Nursing HomeInspections

River Oaks Care Center

Nursing home in Steele, MO

Medicare & Medicaid certified3★ overall (CMS)

Call (573) 695-2121Send a messageMap ↗

Public-record details

Address
1001 North Walnut, Steele, MO 63877
Phone
(573) 695-2121
Listed under
For-profit
Medicare CCN
265210
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
90
Average residents per day
62
Ownership
For-profit, individual
Legal business name
Steele No 1 INC
Chain
Circle B Enterprises (36 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 31, 1983
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265210. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 8, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 4, 2023 to Aug 8, 2025): 3 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 8, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 8, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 8, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 8, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 8, 2025Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Nov 20, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Nov 20, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated
Aug 16, 2024Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 16, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 16, 2024Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 16, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 16, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $41,389 in the last three years.

Nov 20, 2024Fine: $41,389

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.40 hours
Registered nurse (RN) time per resident per day
0.34 hours
Nurse aide time per resident per day
2.39 hours
Total nurse staffing on weekends
3.03 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
40%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.