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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriRiver Oaks Care Center

River Oaks Care Center

1001 North Walnut, Steele, MO 638775736952121
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
1/5
Quality
1/5
Beds
90
certified
1 fine(s) totaling $41,389

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 90 certified beds with an average of 64.3 residents per day (71% occupancy)

• Last health inspection found 5 deficiencies (inspected Aug 16, 2024)

• Has been fined a total of $41,389 across 1 fine(s)

• Total nursing staff: 3.52 hours per resident per day

• Staff turnover rate: 66.7% (high)

• Part of the Circle B Enterprises chain (29 facilities)

River Oaks Care Center is a 2-star Medicare and Medicaid certified nursing home in Steele, Missouri with 90 certified beds. It has been operating since 1983. The facility scored below average compared to Missouri facilities.

Beds
90
Avg Residents/Day
64.3
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 31, 1983
Sprinklers
Yes
Council
Resident
County
Pemiscot
Last Inspection
Aug 16, 2024
Deficiencies (Cycle 1)
5
Weighted Score
56.5
Infection Citations
0

Deficiency Citations (18)

F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 16, 2024Corrected: NoCycle: 1
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Aug 16, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 16, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 16, 2024Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Aug 16, 2024Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: May 4, 2023Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: May 4, 2023Corrected: NoCycle: 2
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: May 4, 2023Corrected: NoCycle: 2
F0623Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Oct 30, 2020Corrected: NoCycle: 3
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Oct 30, 2020Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 30, 2020Corrected: NoCycle: 3
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Oct 30, 2020Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 30, 2020Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Oct 30, 2020Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Oct 30, 2020Corrected: NoCycle: 3
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Oct 30, 2020Corrected: NoCycle: 3
Total Fines
$41,389
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 20, 2024
$41,389

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.54 hrs
National avg: 2.35 hrs
LPN0.70 hrs
National avg: 0.86 hrs
RN0.28 hrs
National avg: 0.68 hrs
Total Nursing3.52 hrs
National avg: 3.89 hrs
Weekend Total3.12 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
66.7%
RN Turnover
66.7%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
CIRCLE B ENTERPRISES HOLDING COMPANY INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 1996
AGH1 LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 2, 2016
SOVEREIGN HEALTHCARE GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 23, 2021
ARSHAD, ABDULLAHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 25, 2017
BEDELL, DONALDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 6, 1997
WOOTEN, SHARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2025
BEDELL, DONALDCORPORATE DIRECTORIndividualN/AOct 31, 2000
BEAIRD, TODDCORPORATE OFFICERIndividualN/AJan 1, 2022
BEDELL, DONALDCORPORATE OFFICERIndividualN/AJan 6, 1997

Frequently Asked Questions

What is the CMS rating for River Oaks Care Center?▾
River Oaks Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
Has River Oaks Care Center had any health inspection violations?▾
River Oaks Care Center had 5 deficiency citations in its most recent health inspection (Aug 16, 2024). The facility has been fined a total of $41,389 across 1 fine(s).
What are the staffing levels at River Oaks Care Center?▾
River Oaks Care Center provides 3.52 total nursing staff hours per resident per day, including 0.28 RN hours, 0.70 LPN hours, and 2.54 nurse aide hours. The total staff turnover rate is 66.7%.
How many beds does River Oaks Care Center have?▾
River Oaks Care Center has 90 certified beds with an average of 64.3 residents per day, resulting in approximately 71% occupancy. The facility is For profit - Individual owned and is part of the Circle B Enterprises chain.

Part of Circle B Enterprises

This chain operates 29 facilities. View all →