Richland Care Center is in Richland, Missouri. We awarded it an overall grade of B-, which is a middle of the road grade. Based on our analysis, there are certainly far worse facilities out there. One of the best aspects of this facility's profile is its remarkable inspection reports, which we will address in the next section.
Richland Care Center
Updated May 1, 2022 by Sara Levinsohn
400 Tri-County Lane, PO Box 756,
Richland MO 65556
33.13% estimated occupancy 1
Registered Staff Hours
We want to point out that this nursing home really outperformed its overall score in the area of inspections. In fact, it received an excellent inspection report this year. As a result, we gave it one of our highest scores in this area with an A. Our inspection ratings weigh several factors included in a facility's inspection reports. One of the most important criteria we weigh heavily is the number and severity of deficiencies. Facilities with higher grades in this area usually have few of these severe deficiencies. Although this place had a few deficiencies on its report, none of them were severe based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
Turning to an additional strength for this facility, we awarded it a superb long-term care grade. In fact, we awarded this nursing home a score of A. Long-term care ratings of this caliber generally require both around the clock care from nurses and aids, as well as quality routine medical care. After considering the volume of care provided by aids and other staff, we turned to the nursing home's vaccination record. This nursing home vaccinated 100 percent of its residents against pneumonia, which is far higher than the vast majority of nursing homes. Lastly, we looked at its number of hospitalizations. We found that this facility had 2.45 hospitalizations per one thousand long-term resident days.
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Another strength of this facility is its favorable grade in nursing. We awarded them one of our better scores in that area, with an D. Nursing grades are heavily correlated with quantity of nursing care available. This nursing home provides 3.8 hours of nursing care per resident per day, which is slightly below the national average. To pair with its low totals in the area of nursing hours per resident, this facility also didn't fare as well in the quality-based measures we looked at in computing our nursing grades. We looked at the percentage of residents experiencing major falls and pressure ulcers. This facility had more pressure ulcers and falls than the average facility. This may be a bad sign when you consider that many bed sores and falls are preventable with better nursing care. These metrics hurt this nursing home's nursing rating significantly.
Short-term Care Quality
Turning to the final category, we gave this nursing home a D in short-term care. This is the facility's least impressive category grade. Sadly, this category hurt the nursing home's overall grade a bit. In calculating these short-term care scores, we quantify the nursing home's skilled nursing services, including those performed by registered nurses, respiratory therapists, physical therapists and other types of skilled professionals. The goal is to devise a measure for sizing up the rehabilitation services of different nursing homes. In this nursing home's case, we found that it provides fewer physical therapist and registered nurse hours per resident than the typical facility. Finally, we looked at the number of patients who were able to return to the community from this nursing home. This definitely wasn't a strength for this nursing home. We found that just 39.5 percent of this facility's patients returned home. At most nursing homes, around half of their patients are able to return home so this is well below average.
Rating Over Time
Compared to national and state averages across all facilities.
Richland Care Center Quality Metrics
Minimizes Pressure Ulcers
In Richland Care Center, 9.56% of Patients had Pressure Ulcers
This is the percentage of residents that have had a pressure ulcer. Pressure ulcers are skin damage due to remaining in the same position for too long.
Minimizes Serious Falls
In Richland Care Center, 4.04% of Patients had Serious Falls
This statistic tells you the percent of long-term stay patients who sustained falls leading to serious injury. Falls can arise for a variety of reasons, but high rates of major falls could be an indication of poor nursing care.
Minimizes Urinary Tract Infections
In Richland Care Center, 3.44% of Patients had UTIs
This is the percent of patients that sustained a urinary tract infection. UTI's are routinely the result of nursing homes with worse hygiene protocols. More frequent bathing limits the number likelihood of residents sustaining infections. We want to point out that this metric is sometimes skewed by the fact that nursing homes have varying reporting standards for these infections.
Appropriately Uses Anti-Psychotic Medication
In Richland Care Center, 20.38% of Patients use Anti-Psychotic Medication
This datapoint tells you the percentage of long-term care residents who were prescribed antipsychotic medication. Excessive reliance on these medications may mean a nursing home is using these medications to subdue residents in situations where such medications aren't medically indicated. Nevertheless, some facilities may need to rely on these drugs due to an increased number of patients with Alzheimer's or other dementias.
Appropriately Uses Anti-Anxiety Medication
In Richland Care Center, 24.28% of Patients use Anti-Anxiety Medication
This tells you the percentage of residents given antianxiety medications. These medications are used to treat patients suffering from anxiety or depression.
Managing Depression Among Residents
In Richland Care Center, 4.04% of Patients
Measures the percentage of long-term care residents who are showing depressive symptoms. Some argue this is a measure of quality of life.
Appropriate Vaccine Usage
In Richland Care Center, 89.97% of Patients
This indicates the percentage of residents that were administered the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.
Residents Maintain Autonomy
In Richland Care Center, 14.55% Percentage of Patients
This is a measure of the percentage of long-term care patients who required increased assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating.
Ability to Keep Residents Mobile
In Richland Care Center, 15.54% Percentage of Residents
This is the percent of residents that maintained mobility over time. Preserving mobility is often a great sign for residents' health.
In Richland Care Center, 1.62 Hospitalizations per 1,000 resident days
This indicates the number of times residents are hospitalized per thousand days of care. There is a correlation between staying out of the hospital and the quality of nursing home care.
Short-term Care: Rehospitalizations
In Richland Care Center, 15.54 Percentage of Residents Rehospitalized
This is a measure of the number of rehospitalizations per thousand days of short-term patient care.
Short-term Care: ER Visits
In Richland Care Center, 11.99 Percentage of Patients
This tells you the number of emergency room visits per thousand days of short-term patient care.
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