Nursing homes › Missouri › Autumn Oaks Caring Center
1310 Hovis Street, Mountain Grove, MO 65711 · 4179265128 · 120 certified beds
Per CMS filings, this facility is affiliated with Circle B Enterprises, a group operating 36 facilities in 2 states. Group record: average rating 2.5/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $518,766 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.79 (Missouri median: 3.36). RN hours: 0.60. Weekend total: 3.08. Nursing staff turnover: 56%.
All-time on record: 30 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-20 | 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 | complaint | corrected 2025-12-19 |
| 2025-04-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-05-16 |
| 2025-04-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-05-16 |
| 2025-01-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-02-23 |
| 2025-01-10 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2025-02-23 |
| 2025-01-10 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-02-23 |
| 2025-01-10 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-02-23 |
| 2025-01-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-02-23 |
| 2025-01-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-02-23 |
| 2025-01-10 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2025-02-23 |
| 2025-01-10 | 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 | Health | corrected 2025-02-23 |
| 2025-01-10 | 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 | Health | corrected 2025-02-23 |
| 2023-10-18 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | complaint | corrected 2023-11-30 |
| 2023-06-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Health | corrected 2023-03-25 |
| 2023-06-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-07-17 |
| 2023-06-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | 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. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2023-07-17 |
| 2023-06-02 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-07-17 |
| 2023-06-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-07-17 |
| 2023-06-02 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2023-07-17 |
| 2023-06-02 | Post nurse staffing information every day. | C | Health | corrected 2023-07-17 |
| Date | Type | Amount |
|---|---|---|
| 2025-01-10 | Fine | $48,539 |
| 2025-01-10 | Payment Denial | 8 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/1997 |
| BEDELL, DONALD | Corporate Director | Individual | NOT APPLICABLE | since 10/31/2000 |
| BEAIRD, TODD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEDELL, DONALD | Corporate Officer | Individual | NOT APPLICABLE | since 01/06/1997 |
| BRITTON, KEVIN | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2022 |
| AGH1 LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/02/2016 |
| SOVEREIGN HEALTHCARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/23/2021 |
| BEDELL, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/1997 |
| BEERS, JONATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2022 |
| MILLER, CASSIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/04/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265406. Corrections: data@carerecords.org.