Nursing Care Index

Shady Oaks Healthcare Center

Thayer, Oregon County, Missouri · CCN 265246 · For-profit (Corporation) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)

CMS rates Shady Oaks Healthcare Center 5 of 5 overall as of August 2026. 120 certified beds, 72 residents a day on average. 13 citations on record from the current inspection cycles; no fines on record.

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★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 3 of 5

Staffing

Total nurse staffing3.17866 hours per resident per day
Registered nurses0.41614 hours per resident per day
Weekend total2.71015 hours per resident per day
Nursing staff turnover54% (registered nurses 16.7%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2025-12-05 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
2026-01-12
2025-12-05 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
2026-01-12
2025-12-05 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
2026-01-12
2024-08-01 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
2024-09-18
2024-08-01 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-18
2024-08-01 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · tag F0801
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-18
2024-08-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-18
2024-08-01 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
2024-09-18
2024-08-01 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-18
2023-01-24 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
2023-02-28
2023-01-24 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-02-28
2023-01-24 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-02-28
2023-01-24 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
2023-02-28

Fines and payment denials

No fines or payment denials on record since 2023.

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.

NameRoleShareSince
The Thayer Exempt Trust Dated 04/23/2004
Organization
5% or greater direct ownership interest100%2004-04-23
Agh1 LLC
Organization
adp of the snf2025-07-11
Dcb Real Estate Partnership Lp
Organization
adp of the snf2013-03-12
Fg LLC
Organization
adp of the snf2020-03-24
Forvis Mazars LLP
Organization
adp of the snf2021-08-16
Mid States Inc.
Organization
adp of the snf2020-03-24
Sovereign Healthcare Group LLC
Organization
adp of the snf2025-04-06
Thayer Re LLC
Organization
adp of the snf2013-03-12
Van De Ven LLC
Organization
adp of the snf2020-03-24
Agh1 LLC
Organization
operational/managerial control2020-03-24
Sovereign Healthcare Group LLC
Organization
operational/managerial control2021-04-23
Allen, Tiffani
Individual
adp of the snf2025-01-28
Beaird, Todd
Individual
adp of the snf2022-01-01
Cochran, Christopher
Individual
adp of the snf2005-01-01
Bedell, Donald
Individual
corporate director2004-06-11
Beaird, Todd
Individual
corporate officer2022-01-01
Bedell, Donald
Individual
corporate officer2004-04-23
Bedell, Bryan
Individual
individual is an owner, partner or trustee of any adp of the snf2025-05-12
Allen, Tiffani
Individual
operational/managerial control2025-01-28
Bedell, Donald
Individual
operational/managerial control2004-04-23
Cochran, Christopher
Individual
operational/managerial control2005-01-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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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 Oregon County.