River Oaks Care Center
1001 North Walnut, Steele, MO, 63877
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Circle B Enterprises
- Certified beds
- 90 · avg 64 residents/day
- Total nursing staff turnover
- 68.6% — higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 50% — near the Missouri averageMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $41,389 total
Medicare certification
- CMS Certification Number
- 265210
- Certified beds
- 90 beds · avg 64 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Steele No 1 Inc
- Chain affiliation
- Circle B Enterprises
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Circle b Enterprises chain — 36 facilities across 2 states. Chain-wide average overall rating 2.5 / 5.
Parent entity
Circle b Enterprises Holding Company Inc
Disclosed owners (15 on record)
- Elizabeth Spence
Operational/managerial Control · since 2026
- Dcb Real Estate Partnership lp
Adp of The Snf · since 2025
- Sovereign Healthcare Group Llc
Adp of The Snf · since 2025
- Agh1 Llc
Adp of The Snf · since 2025
- Todd Beaird
Corporate Officer · since 2022
- Forvis Mazars Llp
Adp of The Snf · since 2021
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 15)
- D0883·Aug 8, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0759·Aug 8, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0699·Aug 8, 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- D0655·Aug 8, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E0584·Aug 8, 2025
Resident Rights Deficiencies
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.
- J0610·Nov 20, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- J0600·Nov 20, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0584·Aug 16, 2024Complaint
Resident Rights Deficiencies
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.
Federal penalties
By year
- 20241 fine · $41K
Most recent events
- Nov 20, 2024Fine · $41K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Aug 16, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about River Oaks Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.