Missouri ›Van Buren

Riverways Manor

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403 Watercress Road, Box 969, Van Buren, MO 63965 (opens Google Maps) · Carter County · (573) 323-4282· 60 certified beds · avg 43 residents/day · certified since Apr 28, 1989 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

5/5
Health inspection rating (on-site)
inspected Jan 21, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.36
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. F-0690

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. F-0908

View all 22 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Jan 21, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Sep 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Sep 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Sep 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Sep 27, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Sep 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Sep 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Sep 27, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Apr 6, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 6, 2023E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660
Apr 6, 2023D · Potential for more than minimal harm, isolatedWhen a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Apr 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not have firmly secured handrails on both sides of its hallways. · F-0924

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 12
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023120F
202470D
202630D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.36
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.63
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.85
Missouri average: 3.22
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMissouri avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.363.663.95bottom 39% in Missouri; bottom 29% in the U.S.
Registered Nurse hours0.630.490.69top 18% in Missouri; top 44% in the U.S.
Weekend total nurse staffing2.853.223.50bottom 36% in Missouri; bottom 23% in the U.S.
Weekend RN hours (not acuity-adjusted)0.310.330.48top 40% in Missouri; bottom 34% in the U.S.
Total nursing staff turnover (%)50.056.045.8top 32% in Missouri; bottom 38% in the U.S.
RN turnover (%)50.047.842.9top 46% in Missouri; bottom 39% in the U.S.

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 3.27, RN 0.61, weekend 2.78.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Riverways Manor. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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

Owner / managerTypeRoleStakeSince
The Pamela D Bedell Exempt TrustOrganization5% or Greater Direct Ownership Interest100%10/31/2000
Agh1 LLCOrganizationOperational/Managerial ControlNOT APPLICABLE12/02/2016
Agh1 LLCOrganizationADP of the SNFNOT APPLICABLE05/05/2025
Beaird, ToddIndividualCorporate OfficerNOT APPLICABLE01/01/2022
Beaird, ToddIndividualADP of the SNFNOT APPLICABLE01/01/2022
Bedell, BryanIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE05/12/2025
Bedell, DonaldIndividualCorporate DirectorNOT APPLICABLE01/01/2001
Bedell, DonaldIndividualCorporate OfficerNOT APPLICABLE01/06/1997
Bedell, DonaldIndividualOperational/Managerial ControlNOT APPLICABLE01/06/1997
FG LLCOrganizationADP of the SNFNOT APPLICABLE12/02/2016
Forvis Mazars LLPOrganizationADP of the SNFNOT APPLICABLE08/16/2021
Mid States INCOrganizationADP of the SNFNOT APPLICABLE11/01/2010
Rubi, RodneyIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2017
Rubi, RodneyIndividualADP of the SNFNOT APPLICABLE05/01/2017
Scott, AmandaIndividualOperational/Managerial ControlNOT APPLICABLE09/11/2025
Scott, AmandaIndividualADP of the SNFNOT APPLICABLE09/11/2025
Sovereign Healthcare Group LLCOrganizationOperational/Managerial ControlNOT APPLICABLE04/23/2021
Sovereign Healthcare Group LLCOrganizationADP of the SNFNOT APPLICABLE04/06/2025
The Pamela D Bedell Exempt TrustOrganizationTrustee of the SNFNOT APPLICABLE10/31/2000
The Pamela D Bedell Exempt TrustOrganizationADP of the SNFNOT APPLICABLE10/31/2000

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.

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

  • "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "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 50% 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?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Brent B Tinnin Manor16.7 miEllington, MO★☆☆☆☆3/5

Compare this facility with the 1 closest →

All facilities in Van Buren →

Facility data as of CMS processing date 2026-08-01. CCN 265363.

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