Missouri › Wright County › Mountain Grove
Autumn Oaks Caring Center
1310 Hovis Street, Mountain Grove, MO 65711
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Autumn Oaks Caring Center, in Mountain Grove, Missouri, is certified for 120 beds under for-profit, individual ownership and belongs to the Circle B Enterprises chain.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 3 and quality measures 1.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (10, 16, 4 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, fewer than the state median of 32.1.
CMS lists 2 penalties in the period covered: fines totalling $49K and 1 payment denial.
Reported nurse staffing is 3.8 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 55.7%.
Compared with county, state and nation
| Measure | This facility | Wright Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 30 | 26 | 31 | 28.7 |
| Citations per 100 beds | 25.0 | 25.0 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 55.7% | 51.2% | 56.1% | 45.8% |
| Fines listed | $48,539 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Jan 2025, 2 Jun 2023.
Severity mix: J ×2 G ×1 D ×15 E ×10 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 19 Dec 2025 |
| 4 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 May 2025 |
| 4 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 May 2025 |
| 10 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 23 Feb 2025 |
| 10 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 23 Feb 2025 |
| 10 Jan 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 23 Feb 2025 |
| 10 Jan 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 23 Feb 2025 |
| 10 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Feb 2025 |
| 10 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 23 Feb 2025 |
| 10 Jan 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 23 Feb 2025 |
| 10 Jan 2025 | F0758 | 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. | D | Standard survey | 23 Feb 2025 |
| 10 Jan 2025 | F0761 | 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. | D | Standard survey | 23 Feb 2025 |
| 18 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 30 Nov 2023 |
| 2 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 25 Mar 2023 |
| 2 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0761 | 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. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 17 Jul 2023 |
| 2 Jun 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 17 Jul 2023 |
| 8 Nov 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Dec 2019 |
| 8 Nov 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 23 Dec 2019 |
| 8 Nov 2019 | F0758 | 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. | D | Standard survey | 23 Dec 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Jan 2025 | Payment denial | — | 8 days |
| 10 Jan 2025 | Fine | $48,539 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 55.7%, RNs 42.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.9% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.9% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 37.1% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual. Chain: Circle B Enterprises (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% or greater direct ownership interest | 100% | 01/01/1997 |
| Agh1 LLC | Operational/managerial control | NOT APPLICABLE | 12/02/2016 |
| Sovereign Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| Agh1 LLC | Adp of the snf | NOT APPLICABLE | 05/01/2025 |
| Circle B Enterprises Holding Company Inc | Adp of the snf | NOT APPLICABLE | 01/01/1997 |
| Fg LLC | Adp of the snf | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 08/16/2021 |
| Mid States Inc | Adp of the snf | NOT APPLICABLE | 11/01/2010 |
| Sovereign Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 04/06/2025 |
| Van De Ven LLC | Adp of the snf | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Wright County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hartville Care Center | Hartville | 58 | 3 | 3 | 3 | 10 | 17.2 | — | 24 Jun 2026 |
| Rocky Ridge Manorabuse icon | Mansfield | 65 | 1 | 2 | 4 | 26 | 40.0 | — | 31 Mar 2026 |
All 3 facilities in Wright County
Questions and answers
How many deficiencies has Autumn Oaks Caring Center been cited for?
30 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Autumn Oaks Caring Center been fined?
Yes. CMS lists fines totalling $49K in the period covered, plus 1 payment denial.
How does staffing at Autumn Oaks Caring Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Autumn Oaks Caring Center?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Circle B Enterprises Holding Company Inc, Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Autumn Oaks Caring Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 10 Jan 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.