Riverview Nursing Center
10303 State Road C, Mokane, MO 65059 · Callaway County · 60 certified beds · avg 39 residents/day · certified since Aug 15, 1990
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: ★★★★★5/5 · CMS overall rating: 4/5
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 (12)
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 |
|---|---|---|
| May 21, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| May 21, 2025 | E · Potential for harm, repeated | 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. |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jan 27, 2023 | 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. |
| Jan 27, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jan 27, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 27, 2023 | 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. |
| Jan 27, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 27, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. |
| Jan 27, 2023 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jan 27, 2023 | 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. |
| Jan 27, 2023 | C · Minimal risk, facility-wide | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 1 | 0 | D |
| 2025 | 2 | 0 | E |
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) | 3.42 | 3.66 | 3.95 | bottom 42% in Missouri; bottom 33% in the U.S. |
| Registered Nurse hours | 0.61 | 0.49 | 0.69 | top 21% in Missouri; top 46% in the U.S. |
| Weekend total nurse staffing | 2.64 | 3.22 | 3.50 | bottom 25% in Missouri; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.33 | 0.48 | top 34% in Missouri; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 64.3 | 56.0 | 45.8 | bottom 28% in Missouri; bottom 11% 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 3.25, RN 0.58, weekend 2.51. Staffing rating: 2/5.
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% | 01/01/1996 |
| 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 | 01/01/1996 |
| Bedell, Donald | Individual | Corporate Officer | NOT APPLICABLE | 01/01/1996 |
| Bedell, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/1996 |
| Cross, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/21/2023 |
| Cross, Joshua | Individual | ADP of the SNF | NOT APPLICABLE | 08/21/2023 |
| DCB Real Estate Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2010 |
| Dudenhoeffer, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2023 |
| Dudenhoeffer, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2023 |
| 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 |
| Mid States INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2010 |
| Mokane Real Estate LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2010 |
| 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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How are residents' personal funds handled here, and what records can families review?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
- "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 |
|---|---|---|---|---|---|
| Kingdom Care Senior Living | 12.3 mi | Fulton, MO | ★★★★☆ | 3/5 | |
| Fulton Nursing & Rehab | 12.8 mi | Fulton, MO | ★★☆☆☆ | 2/5 | |
| Fulton Manor Care Center | 13.3 mi | Fulton, MO | ★☆☆☆☆ | 1/5 | abuse |
| Heisinger Bluffs Rehab and Healthcare Center | 17.6 mi | Jefferson City, MO | ★★★★☆ | 4/5 | |
| Heisinger Bluffs Healthcare Western Campus | 17.8 mi | Jefferson City, MO | ★★★★★ | 5/5 | |
| Stonebridge Westphalia | 17.8 mi | Westphalia, MO | ★★★☆☆ | 3/5 | |
| Stonebridge Adams Street | 17.9 mi | Jefferson City, MO | ★★☆☆☆ | 2/5 | |
| Stonebridge Villa Marie | 18.3 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| Capitol River Wellness & Rehabilitation | 18.6 mi | Jefferson City, MO | ★★☆☆☆ | 3/5 | |
| Jefferson City Manor Care Center | 19.7 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| River City Living Community | 19.9 mi | Jefferson City, MO | ★☆☆☆☆ | 1/5 | |
| Stonebridge Oak Tree | 20.0 mi | Jefferson City, MO | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265434.