River Oaks Care Center

How to file a complaint about care →

1 fine totaling $41,389.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.40, RN 0.34, weekend 3.03.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.40 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Individual

Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Circle B Enterprises — 36 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Riverdell Care Center — Boonville, MO · overall 2/5
• Riverview Nursing Center — Mokane, MO · overall 4/5
• Riverways Manor — Van Buren, MO · overall 4/5
• Shady Oaks Healthcare Center — Thayer, MO · overall 5/5
• Sikeston Convalescent Center — Sikeston, MO · overall 3/5
• Southgate Living Center — Caruthersville, MO · overall 4/5
• Truman Healthcare & Rehabilitation Center — Lamar, MO · overall 1/5abuse
• Valley Manor and Rehabilitation Center — Excelsior Springs, MO · overall 1/5

Listed by state, then facility name — not a ranking. Showing 8 of the 35 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
• "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
• "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
• "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
• "How do you learn about each resident's background and history, and how does that shape their care?"
• "What is your current medication error rate, and what have you changed to bring errors down?"
• "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Missouri midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 61% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Steele →