nursing home in Steele, MO
River Oaks Care Center
1001 North Walnut, Steele, MO 63877 · (573) 695-2121
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
River Oaks Care Center at a glance
River Oaks Care Center is a 90-bed for-profit nursing home in Steele, Missouri (Pemiscot County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Missouri average of 2.5.
Residents receive about 3.4 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (August 8, 2025) found 5 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $41,389.
Nursing staff turnover is 60.6% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Circle B Enterprises
- Medicare-certified since
- October 31, 1983
- Resident/family council
- Resident
- County
- Pemiscot County
- CMS Certification Number
- 265210
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.5 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.40 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.34 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.39 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.03 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 60.6% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 47.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 60.5 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $41,389 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 103 | 107 | |
| Average residents per day | 62 | 73 | 86 | |
| Occupancy | 68.3% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.7% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 28.1% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.5% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 7.8% | 18.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.1% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 10.4% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.1% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 39.9% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 7.6% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.9% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.6% | 2.2% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.6% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 8, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 22, 2025 |
| August 8, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 8, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 8, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected September 22, 2025 |
| August 8, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected September 22, 2025 |
| November 20, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | J Immediate jeopardy, isolated | Corrected December 16, 2024 |
| November 20, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected December 16, 2024 |
| August 16, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected October 15, 2024 |
| August 16, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected October 15, 2024 |
| August 16, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected October 15, 2024 |
| August 16, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 15, 2024 |
| August 16, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected October 15, 2024 |
| August 16, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 15, 2024 |
| May 4, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected June 15, 2023 |
| May 4, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected June 15, 2023 |
| May 4, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected June 15, 2023 |
| May 4, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 15, 2023 |
| May 4, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 15, 2023 |
| May 4, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $41,389 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 20, 2024 | Fine | $41,389 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC Organization | 5% or greater direct ownership interest | 100% | 01/01/1996 |
| AGH1 LLC Organization | adp of the snf | NOT APPLICABLE | 03/25/2025 |
| ARSHAD, ABDULLAH Individual | adp of the snf | NOT APPLICABLE | 04/25/2017 |
| BEAIRD, TODD Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| DCB REAL ESTATE PARTNERSHIP LP Organization | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| FG LLC Organization | adp of the snf | NOT APPLICABLE | 12/02/2016 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 08/16/2021 |
| MID STATES INC Organization | adp of the snf | NOT APPLICABLE | 11/01/2010 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 04/06/2025 |
| SPENCE, ELIZABETH Individual | adp of the snf | NOT APPLICABLE | 01/02/2026 |
| STEELE DEVELOPMENT PROPERTIES LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2010 |
| VAN DE VEN LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2000 |
| BEDELL, DONALD Individual | corporate director | NOT APPLICABLE | 10/31/2000 |
| BEAIRD, TODD Individual | corporate officer | NOT APPLICABLE | 01/01/2022 |
| BEDELL, DONALD Individual | corporate officer | NOT APPLICABLE | 01/06/1997 |
| BEDELL, BRYAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/12/2025 |
| AGH1 LLC Organization | operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| ARSHAD, ABDULLAH Individual | operational/managerial control | NOT APPLICABLE | 04/25/2017 |
| BEDELL, DONALD Individual | operational/managerial control | NOT APPLICABLE | 01/06/1997 |
| SOVEREIGN HEALTHCARE GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| SPENCE, ELIZABETH Individual | operational/managerial control | NOT APPLICABLE | 01/02/2026 |
Other nursing homes near River Oaks Care Center
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Nhc Healthcare, Kennett
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Frequently asked questions
What is River Oaks Care Center's rating?
River Oaks Care Center has 3 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did River Oaks Care Center receive?
Its most recent standard health inspection found 5 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does River Oaks Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns River Oaks Care Center?
It is for profit - individual and part of Circle B Enterprises. The ownership section on this page lists the owners and managers reported to CMS.
Where is River Oaks Care Center and how do I contact it?
River Oaks Care Center is at 1001 North Walnut, Steele, MO 63877. Phone: (573) 695-2121.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.