Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Richland Care Center Inc during CMS and state inspections, most recent first.
The facility failed to implement a comprehensive water management program to prevent Legionella growth, lacking a risk assessment and specific control measures. Interviews revealed a lack of clarity and responsibility among staff regarding the program's development and implementation.
Facility staff failed to prevent the commingling of personal funds for four residents with the operating funds of the facility. The facility lacked a policy for accounting records, leading to this issue. An AR Aging report showed that residents' personal funds were held in the facility's operating account, with credit balances ranging from $18.00 to $2971.92. The administrator, new to the facility, had not completed the research into the credit balances, which were previously monitored by the former Business Office Manager.
The facility failed to maintain safe and appetizing temperatures for food served to residents in their rooms. The food cart used for delivery was not functioning properly, leading to meals being served below the required temperature. Residents reported dissatisfaction with cold food, and staff were unaware of the issue due to a lack of communication about equipment failures.
The facility failed to conduct required pre-employment screenings, including CBC, EDL, and FCSR checks, for a Dietary Manager and two CNAs. The responsibility for these screenings had recently shifted, and the current administrator was unaware of the oversight. This represents a deficiency in the hiring process.
The facility failed to refund personal funds to nine discharged residents within the required 30 days, as per the Admission Agreement. The AR Aging report showed credit balances held in the facility's operating account, with amounts ranging from $226.00 to $7,173.00. The administrator, new to the facility, had not completed the review of these accounts and confirmed that refunds should be issued within 30 days without written authorization to hold the funds.
Deficient Water Management Program for Legionella Prevention
Penalty
Summary
The facility staff failed to develop and implement comprehensive policies and procedures for the inspection, testing, and maintenance of the facility's water systems to prevent the growth of waterborne pathogens, including Legionella, which can cause Legionnaire's Disease (LD). The facility's water management program lacked a risk assessment to identify potential areas for pathogen growth, specific control measures tailored to the facility's water systems, and actions to be taken when control limits are not met or when Legionella is detected. The deficiency was identified during a review of the facility's water management program documentation, which was found to be incomplete and lacking critical components necessary for effective waterborne pathogen control. Interviews with the maintenance director and the administrator revealed a lack of clarity and responsibility regarding the development and implementation of the water management program. The maintenance director, who assumed the role in July 2024, was unable to provide additional documentation or information about the program. Similarly, the administrator, who took on the position in August 2024, was unaware of the deficiencies in the water management records and could not provide further documentation. This lack of awareness and documentation contributed to the facility's failure to adhere to CMS expectations and industry standards for water management in healthcare facilities.
Commingling of Resident Personal Funds with Facility Operating Funds
Penalty
Summary
Facility staff failed to prevent the commingling of personal funds for four residents with the operating funds of the facility. The facility did not provide a policy for accounting records, which contributed to this issue. A review of the facility's Account Receivable (AR) Aging report revealed that the personal funds of these residents were held in the facility's operating account, with credit balances ranging from $18.00 to $2971.92. The administrator, who had been at the facility since early August, was responsible for reviewing the AR reports monthly but had not completed the research into why each resident had a credit balance. The previous Business Office Manager had been responsible for monitoring the AR report before the administrator's tenure.
Failure to Maintain Safe Food Temperatures
Penalty
Summary
The facility staff failed to ensure that prepared food items were served at a safe and appetizing temperature to residents who ate in their rooms. The internal temperatures of hot food items were not maintained at 120 degrees Fahrenheit or higher, as required. Observations showed that the food cart used to deliver meals was unplugged and cold to the touch, and the heater in the food cart had not been working for a couple of months. Despite this, dietary staff continued to use the cart to deliver meals, resulting in food being served at temperatures below the required levels. Interviews with residents revealed complaints about cold food, which affected their enjoyment of meals. The Assistant Dietary Manager acknowledged that the heater in the hot holding food cart was not working and that parts were unavailable due to the cart's age. The previous administrator had not authorized the purchase of a new cart. The Assistant DM was unaware of resident complaints about cold food and did not know that room tray foods were served cold. The current administrator stated that staff should notify them of equipment issues, but they were not informed about the non-functioning heater in the food cart. The administrator also mentioned that staff should check food temperatures regularly, but this was not consistently done.
Failure to Complete Pre-Employment Screenings for Staff
Penalty
Summary
The facility failed to complete pre-employment screenings for three employees, including a Dietary Manager and two Certified Nursing Assistants, out of a sample of ten employees. The screenings that were not completed included the Criminal Background Check (CBC), Employee Disqualification List (EDL) verification, and Family Care Safety Registry (FCSR) checks, which are required by Missouri law as per the facility's policy titled Abuse Prohibition. The personnel files of these employees did not contain the necessary documentation, and their timecards indicated that they began working on their respective hire dates without these checks being completed. Interviews revealed that the responsibility for completing pre-employment screenings had recently shifted from the previous administrator to the Assistant Dietary Manager, who had been in charge for only two months. The current administrator, who had been at the facility for just one month, was unaware of why the screenings were not completed prior to the employees' hire dates. The Assistant Dietary Manager confirmed that they did not conduct the screenings for the sampled staff and acknowledged that the previous administrator was responsible for this task. The lack of completed pre-employment screenings represents a deficiency in the facility's hiring process.
Failure to Refund Personal Funds to Discharged Residents
Penalty
Summary
The facility failed to provide refunds of personal funds to nine residents who were discharged from the facility within the required 30 days. The facility's Admission Agreement indicated that unused balances should be refunded upon discharge, but the facility did not have a policy for accounting records. A review of the facility's Account Receivable (AR) Aging report showed that discharged residents had personal funds held in the facility's operating account, with credit balances ranging from $226.00 to $7,173.00. The facility census was 35, and the issue affected nine out of 15 sampled residents. During an interview, the administrator, who had been at the facility since early August, acknowledged the responsibility to review AR reports monthly. The administrator had begun researching each account but had not completed the process and was unaware of the reasons for the credit balances. The administrator confirmed that refunds should be issued within 30 days of a resident's discharge and that the facility did not have written authorization to hold the credit balances from any resident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 31 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Richland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Waynesville | 9.8 mi | ★★★★★ | 2 | 0 |
| Lebanon North Nursing & Rehab | 19.4 mi | ★★★★★ | 22 | 0 |
| Dixon Nursing & Rehab | 19.4 mi | — | 0 | 0 |
| Lebanon South Nursing & Rehab | 20.9 mi | ★★★★★ | 3 | 0 |
| Osage Beach Rehabilitation And Health Care Center | 22.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.