Federal inspection record · CMS data as of October 1, 2026
Richland Care Center Inc
400 Tri-County Lane, Richland, MO · (573) 765-3243
- Certified beds
- 86
- Residents per day
- 48
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 2003
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Richland Care Center Inc carries 11 inspection points. That is fewer than 98% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3E
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- C
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-05
0 health deficiencies · 11 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-09-20
5 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2023-05-24
5 health deficiencies · 14 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 56 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
2 h 56 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 60% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 3.1 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better | 1.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.6 pts better | 3.4% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 3.5% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts better | 18.6% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.3 pts better | 23.2% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.3 pts better | 8.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better | 15.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse | 2.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts better | 11.1% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 0.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32.5 pts better | 98.2% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.3 pts worse | 17.7% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 2.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.7 pts better | 93.1% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better | 25.2% | 25.7% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alexander, Jeanne | Corporate Director · Individual | 0% | 1 facilities |
| Avila, Julie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Avila, Julie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Belshe, Timothy | Corporate Director · Individual | 0% | 1 facilities |
| Belshe, Timothy | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Frederick, Lynn | Corporate Director · Individual | 0% | 1 facilities |
| Howlett, David | Corporate Director · Individual | 0% | 1 facilities |
| Jacobson, Douglas | Corporate Director · Individual | 0% | 1 facilities |
| Mitschele, Shirley | Corporate Director · Individual | 0% | 1 facilities |
| Oursbourn, Wilma | Corporate Director · Individual | 0% | 1 facilities |
| Prewett, Johnny | Corporate Director · Individual | 0% | 1 facilities |
| Richland Care Center, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Struckhoff, Kenneth | Corporate Director · Individual | 0% | 1 facilities |
| Warren, David | Corporate Director · Individual | 0% | 2 facilities |
| Winfrey, Glenda | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
35 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke16F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
- E
Install properly constructed windows in hallway walls or doors.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services3F
- F
Meet other general requirements that are deficient.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness2F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Implement emergency and standby power systems.
Construction1E
- E
Use approved construction type or materials.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
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-
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-
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