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Nursing homeFAID #7014

River Oaks Care Center

1001 NORTH WALNUT, STEELE, MO, 63877
(573) 695-2121
90 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
90
State license
052598
CMS facility ID
265210
Care type
Nursing home
Facility name
River Oaks Care Center
Street address
1001 NORTH WALNUT
City / state / ZIP
Steele, MO 63877
Phone
(573) 695-2121
State license #
052598

About this facility — River Oaks Care Center

River Oaks Care Center is a Medicare/Medicaid-certified skilled nursing facility in Steele, Missouri. It is licensed for 90 beds — close to the median for skilled nursing facilities in Missouri (97 beds).

It is one of 1 senior care facility in Steele and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited River Oaks Care Center 19 times across 8 inspections in the last three years, and CMS has imposed $41,389 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Steele #1, Inc
Parent company
Circle B Enterprises
Ownership type
For profit - Individual
Administrator
Lisa Kelley

Registered owners & officers

Circle B Enterprises Holding Company Inc
Direct owner — 100% stake — since 1996
Agh1 Llc
Operational control · Additional disclosable party — since 2016
Arshad, Abdullah
Operational control · Additional disclosable party — since 2017
Beaird, Todd
Officer · Additional disclosable party — since 2022
Bedell, Bryan
Owner of a disclosable party — since 2025
Bedell, Donald
Director · Officer · Operational control — since 1997
Dcb Real Estate Partnership Lp
Additional disclosable party — since 2025
Fg Llc
Additional disclosable party — since 2016
Forvis Mazars Llp
Additional disclosable party — since 2021
Mid States Inc
Additional disclosable party — since 2010
Sovereign Healthcare Group Llc
Operational control · Additional disclosable party — since 2021
Spence, Elizabeth
Operational control · Additional disclosable party — since 2026
Steele Development Properties Llc
Additional disclosable party — since 2010
Van De Ven Llc
Additional disclosable party — since 2000

Regulatory standing

Federal court records
12 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1983-10-31
License expires
2027-04-05
CMS overall rating
3 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$41,389 total
Last standard inspection
2025-08-08
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$246 per day (≈ $7,480/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
92% Medicaid · 5% Medicare · 3% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
4% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
90
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-08-08Health inspection5 citations
F-0584
E · No harm found
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.
Corrected 2025-09-22
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-09-22
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-09-22
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-22
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-22
2024-11-20Health inspectionComplaint-triggered2 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-16
F-0610
J · Immediate jeopardyFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-12-16
4 earlier / fire-safety inspections (12 citations)
2024-08-16Health inspectionComplaint-triggered5 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2024-10-15
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-15
F-0693
D · No harm found
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.
Corrected 2024-10-15
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-10-15
2023-05-04Health inspection3 citations
F-0584
E · No harm found
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.
Corrected 2023-06-15
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-06-15
F-0761
D · No harm found
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.
Corrected 2023-06-15
2024-08-16Fire-safety inspection1 citation
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-15
2023-05-04Fire-safety inspection3 citations
K-0281
F · No harm found
Install proper backup exit lighting.
Corrected 2023-06-15
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-06-15
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-15

Federal penalties

2024-11-20Fine$41,389
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265210.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 19 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered