Richland Care Center INC
400 Tri-County Lane, Richland, MO 65556 · Pulaski County · 86 certified beds · avg 46 residents/day · certified since Jul 1, 2003
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 20, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 20, 2024 | E · Potential for harm, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Sep 20, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Sep 20, 2024 | C · Minimal risk, facility-wide | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| May 24, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 24, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 24, 2023 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.69 | 3.66 | 3.95 | top 46% in Missouri; bottom 46% in the U.S. |
| Registered Nurse hours | 0.35 | 0.49 | 0.69 | bottom 38% in Missouri; bottom 15% in the U.S. |
| Weekend total nurse staffing | 3.33 | 3.22 | 3.50 | top 41% in Missouri; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.33 | 0.48 | bottom 37% in Missouri; bottom 17% in the U.S. |
| Total nursing staff turnover (%) | 55.9 | 56.0 | 45.8 | top 49% in Missouri; bottom 23% in the U.S. |
| RN turnover (%) | 0.0 | 47.8 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.95, RN 0.28, weekend 2.67. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alexander, Jeanne | Individual | Corporate Director | NOT APPLICABLE | 06/01/2009 |
| Avila, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/25/2024 |
| Avila, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2024 |
| Belshe, Timothy | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Belshe, Timothy | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2021 |
| Frederick, Lynn | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Howlett, David | Individual | Corporate Director | NOT APPLICABLE | 08/01/2021 |
| Jacobson, Douglas | Individual | Corporate Director | NOT APPLICABLE | 06/01/2016 |
| Mitschele, Shirley | Individual | Corporate Director | NOT APPLICABLE | 06/01/2011 |
| Oursbourn, Wilma | Individual | Corporate Director | NOT APPLICABLE | 09/01/2021 |
| Prewett, Johnny | Individual | Corporate Director | NOT APPLICABLE | 05/01/2004 |
| Richland Care Center, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1966 |
| Struckhoff, Kenneth | Individual | Corporate Director | NOT APPLICABLE | 08/01/1988 |
| Warren, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/1978 |
| Winfrey, Glenda | Individual | Corporate Director | NOT APPLICABLE | 05/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Life Care Center of Waynesville | 9.8 mi | Waynesville, MO | ★★★☆☆ | 3/5 | |
| Lebanon North Nursing & Rehab | 19.4 mi | Lebanon, MO | ★☆☆☆☆ | 1/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265755.