The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
RIVER OAKS CARE CENTER
STEELE, MO · Medicare-certified · 90 beds
Needs attention
For-profitChain member
2 of 5 overall
River Oaks Care Center in Steele, MO has a 2 out of 5 overall rating, with especially weak staffing at 1 out of 5 and reported nurse staffing below the federal benchmark (3.35 vs 4.1 hours per resident day). It also has a recent federal penalty, $41,389 in fines over the last 24 months, and recent inspection citations involving abuse/neglect protections and resident safety.
Facility ratings
Health inspections
Staffing
3.3531 hrs/resident/day
Quality measures
Last inspection: August 8, 2025Penalties, last 24 months: $41,389recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3531.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.32
- Weekend nursing
- 2.99
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
35.5%27%Improving
Residents with a fall causing major injury
3%1.7%Improving
Residents with pressure ulcers (bedsores)
1.5%3.2%Worsening
Residents with a urinary tract infection
3.2%1.8%Improving
Residents who lost too much weight
11.5%8.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
40.7%14.9%Improving
Residents whose ability to walk got worse
51.9%4.3%Improving
Long-stay residents on antianxiety or sleep medication
50%37.5%Improving
Short-stay residents newly given an antipsychotic
—6.1%—
Residents with a long-term catheter
3.8%1.3%Improving
Residents with new or worsening incontinence
9.6%5.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
100%90.9%Worsening
What the inspectors found
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
The home failed to provide care or services that were trauma-informed and culturally competent. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $41,389 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $41,389 in total fines.
- $41,389
Federal fine
Nov 20, 2024
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of CIRCLE B ENTERPRISES · 36 homes · 2.5 stars avg
- Occupancy
- 64 residents on an average day (71% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.