Home›Browse›Missouri›Van Buren›Riverways Manor

Nursing homeFAID #7077

Riverways Manor

403 WATERCRESS ROAD, BOX 969, VAN BUREN, MO, 63965

(573) 323-4282

60 licensed beds

CMS rates Riverways Manor 5 out of 5 overall. Federal inspectors issued 26 citations across 6 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

403 Watercress Road, Box 969

Van Buren, MO 63965

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Public record summary

What we can show you for free.

Bed capacity

State license

052925

CMS facility ID

265363

Care type

Nursing home

Facility name

Riverways Manor

Street address

403 WATERCRESS ROAD, BOX 969

City / state / ZIP

Van Buren, MO 63965

Phone

(573) 323-4282

State license #

052925

About this facility — Riverways Manor

Riverways Manor is a Medicare/Medicaid-certified skilled nursing facility in Van Buren, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Van Buren and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Circle B Enterprises, a group of 36 facilities on this site.

Federal inspectors have cited Riverways Manor 26 times across 6 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. 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 November 6, 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

Van Buren #1, Inc

Parent company

Circle B Enterprises

Ownership type

For profit - Individual

Administrator

Amanda Scott

Registered owners & officers

The Pamela D Bedell Exempt Trust

Direct owner · Trustee · Additional disclosable party — 100% stake — since 2000

Agh1 Llc

Operational control · Additional disclosable party — since 2016

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

Fg Llc

Additional disclosable party — since 2016

Forvis Mazars Llp

Additional disclosable party — since 2021

Mid States Inc

Additional disclosable party — since 2010

Rubi, Rodney

Operational control · Additional disclosable party — since 2017

Scott, Amanda

Operational control · Additional disclosable party — since 2025

Sovereign Healthcare Group Llc

Operational control · Additional disclosable party — since 2021

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

1989-04-28

License expires

2027-08-21

CMS overall rating

5 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-21

Nurse staffing

2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$236 per day (≈ $7,170/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

80% Medicaid · 7% Medicare · 13% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

8% below the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds

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 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-01-21Health inspection3 citations

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-03-02

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-03-02

F-0908

D · No harm found

Keep all essential equipment working safely.

Corrected 2026-03-02

2024-09-27Health inspection7 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-28

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-10-28

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-28

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-10-28

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 2024-10-28

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-28

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-28

3 earlier / fire-safety inspections (16 citations)

2023-04-06Health inspection12 citations

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-05-21

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-05-21

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 2023-05-21

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-05-21

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-05-21

F-0638

D · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-05-21

F-0640

D · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-05-21

F-0660

D · No harm found

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-05-21

F-0661

D · No harm found

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-05-21

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 2023-05-21

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-21

F-0924

D · No harm found

Put firmly secured handrails on each side of hallways.

Corrected 2023-05-21

2026-01-21Fire-safety inspection1 citation

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-02

2023-04-06Fire-safety inspection3 citations

K-0223

F · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-05-21

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2023-05-21

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-21

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 265363.

Quality of care & staffing

How it compares in Missouri.

Inspection citations, 3 years

More than 17% of nursing homes in the state

State median: 50

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

2.8

Higher than 17% of nursing homes in the state

State median: 3.4

Nursing staff turnover, annual

58%

Higher than 53% of nursing homes in the state

State median: 57%

Resident outcomes

On 21 federal quality measures, this facility does better than the Missouri average on 11 and worse on 10. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	25.2%	17.4%	13.5%	Worse than state
Lose too much weight	0.0%	5.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.9%	0.7%	Better than state
With a urinary tract infection	0.6%	2.2%	1.5%	Better than state
Have depressive symptoms	5.5%	20.0%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	6.9%	4.0%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	84.0%	93.7%	Better than state
Ability to walk independently worsened	26.6%	15.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	40.3%	25.6%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	90.8%	95.3%	Better than state
With pressure ulcers	10.2%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	27.8%	17.1%	18.3%	Worse than state
Received an antipsychotic medication	42.6%	23.5%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.30	1.98	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.46	2.16	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	95.7%	65.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	2.1%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	75.0%	61.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	39.3%	25.7%	23.4%	Worse than state
Had an outpatient emergency department visit	15.1%	13.4%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0582 2 inspections. Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Verify & compare

Where to check, and what's nearby.

Who to contact in Missouri

Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
File a complaint: 800-392-0210 · Online
Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Poplar Bluff Regional Medical Center, about 33 miles. CMS rating 2 of 5.
Mercy St Francis Hospital, about 39 miles.
St Bernards Five Rivers Medical Center, about 49 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Brent B Tinnin Manor, Ellington, about 17 miles. CMS rating 2 of 5.
Clark's Mountain Nursing Center, Piedmont, about 20 miles. CMS rating 5 of 5.
Current River Rehabilitation & Health Care Center, Doniphan, about 27 miles. CMS rating 1 of 5.
Rock Point Nursing Center, Birch Tree, about 28 miles. CMS rating 3 of 5.
Greenville Health Care Center, Greenville, about 31 miles. CMS rating 3 of 5.

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 26 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

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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 2026-11-06

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