Quick answers
- Where is River Oaks Care Center?
- 1001 North Walnut, Steele, MO 63877, in Pemiscot County, Missouri.
- What is the phone number of River Oaks Care Center?
- (573) 695-2121, as listed by Medicare (CMS).
- What is the Medicare star rating of River Oaks Care Center?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has River Oaks Care Center been fined?
- Medicare lists 1 fine totaling $41,389.
- What did inspectors find at River Oaks Care Center?
- In its last three inspection cycles (May 4, 2023 to August 8, 2025), Medicare lists 15 health citations; the most serious was level J. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 4, 2023 to August 8, 2025), River Oaks Care Center had 15 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $41,389 in total (1 fine, the latest on November 20, 2024). Nurse staffing is 3.29 hours per resident per day; the Missouri average is 3.40 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: August 8, 2025 — 5 health citations
Inspections in this cycle: August 8, 2025 (standard health inspection).
Show 5 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Previous cycle: August 16, 2024 — 7 health citations
Inspections in this cycle: August 16, 2024 (standard health inspection); November 20, 2024 (complaint investigation).
F0600 Level J
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0610 Level J
“Respond appropriately to all alleged violations.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 5 less serious citations (levels A to F)
F0584 Level D
“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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0693 Level D
“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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: May 4, 2023 — 3 health citations
Inspections in this cycle: May 4, 2023 (standard health inspection); August 16, 2024 (complaint investigation).
Show 3 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0761 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (4)
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0281 Level F
“Install proper backup exit lighting.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
Fines and payment denials
Total fines over about the last three years: $41,389 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 20, 2024 | Fine | $41,389 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Missouri | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.24 | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.67 | 0.68 | 0.86 |
| Nurse aide hours per resident per day | 2.37 | 2.26 | 2.35 |
| Total nurse staff hours per resident per day | 3.29 | 3.40 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.89 | 2.96 | 3.43 |
| RN hours per resident per day on the weekend | 0.16 | 0.32 | 0.48 |
| Nursing staff turnover (per year) | 52.9% | 56.9% | 45.3% |
| Administrators who left in the last year | 1.0 | 0.7 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 36 nursing homes: Circle B Enterprises.
Legal business name: Steele No 1 Inc.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | Direct owner | 100% | January 1, 1996 |
| AGH1 LLC | Management company (operational or managerial control) | NOT APPLICABLE | December 2, 2016 |
| Sovereign Healthcare Group LLC | Management company (operational or managerial control) | NOT APPLICABLE | April 23, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 90 |
| Average residents per day | 61.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – individual |
| Group or chain (affiliated entity) | Circle B Enterprises |
| Legal business name | Steele No 1 Inc |
| First approved by Medicare/Medicaid | 1983-10-31 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1001 North Walnut, Steele, MO 63877 |
| County | Pemiscot County |
| State | Missouri |
| Phone | (573) 695‑2121 |
| CMS Certification Number | 265210 |
| Name in Medicare records | RIVER OAKS CARE CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Southgate Living Center11 mi · Caruthersville, MO · 5 of 5 stars
- Heritage Square Healthcare Center12 mi · Blytheville, AR · 4 of 5 stars
- Gosnell Health and Rehab12 mi · Gosnell, AR · 2 of 5 stars
- NHC Healthcare, Kennett17 mi · Kennett, MO · 5 of 5 stars
- Heritage Nursing Center - Skilled Nursing by Ameri18 mi · Kennett, MO · 4 of 5 stars
Nearest hospital emergency rooms
- Great River Medical Center12 mi · Blytheville, AR · Acute Care Hospital
- Dyersburg Regional Medical Center24 mi · Dyersburg, TN · Acute Care Hospital
- South Mississippi County Regional Medical Center28 mi · Osceola, AR · Rural Emergency Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13