Nursing home
River Oaks Care Center
1001 North Walnut, Steele, MO 63877 · Map
For profit - Individual · Part of Circle B Enterprises (29 facilities) · 90 certified beds
River Oaks Care Center is a Medicare-certified nursing home in Steele, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.52 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Aug 8, 2025 cited 5 deficiencies.
- 1 fine totaling $41,389In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How River Oaks Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.52 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.54 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 66.7% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 8, 2025 inspection was corrected by September 22, 2025
Penalties in CMS records: 1 fine totaling $41,389, 1 total penalty.
What inspectors found at River Oaks Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Aug 8, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
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 · Aug 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 20, 2024 · Full report (PDF) - Immediate jeopardy
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 · Nov 20, 2024 · Full report (PDF) - Potential for harm
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 · Aug 16, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 16, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 16, 2024 · Full report (PDF) - Potential for harm
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 · Aug 16, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 16, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1001 North Walnut
Steele, MO 63877 - CMS certification #
- 265210
- Ownership
- For profit - Individual
- Certified beds
- 90
- Avg residents/day
- 64.3
- Provider type
- Medicare and Medicaid
- First certified
- 1983-10-31
- Chain
- Circle B Enterprises (29 facilities)
- Setting
- Rural
Part of Circle B Enterprises
Circle B Enterprises operates 29 nursing facilities across the United States. View all Circle B Enterprises facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around River Oaks Care Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation, pets allowed
- Staff pay 1 federal wage case with violations found, since 2023
Full public records, with dates and sources
Care and services
From the community’s website
What River Oaks Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice
(page, checked Oct 15, 2026) - Provides transportation.
Transportation accommodations by facility van or necessary transport services
(page, checked Oct 15, 2026) - Pets allowed.
Pet friendly
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 1, 2023 to Jan 31, 2025. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: River Oaks Care Center (Steele #1, Inc). Case 2000161.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Pemiscot County Memorial Hospital, Hayti. 11.1 miles away, straight line.
- Nearest Medicare nursing home
- Southgate Living Center, Caruthersville. 11.2 miles away, straight line.
- Nearest home health agency office
- Home Health Professionals, Inc, Steele. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 11.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63877 as rural (rural area).
- Dialysis within 15 miles
- Bma Blytheville, Blytheville, 11.2 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 63877.
Vna Hospice, office in Kennett, 16.4 miles away, straight line
Legacy Hospice, LLC, office in Kennett, 16.9 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Cogent Healthcare Of Tennessee, PC, Dyersburg. 24.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective September 5, 1979), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado very high, heat wave relatively high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is River Oaks Care Center a good nursing home?
CMS gives River Oaks Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is River Oaks Care Center staffed?
River Oaks Care Center reports 3.52 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has River Oaks Care Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does River Oaks Care Center have?
River Oaks Care Center is certified for 90 beds.