Missouri › Oregon County › Thayer
Shady Oaks Healthcare Center
335 Business Route 63, Thayer, MO 65791
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 120 beds, Shady Oaks Healthcare Center serves Thayer in Oregon County, Missouri and has taken Medicare and Medicaid residents since 1984.
CMS gives it 5 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 5, staffing 2 and quality measures 3.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (3, 6, 4 by cycle, most recent first), none at the actual-harm level. That is 10.8 per 100 beds, fewer than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Missouri median of 3.4; nursing staff turnover is 54.0%.
Compared with county, state and nation
| Measure | This facility | Oregon Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 2 | 3.0 |
| Health citations, 3 cycles | 13 | 13 | 31 | 28.7 |
| Citations per 100 beds | 10.8 | 10.8 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 54.0% | 54.0% | 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: 5 Dec 2025, 1 Aug 2024.
Severity mix: D ×12 E ×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 |
|---|---|---|---|---|---|
| 5 Dec 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 12 Jan 2026 |
| 5 Dec 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 | 12 Jan 2026 |
| 5 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jan 2026 |
| 1 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 | Standard survey | 18 Sep 2024 |
| 1 Aug 2024 | 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 | 18 Sep 2024 |
| 1 Aug 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 18 Sep 2024 |
| 1 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 18 Sep 2024 |
| 1 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 18 Sep 2024 |
| 1 Aug 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 18 Sep 2024 |
| 24 Jan 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 | 28 Feb 2023 |
| 24 Jan 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Feb 2023 |
| 24 Jan 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Feb 2023 |
| 24 Jan 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 | 28 Feb 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 54.0%, RNs 16.7%; 0 administrators 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 | 27.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 56.4% | 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, corporation. Legal business name: Thayer No 1 Inc. Chain: Circle B Enterprises (36 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Agh1 LLC | Operational/managerial control | NOT APPLICABLE | 03/24/2020 |
| Sovereign Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 04/23/2021 |
| Agh1 LLC | Adp of the snf | NOT APPLICABLE | 07/11/2025 |
| Dcb Real Estate Partnership LP | Adp of the snf | NOT APPLICABLE | 03/12/2013 |
| Fg LLC | Adp of the snf | NOT APPLICABLE | 03/24/2020 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 08/16/2021 |
| Mid States Inc | Adp of the snf | NOT APPLICABLE | 03/24/2020 |
| Sovereign Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 04/06/2025 |
| Thayer Re LLC | Adp of the snf | NOT APPLICABLE | 03/12/2013 |
| Van De Ven LLC | Adp of the snf | NOT APPLICABLE | 03/24/2020 |
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 Shady Oaks Healthcare Center been cited for?
13 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 Shady Oaks Healthcare Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Shady Oaks Healthcare Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Shady Oaks Healthcare Center?
It is part of the Circle B Enterprises chain. Ownership type is for-profit, corporation. 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 Shady Oaks Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 Dec 2025; the most recent standard health survey was 5 Dec 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.