facebook tracking River Oaks Care Center, Steele MO: CMS Ratings & Inspections
Skip to content
Nursing homes near meNear me

River Oaks Care Center

All states › Missouri › Steele › River Oaks Care Center

1001 North Walnut Steele, MO 63877 · Pemiscot County

(573) 695-2121

Accepts Medicare Accepts Medicaid 90 certified beds For profit

CMS certification number 265210 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is River Oaks Care Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for River Oaks Care Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Missouri average of 2.6. Inspectors issued 15 citations in the last three years. CMS imposed 1 penalty, including $41,389 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.29 hours per resident per day at River Oaks Care Center, about the same as the Missouri median of 3.37 (US median: 3.72). About 0.24 of those hours are from registered nurses. On weekends it falls to 2.89 hours, 12% below its all-week average. 52.9% of nursing staff left within a year (Missouri median 56.8%).

Nursing care per resident per day 3.29 hours
Below the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.24 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.89 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 52.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds90
Residents per day 61 About 68% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1983
Part of a chainCircle B Enterprises
Legal business nameSTEELE NO 1 INC

Paying for care at River Oaks Care Center: Medicare and Medicaid

River Oaks Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 8, 2025 and found 5 deficiencies. In total, inspectors issued 15 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 15 citations at River Oaks Care Center across 4 inspection dates, 3 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 20, 2024 (complaint inspection). The most common areas cited were pharmacy service (3) and quality of life and care (3). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, November 20, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.

August 8, 2025 · 5 citations

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Sep 22, 2025)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Sep 22, 2025)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Sep 22, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Sep 22, 2025)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Sep 22, 2025)

November 20, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection

JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Dec 16, 2024)

JRespond appropriately to all alleged violations.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Dec 16, 2024)

August 16, 2024 · 5 citations · includes complaint inspection

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Oct 15, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Oct 15, 2024)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Oct 15, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Oct 15, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 15, 2024)

May 4, 2023 · 3 citations

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jun 15, 2023)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jun 15, 2023)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 15, 2023)

Questions to ask on a tour of River Oaks Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on November 20, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on November 20, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $41,389 in fines.

DateTypeAmount or length
Nov 20, 2024 Fine $41,389

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 3/5 1/5 3/5
August 2026 3/5 3/5 2/5 3/5
Add this rating badge to your websiteFree. Shows River Oaks Care Center's Medicare star rating and updates itself.

Size and colour

Preview

River Oaks Care Center Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

Location

Hospitals near River Oaks Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 11.1 mi
    Pemiscot Memorial Hospital Hayti
    Emergency room
    Median ER visit 2h 24m for patients treated and sent home
  • 11.5 mi
    Great River Medical Center Blytheville
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 10m for patients treated and sent home
  • 24.4 mi
    Dyersburg Regional Medical Center Dyersburg
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 57m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Southgate Living Center Caruthersville · 11.2 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 94 beds · Medicaid
NHC Healthcare, Kennett Kennett · 17.0 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 170 beds · Medicaid
Heritage Nursing Center - Skilled Nursing by Ameri Kennett · 17.9 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 72 beds · Medicaid
Portageville Health Care Center Portageville · 25.1 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 60 beds · Medicaid
Gideon Care Center Gideon · 26.0 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 72 beds · Medicaid

More nursing homes near River Oaks Care Center ›   All nursing homes in Steele ›

Compare River Oaks Care Center with the 3 closest homes side by side ›

Other Circle B Enterprises nursing homes in Missouri

Affiliation comes from CMS's affiliated-entity data, October 2026. All 36 Circle B Enterprises nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

Compare

https://www.nursinghomesineachstate.com/missouri/steele/river-oaks-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.