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Nursing Homes · Medicare certified

River Oaks Care Center

1001 North Walnut · Steele, MO 63877 · 90 certified beds

(573) 695-2121

NPI 1992737985 (opens in a new tab)

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About River Oaks Care Center

River Oaks Care Center is a nursing home in Steele, Missouri. Its capacity is 90 beds, below the Missouri median of 94 for nursing homes. It is run by a for-profit operator and is part of Circle B Enterprises. It is Medicare certified. Its public inspection record shows 15 citations, the most recent on August 8, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.29 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

1.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (15)

Records from May 2023 to August 2025.

  • August 8, 2025

    Tag F0883

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.

  • August 8, 2025

    Tag F0655

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.

  • August 8, 2025

    Tag 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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.

  • August 8, 2025

    Tag F0699

    Provide care or services that was trauma informed and/or culturally competent.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.

  • August 8, 2025

    Tag F0759

    Ensure medication error rates are not 5 percent or greater.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 22, 2025.

  • November 20, 2024

    Tag F0610

    Respond appropriately to all alleged violations.

    Severity J: isolated, immediate jeopardy. Corrected December 16, 2024.

  • November 20, 2024

    Tag F0600

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity J: isolated, immediate jeopardy. Corrected December 16, 2024.

  • August 16, 2024

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2024.

  • August 16, 2024

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2024.

  • August 16, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2024.

  • August 16, 2024

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2024.

  • August 16, 2024

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2024.

  • May 4, 2023

    Tag 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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 15, 2023.

  • May 4, 2023

    Tag F0655

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 15, 2023.

  • May 4, 2023

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 15, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (1)

Total fines: $41,389

  • November 20, 2024 · Fine

    CMS recorded a civil money penalty of $41,389 against this nursing home on November 20, 2024.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.29 nurse hours per resident per day in Q2 2026, down from 3.35 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Circle B Enterprises, a chain of 36 nursing homes.

Average CMS star ratings across the chain: 2.6 overall, 3.1 for health inspections, 1.9 for staffing, 1.9 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Missouri.

Nursing Homes

Missouri median$6,741/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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River Oaks Care Center in Steele, MO · ElderCareCosts