Richland Care Center, Inc

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Richland, MO

CMS overall rating

400 Tri-County Lane, Richland, MO 65556-8582 View map

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Richland Care Center, Inc accepts Medicaid, Medicare, and private pay.

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Richland Care Center, Inc accepts Medicaid, Medicare, and private pay.

Overview of Richland Care Center

Richland Care Center. manages an 86-bed skilled nursing facility on East Jefferson Avenue in Richland, Missouri, bringing 42 years of regional service to local families. Financial accounts are processed through typical insurance channels, accepting Medicare, Medicaid, and private pay. For those tracking neighborhood accessibility, the property sits in an area with a walkability score of 43 out of 100, meaning the immediate surroundings are only moderately pedestrian-friendly and visitors will mostly rely on cars.

The building houses 35 residents, which equals a 41 percent occupancy rate, while the average length of stay hovers around 121 days. This timeline shows that daily clinical workflows focus on medium-term post-hospital therapy alongside standard extended residential care. Daily health needs are monitored by a nursing team providing an average of 3 hours and 54 minutes of daily care per resident, with registered nurses, practical nurses, and aides handling regular medical rotations and physical checkups.

Official survey charts note that inspectors flagged specific procedural corrections regarding staff background checks, kitchen food temperatures, basic infection control hygiene, and resident bank fund tracking, which means the property’s total cumulative citations-per-inspection rate is not zero.

Older adults can access inpatient and outpatient physical rehabilitation tracks, temporary respite care, and hospice services. The internal schedule balances these clinical offerings with three daily meals, religious services, bingo, movies, and an on-site beauty salon. Rooms are equipped with cable television hookups and building-wide Wi-Fi, backed by routine housekeeping and personal laundry support managed entirely by the facility staff.

Facility Direct Line (573) 765-3243

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 54m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +8% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	23m per day	▼ 17% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	44m per day	▲ 8% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 9m per day	▼ 7% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 2m per day	■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 56% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	21m per day	▲ 5% State avg: 20m per day · National avg: 28m per day

Capacity and availability

121 days

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.

Walk Score: 43 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

41%

Lower than the Missouri average: 66.6%

Occupied beds

35 / 86

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceSeptember 1, 2025

ExpirationAugust 31, 2027

CountyPulaski

License Number053278

CMS Certification Number265755

Certification TypeMedicare / Medicaid

Richland Care Center, Inc is legally operated by Richland Care Center, Inc., and administered by Beverly Derrickson.

Corporate EntityRICHLAND CARE CENTER, INC

Owner NameRichland Care Center, Inc

Skilled Nursing Facility

86 units

Total beds

86 units

Staffing

Key information about the people who lead and staff this community.

ContactKay Smith, Administrator (per BBB, record updated Jul 2026)

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

24-Hour Staffing

Pets not allowed

Skilled Nursing Care

Rehabilitation Therapy

Cable Television

Wireless Internet

Housekeeping

Laundry Services

Beauty/Barber Shop

Dining Room

Daily Activities

Religious Services

Since 2018 · 8 years of data 113 deficiencies 12 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection September 20, 2024 Plan Of Correction

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	113	35	This facility has 223% more total deficiencies than a typical Missouri assisted living residence (113 vs. MO avg 35).↑ 223% worse
Deficiencies per year Average deficiencies per year since 2018.	14.1	4.4	This facility has 220% more deficiencies per year than a typical Missouri assisted living residence (14.1 vs. MO avg 4.4).↑ 220% worse
Deficiencies per inspection Average deficiencies per inspection.	9.4	2.9	This facility has 224% more deficiencies per inspection than a typical Missouri assisted living residence (9.4 vs. MO avg 2.9).↑ 224% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	12	12	This facility has total inspections in line with the Missouri average (12 vs. MO avg 12).— At avg

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 20, 2024 inspection found five deficiencies including mishandling residents' personal funds, delayed refunds to nine discharged residents, incomplete pre-employment screenings, unsafe food temperatures, and no water management program.
December 7, 2023 complaint investigation substantiated failure to timely report and investigate a sexual abuse allegation involving one resident, with the Director of Nursing dismissing the claim as hallucinations.
May 24, 2023 routine inspection found three deficiencies in posting abuse hotline info, food safety violations, and infection control lapses including improper perineal care and C-diff precautions.

Show Inspection Reports

Inspections since 2020

Total health inspections 6

State average N/A

Last Health inspection on Sep 2024

Total health citations

State average N/A

Citations per inspection

2.33

State average N/A

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 6 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

11 moderate citations State average: N/A

2 minor citations State average: N/A

Citations history (last 6 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

Total staff 59

Employees 45

Contractors 14

Staff to resident ratio 1.69 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 20

Average shift 7.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,394

Nursing staff breakdown

8.4 hours

8.2 hours

8.1 hours

Contractor staffing

477 contractor hours this quarter

Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Respiratory Therapist: 1

Staff by category


Certified Nursing Assistant	15	0	15	5,856	92	100%	8.1
Licensed Practical Nurse	7	0	7	2,760	92	100%	8.2
Nurse Aide in Training	4	0	4	1,651	90	98%	8
Registered Nurse	5	0	5	888	76	83%	8.4
Nurse Practitioner	2	0	2	570	66	72%	8.6
Medication Aide/Technician	3	0	3	528	61	66%	7.5
Dietitian	1	0	1	522	67	73%	7.8
Mental Health Service Worker	2	0	2	492	63	68%	7.4
Administrator	2	0	2	477	60	65%	8
Speech Language Pathologist	0	2	2	350	69	75%	5.1
Medical Director	1	0	1	56	14	15%	4
Occupational Therapy Assistant	1	0	1	56	14	15%	4
Occupational Therapy Aide	1	0	1	56	14	15%	4
Respiratory Therapy Technician	0	3	3	54	19	21%	2.6
Physical Therapy Aide	0	4	4	48	18	20%	2.6
Respiratory Therapist	0	1	1	16	5	5%	3.3
Physical Therapy Assistant	1	4	5	14	6	7%	2.3

15 Certified Nursing Assistant

% of Days 100%

7 Licensed Practical Nurse

% of Days 100%

4 Nurse Aide in Training

% of Days 98%

5 Registered Nurse

% of Days 83%

2 Nurse Practitioner

% of Days 72%

3 Medication Aide/Technician

% of Days 66%

1 Dietitian

% of Days 73%

2 Mental Health Service Worker

% of Days 68%

2 Administrator

% of Days 65%

2 Speech Language Pathologist

% of Days 75%

1 Medical Director

% of Days 15%

1 Occupational Therapy Assistant

% of Days 15%

1 Occupational Therapy Aide

% of Days 15%

3 Respiratory Therapy Technician

% of Days 21%

4 Physical Therapy Aide

% of Days 20%

1 Respiratory Therapist

% of Days 5%

5 Physical Therapy Assistant

% of Days 7%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 11.7

7% worse than State average

State average: 10.9

Functional decline score 20.8

7% worse than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 16.5%

17% better than State average

State average: 19.8%

Walking Ability Worsened 26.9%

31% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 19.0%

5% worse than State average

State average: 18.1%

Falls with Major Injury 8.0%

99% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.4%

12% better than State average

State average: 5.0%

Urinary Tract Infection 1.9%

31% better than State average

State average: 2.7%

Lost Too Much Weight 2.5%

55% better than State average

State average: 5.6%

Depressive Symptoms 1.9%

85% better than State average

State average: 12.8%

Antipsychotic Use 26.3%

20% worse than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.03

50% better than State average

State average: 2.08

ED visits per 1,000 days 5.21

122% worse than State average

State average: 2.35

Short-stay resident measures

Significantly above average State avg: 2.1

Pneumococcal Vaccine 96.1%

44% better than State average

State average: 66.6%

Antipsychotic medication increase 1.6%

30% better than State average

State average: 2.2%

Influenza Vaccine 93.9%

48% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 16.8%

34% better than State average

State average: 25.3%

Emergency department visits 16.7%

25% worse than State average

State average: 13.4%

Falls with major injury 5.6%

622% worse than State average

State average: 0.8%

Ability to care for self at discharge 50.0%

7% worse than State average

State average: 53.7%

Successful return to home or community 57.2%

13% better than State average

State average: 50.6%

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

Total residents 35

Medicare

20% of residents

Medicaid

54.3% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Richland Care Center, Inc from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 37.2% ↑ 2.9pp vs 2023

Net Patient Income -$407.2K ↓ ~$16.9K vs 2023

Payroll Costs $2.0M ↑ ~$160.0K vs 2023

Operating Margin -16.7% ↑ 0.3pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	44.5%	39.1%	41.4%	41.2%	39.6%	40.1%	41.3%	45.8%	43.8%	32.7%	32.0%	34.3%	37.2%
Beds	86	86	86	86	86	86	86	86	86	86	86	86	86
Net Income	$13,124	-$75,146	$103,118	$27,606	$19,267	$126,640	$48,815	$221,793	$43,778	-$43,928	-$48,013	-$232,715	$532,612
Gross Revenue	$2,774,903	$2,631,577	$3,050,820	$3,015,653	$2,887,256	$3,132,194	$3,205,166	$3,403,387	$2,857,208	$2,109,136	$2,094,125	$2,107,359	$2,239,938
Operating Expenses	$2,047,795	$2,004,327	$2,045,521	$2,126,031	$2,085,692	$2,140,930	$2,237,305	$2,409,038	$2,475,440	$2,497,576	$2,478,290	$2,682,684	$2,848,703
Net Patient Income	$6,214	-$79,198	$99,346	$21,165	$16,646	$124,162	$45,588	$217,504	$31,046	-$421,866	-$282,668	-$390,261	-$407,161
Net Patient Revenue	$2,054,009	$1,925,129	$2,144,867	$2,147,196	$2,102,338	$2,265,092	$2,282,893	$2,626,542	$2,506,486	$2,075,710	$2,195,622	$2,292,423	$2,441,542
Payroll Costs	$1,147,340	$1,132,717	$1,132,490	$1,147,350	$1,186,985	$1,201,783	$1,234,375	$1,379,221	$1,496,597	$1,513,024	$1,540,353	$1,802,985	$1,962,997
Operating Margin %	0.3%	-4.1%	4.6%	1.0%	0.8%	5.5%	2.0%	8.3%	1.2%	-20.3%	-12.9%	-17.0%	-16.7%
Medicare %	8.5%	8.5%	11.9%	11.2%	10.9%	12.2%	11.1%	7.8%	6.9%	12.1%	16.3%	7.4%	7.1%
Medicaid %	61.8%	56.7%	53.4%	53.8%	60.5%	69.6%	70.1%	72.7%	73.6%	74.9%	62.6%	69.2%	73.6%
Private %	29.7%	34.8%	34.7%	35.0%	28.6%	18.2%	18.8%	19.5%	19.5%	13.1%	21.2%	23.4%	19.4%
Net Patient Revenue/Day	$147	$157	$165	$166	$169	$180	$176	$183	$182	$202	$219	$213	$209
Cost/Day	$146	$163	$157	$164	$167	$170	$173	$167	$180	$244	$247	$249	$243
Avg Length of Stay	128.4 days	125.1 days	128.7 days	152.2 days	138.5 days	116.6 days	147.2 days	208.5 days	372.5 days	186.4 days	159.4 days	139.7 days	120.6 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$2.4M

Net patient income

-$407.2K

Nonprofit Nonprofit Corporation

Net patient revenue

$2.4M

Net patient income

-$407.2K

Other income

$939.8K

Payroll costs

$2.0M 80.4% of net patient revenue

Other operating costs

$885.7K

Total costs

$2.8M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (35% of admissions), and a typical Medicaid stay runs around 8 - 9 months.

Coverage residents most often arrive under.

Medicare 33%

Private pay 31%

Medicaid 35%

Coverage residents most often leave under.

Medicare 34%

Private pay 28%

Medicaid 38%

0.0 miles from city center Estimated distance in miles from Richland's city center to Richland Care Center, Inc's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Richland Care Center, Inc	NH HOS RC SNF	Richland	-	86	A+	43	-

Nursing Home Explorer

Is Richland Care Center, Inc in a walkable area?

Richland Care Center, Inc has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Richland Care Center, Inc?

According to MO state health department records, Richland Care Center, Inc's license number is 053278.

When does Richland Care Center, Inc's license expire?

According to MO state health department records, Richland Care Center, Inc's license expires on August 31, 2027.

What is the occupancy rate at Richland Care Center, Inc?

Richland Care Center, Inc's occupancy is 41%.

Are pets allowed at Richland Care Center, Inc?

No, Richland Care Center, Inc has a no-pet policy.

Does Richland Care Center, Inc operate as a for-profit or non-profit?

Richland Care Center, Inc is registered as a non-profit in MO.

Who is the administrator of Richland Care Center, Inc?

Beverly Derrickson is the administrator of Richland Care Center, Inc.

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Richland Care Center, Inc

Overview of Richland Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Richland Care Center, Inc

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2020

Breakdown of citation severity (last 6 years)

Citations history (last 6 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

15 Certified Nursing Assistant

7 Licensed Practical Nurse

4 Nurse Aide in Training

5 Registered Nurse

2 Nurse Practitioner

3 Medication Aide/Technician

1 Dietitian

2 Mental Health Service Worker

2 Administrator

2 Speech Language Pathologist

1 Medical Director

1 Occupational Therapy Assistant

1 Occupational Therapy Aide

3 Respiratory Therapy Technician

4 Physical Therapy Aide

1 Respiratory Therapist

5 Physical Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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