River Oaks Care Center
Steele, Pemiscot County, Missouri · CCN 265210 · For-profit (Individual) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)
CMS rates River Oaks Care Center 3 of 5 overall as of August 2026. 90 certified beds, 62 residents a day on average. 15 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $41,389.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 3.39814 hours per resident per day |
|---|---|
| Registered nurses | 0.33618 hours per resident per day |
| Weekend total | 3.02891 hours per resident per day |
| Nursing staff turnover | 60.6% (registered nurses 40%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-08 | Honor 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 Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-08 | Create 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 Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-08 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-08 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2025-08-08 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-22 |
| 2024-11-20 complaint survey |
Protect 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 Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-12-16 |
| 2024-11-20 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-12-16 |
| 2024-08-16 complaint survey |
Honor 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 Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-15 |
| 2024-08-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-15 |
| 2024-08-16 | Ensure 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 Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-15 |
| 2024-08-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-15 |
| 2024-08-16 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-15 |
| 2023-05-04 | Honor 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 Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-15 |
| 2023-05-04 | Create 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 Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-15 |
| 2023-05-04 | Ensure 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-20 | Fine | $41,389 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc. Organization | 5% or greater direct ownership interest | 100% | 1996-01-01 |
| Agh1 LLC Organization | adp of the snf | — | 2025-03-25 |
| Dcb Real Estate Partnership Lp Organization | adp of the snf | — | 2025-04-11 |
| Fg LLC Organization | adp of the snf | — | 2016-12-02 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2021-08-16 |
| Mid States Inc. Organization | adp of the snf | — | 2010-11-01 |
| Sovereign Healthcare Group LLC Organization | adp of the snf | — | 2025-04-06 |
| Steele Development Properties LLC Organization | adp of the snf | — | 2010-01-01 |
| Van De Ven LLC Organization | adp of the snf | — | 2000-01-01 |
| Agh1 LLC Organization | operational/managerial control | — | 2016-12-02 |
| Sovereign Healthcare Group LLC Organization | operational/managerial control | — | 2021-04-23 |
| Arshad, Abdullah Individual | adp of the snf | — | 2017-04-25 |
| Beaird, Todd Individual | adp of the snf | — | 2022-01-01 |
| Spence, Elizabeth Individual | adp of the snf | — | 2026-01-02 |
| Bedell, Donald Individual | corporate director | — | 2000-10-31 |
| Beaird, Todd Individual | corporate officer | — | 2022-01-01 |
| Bedell, Donald Individual | corporate officer | — | 1997-01-06 |
| Bedell, Bryan Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-05-12 |
| Arshad, Abdullah Individual | operational/managerial control | — | 2017-04-25 |
| Bedell, Donald Individual | operational/managerial control | — | 1997-01-06 |
| Spence, Elizabeth Individual | operational/managerial control | — | 2026-01-02 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for River Oaks Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pemiscot County.