 2023
Profit Margin
23.8%
↑ 34.8pp vs 2023
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