River Oaks Care Center
1001 North Walnut · Steele, MO · 63877 · 5736952121
90 certified beds For profit - Individual Chain: Circle B Enterprises
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 1 · $41,389 |
Inspection citations (15 in the current record)
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Potential for harm · E August 8, 2025
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.
Corrected September 22, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · D August 8, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 22, 2025 · Pharmacy Service
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Potential for harm · D August 8, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 22, 2025 · Infection Control
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Immediate jeopardy · J November 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 20, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 16, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · D August 16, 2024
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.
Corrected October 15, 2024 · Quality of Life and Care
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Potential for harm · D August 16, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 15, 2024 · Pharmacy Service
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Potential for harm · D August 16, 2024
Provide and implement an infection prevention and control program.
Corrected October 15, 2024 · Infection Control
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Potential for harm · D August 16, 2024 · found via complaint
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.
Corrected October 15, 2024 · Resident Rights
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Potential for harm · E May 4, 2023
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.
Corrected June 15, 2023 · Resident Rights
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Potential for harm · D May 4, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 4, 2023
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.
Corrected June 15, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2024 | Fine | $41,389 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265210 · certified since October 31, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.