River Oaks Care Center
1001 North Walnut, Steele, MO 63877
River Oaks Care Center is a nursing home in Steele, Missouri. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 2 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (573) 695-2121
- Last standard health inspection
- August 8, 2025 (1 year ago)
- Certified beds
- 90
- Residents per day, on average
- 61.3
- Ownership type
- For profit - Individual
- Legal business name
- Steele No 1 INC
- Chain
- Circle B Enterprises
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Missouri average (15 vs 36).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
5 citations
Health inspection on August 8, 2025
CMS lists this as a standard inspection.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 22, 2025.
CMS has cited this home for F0584 3 times since 2023.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on September 22, 2025.
CMS has cited this home for F0655 2 times since 2023.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on September 22, 2025.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on September 22, 2025.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on September 22, 2025.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of May 28, 2025
Fine
CMS changed the fine from November 20, 2024 from $63,675 to $41,389.
CMS update of March 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
2 citations
Health inspection on November 20, 2024
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
70 of 486 Missouri homes (14%) got a citation at the immediate jeopardy level in 2024.
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on December 16, 2024.
Citation F0610. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on December 16, 2024.
Fine
November 20, 2024 (1 year ago)
CMS fine of $41,389 on November 20, 2024.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
5 citations
Health inspection on August 16, 2024
CMS lists this as a standard inspection and a complaint inspection.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 15, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on October 15, 2024.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 15, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on October 15, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 15, 2024.
1 citation
Fire safety inspection on August 16, 2024
CMS lists this as a standard inspection.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on October 15, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 4 of 5.
3 citations
Health inspection on May 4, 2023
CMS lists this as a standard inspection.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 15, 2023.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on June 15, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 15, 2023.
3 citations
Fire safety inspection on May 4, 2023
CMS lists this as a standard inspection.
Citation K0281. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on June 15, 2023.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on June 15, 2023.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on June 15, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CIRCLE B ENTERPRISES HOLDING COMPANY INC5% or greater direct ownership interest · 100% · since 01/01/1996
- AGH1 LLCOperational/managerial control · not applicable · since 12/02/2016
- SOVEREIGN HEALTHCARE GROUP LLCOperational/managerial control · not applicable · since 04/23/2021
- ARSHAD, ABDULLAHOperational/managerial control · not applicable · since 04/25/2017
- BEDELL, DONALDOperational/managerial control · not applicable · since 01/06/1997
- SPENCE, ELIZABETHOperational/managerial control · not applicable · since 01/02/2026
Questions
When was River Oaks Care Center last inspected?
CMS lists August 8, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does River Oaks Care Center have?
CMS lists 15 health citations since May 4, 2023. CMS also calls these deficiencies.
Has River Oaks Care Center been fined?
CMS lists 1 fine in the past three years, $41,389 in total.
What is the CMS star rating of River Oaks Care Center?
Its CMS overall star rating is 2 of 5.
Is River Oaks Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.