Nursing homes › Missouri › River Oaks Care Center
1001 North Walnut, Steele, MO 63877 · 5736952121 · 90 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 above its group average (2.5/5).
Total nurse staffing: 3.40 (Missouri median: 3.36). RN hours: 0.34. Weekend total: 3.03. Nursing staff turnover: 61%.
All-time on record: 15 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-08 | 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 | Health | corrected 2025-09-22 |
| 2025-08-08 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-09-22 |
| 2025-08-08 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-09-22 |
| 2025-08-08 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-09-22 |
| 2025-08-08 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2025-09-22 |
| 2024-11-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-12-16 |
| 2024-11-20 | Respond appropriately to all alleged violations. | J | complaint | corrected 2024-12-16 |
| 2024-08-16 | 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 | complaint | corrected 2024-10-15 |
| 2024-08-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-10-15 |
| 2024-08-16 | 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 | Health | corrected 2024-10-15 |
| 2024-08-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-10-15 |
| 2024-08-16 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-10-15 |
| 2023-05-04 | 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 | Health | corrected 2023-06-15 |
| 2023-05-04 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-06-15 |
| 2023-05-04 | 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 2023-06-15 |
| Date | Type | Amount |
|---|---|---|
| 2024-11-20 | Fine | $41,389 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CIRCLE B ENTERPRISES HOLDING COMPANY INC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/1996 |
| 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 |
| 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 |
| ARSHAD, ABDULLAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/25/2017 |
| BEDELL, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/1997 |
| SPENCE, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2026 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265210. Corrections: data@carerecords.org.