Nursing Homes · Medicare certified
River Oaks Care Center
1001 North Walnut · Steele, MO 63877 · 90 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
12
Inspection history (15)
August 8, 2025 · D
Citation F0655Federal surveyors cited this nursing home on 2025-08-08 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-08.GOVAugust 8, 2025 · D
Citation F0883Federal surveyors cited this nursing home on 2025-08-08 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-08.GOVAugust 8, 2025 · E
Citation F0584Federal surveyors cited this nursing home on 2025-08-08 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-08.GOVAugust 8, 2025 · D
Citation F0699Federal surveyors cited this nursing home on 2025-08-08 under CMS tag F0699 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care or services that was trauma informed and/or culturally competent. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-08.GOVAugust 8, 2025 · D
Citation F0759Federal surveyors cited this nursing home on 2025-08-08 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-09-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-08.GOVNovember 20, 2024 · J
Citation F0600Federal surveyors cited this nursing home on 2024-11-20 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-12-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-20.GOVNovember 20, 2024 · J
Citation F0610Federal surveyors cited this nursing home on 2024-11-20 under CMS tag F0610 (CMS scope/severity J: isolated, immediate jeopardy) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-12-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-20.GOVAugust 16, 2024 · D
Citation F0755Federal surveyors cited this nursing home on 2024-08-16 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-16.GOVAugust 16, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-08-16 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-16.GOVAugust 16, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-08-16 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-16.GOVAugust 16, 2024 · D
Citation F0584Federal surveyors cited this nursing home on 2024-08-16 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-16.GOVAugust 16, 2024 · D
Citation F0693Federal surveyors cited this nursing home on 2024-08-16 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-16.GOVMay 4, 2023 · D
Citation F0761Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · E
Citation F0584Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOVMay 4, 2023 · D
Citation F0655Federal surveyors cited this nursing home on 2023-05-04 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-04.GOV
Penalties
Total fines on file: $41,389
Staffing
Latest: 3.35 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q43.35 hrs/resident/day
- 2026-06-013.35 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Individual
CMS Care Compare chain: Circle B Enterprises
Chain ID 145 · 36 facilities in chain (CMS)
- Chain average overall rating: 2.5
- Chain average health inspection rating: 3.1
- Chain average staffing rating: 2
- Chain average quality measure rating: 1.8
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Circle B Enterprises Holding Company INC
parent · PAC 4183532914
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MO$6,076/moNursing Homes
Median · MO$6,741/moNearby alternatives
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