Riverdell Care Center
1121 11th Street, Boonville, MO 65233 · Cooper County · 60 certified beds · avg 49 residents/day · certified since Mar 29, 1989
Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 13, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 13, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 13, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 13, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 13, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 12, 2022 | F · Potential for harm, facility-wide | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 12, 2022 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 12, 2022 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 12, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 12, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | F |
| 2024 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.10 | 3.66 | 3.95 | bottom 27% in Missouri; bottom 18% in the U.S. |
| Registered Nurse hours | 0.36 | 0.49 | 0.69 | bottom 38% in Missouri; bottom 16% in the U.S. |
| Weekend total nurse staffing | 2.61 | 3.22 | 3.50 | bottom 25% in Missouri; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.33 | 0.48 | bottom 32% in Missouri; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 69.4 | 56.0 | 45.8 | bottom 17% in Missouri; bottom 6% in the U.S. |
| RN turnover (%) | 0.0 | 47.8 | 42.9 | — |
Hours are per resident per day, 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 2.82, RN 0.33, weekend 2.37. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Circle B Enterprises Holding Company INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/17/2002 |
| Agh1 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/02/2016 |
| Agh1 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/25/2025 |
| Beaird, Todd | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Beaird, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Bedell, Bryan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Bedell, Donald | Individual | Corporate Director | NOT APPLICABLE | 07/17/2002 |
| Bedell, Donald | Individual | Corporate Officer | NOT APPLICABLE | 07/17/2002 |
| Bedell, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/17/2002 |
| FG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2021 |
| Koch, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/27/1988 |
| Koch, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 07/27/1988 |
| Mid States INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2010 |
| Riverdell Real Estate LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2005 |
| Sovereign Healthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/23/2021 |
| Sovereign Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/06/2025 |
| Van de Ven LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2002 |
| Warner, Kayla | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/24/2025 |
| Warner, Kayla | Individual | ADP of the SNF | NOT APPLICABLE | 02/25/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lakeview Health Care & Rehabilitation Center | 2.3 mi | Boonville, MO | ★★☆☆☆ | 4/5 | |
| Ashley Manor Health & Rehabilitation | 2.7 mi | Boonville, MO | ★★★★☆ | 4/5 | |
| Katy Manor | 12.0 mi | Pilot Grove, MO | ★★★★★ | 5/5 | |
| Glasgow Gardens | 19.5 mi | Glasgow, MO | ★★★☆☆ | 4/5 | |
| Parkside Manor | 20.0 mi | Columbia, MO | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265361.