Missouri › Pemiscot County › Steele
River Oaks Care Center
1001 North Walnut, Steele, MO 63877
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.
Certified for 90 beds, River Oaks Care Center serves Steele in Pemiscot County, Missouri and has taken Medicare and Medicaid residents since 1983.
CMS gives it 3 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (5, 7, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 16.7 per 100 beds, fewer than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $41K.
Reported nurse staffing is 3.4 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 60.6%.
Compared with county, state and nation
| Measure | This facility | Pemiscot Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 15 | 20 | 31 | 28.7 |
| Citations per 100 beds | 16.7 | 21.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 60.6% | 60.6% | 56.1% | 45.8% |
| Fines listed | $41,389 | $41,389 | $0 | — |
County and state figures are medians across facilities (2 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: 8 Aug 2025, 16 Aug 2024.
Severity mix: J ×2 D ×11 E ×2
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 |
|---|---|---|---|---|---|
| 8 Aug 2025 | F0584 | 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. | E | Standard survey | 22 Sep 2025 |
| 8 Aug 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 22 Sep 2025 |
| 8 Aug 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 22 Sep 2025 |
| 8 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 22 Sep 2025 |
| 8 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 Sep 2025 |
| 20 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 16 Dec 2024 |
| 20 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 16 Dec 2024 |
| 16 Aug 2024 | F0584 | 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. | D | Complaint investigation | 15 Oct 2024 |
| 16 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Oct 2024 |
| 16 Aug 2024 | F0693 | 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. | D | Standard survey | 15 Oct 2024 |
| 16 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Oct 2024 |
| 16 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Oct 2024 |
| 4 May 2023 | F0584 | 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. | E | Standard survey | 15 Jun 2023 |
| 4 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 15 Jun 2023 |
| 4 May 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. | D | Standard survey | 15 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Nov 2024 | Fine | $41,389 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 60.6%, RNs 40.0%; 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 | 7.8% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.1% | 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% | 01/01/1996 |
| 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 | 03/25/2025 |
| Dcb Real Estate Partnership LP | Adp of the snf | NOT APPLICABLE | 04/11/2025 |
| 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 |
| Steele Development Properties LLC | Adp of the snf | NOT APPLICABLE | 01/01/2010 |
| 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 Pemiscot County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Southgate Living Center | Caruthersville | 94 | 4 | 5 | 1 | 20 | 21.3 | $13K | 5 Jun 2026 |
All 2 facilities in Pemiscot County
Questions and answers
How many deficiencies has River Oaks Care Center been cited for?
15 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has River Oaks Care Center been fined?
Yes. CMS lists fines totalling $41K in the period covered.
How does staffing at River Oaks Care Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates River Oaks Care 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 River Oaks Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 8 Aug 2025; the most recent standard health survey was 8 Aug 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.