Missouri › Carter County › Van Buren
Riverways Manor
403 Watercress Road, Box 969, Van Buren, MO 63965
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 60 beds, Riverways Manor serves Van Buren in Carter County, Missouri and has taken Medicare and Medicaid residents since 1989.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 5, staffing 2 and quality measures 1.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (3, 7, 12 by cycle, most recent first), none at the actual-harm level. That is 36.7 per 100 beds, about the same as the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Carter Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 22 | 22 | 31 | 28.7 |
| Citations per 100 beds | 36.7 | 36.7 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 50.0% | 50.0% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (1 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: 21 Jan 2026, 27 Sep 2024.
Severity mix: D ×20 E ×1 F ×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 |
|---|---|---|---|---|---|
| 21 Jan 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 2 Mar 2026 |
| 21 Jan 2026 | 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 | Standard survey | 2 Mar 2026 |
| 21 Jan 2026 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 2 Mar 2026 |
| 27 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Oct 2024 |
| 27 Sep 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 28 Oct 2024 |
| 27 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Oct 2024 |
| 27 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 28 Oct 2024 |
| 27 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Oct 2024 |
| 27 Sep 2024 | 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 | Standard survey | 28 Oct 2024 |
| 27 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Oct 2024 |
| 6 Apr 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 | 21 May 2023 |
| 6 Apr 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 | 21 May 2023 |
| 6 Apr 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 21 May 2023 |
| 6 Apr 2023 | 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 | 21 May 2023 |
| 6 Apr 2023 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 21 May 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 50.0%, RNs 50.0%; 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 | 23.7% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 13.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 41.8% | 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 |
|---|---|---|---|
| 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 | 05/05/2025 |
| 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 |
| 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.
Questions and answers
How many deficiencies has Riverways Manor been cited for?
22 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Riverways Manor been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Riverways Manor compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Riverways Manor?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Agh1 LLC and Sovereign Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Riverways Manor last inspected?
The most recent survey or investigation in the CMS record is dated 21 Jan 2026; the most recent standard health survey was 21 Jan 2026.
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.