What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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River Oaks Care Center | Missouri | Photos & Videos

Overview of River Oaks Care Center

River Oaks Care Center is a skilled nursing facility in Steele, MO. It provides 24-hour care and rehabilitation services to residents. The facility is committed to meeting the physical, social, emotional, and spiritual needs of its residents.

(573) 695-2121 adm@riveroakscares.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.00/day

Overall rating

1/5

Health Inspection

2/5

Staffing

1/5

Quality Measures

1/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 90

This home usually has availability

Lower occupancy suggests more openings may be available.

75.1%

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for

Long-term daily care Ongoing support needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

14% of new residents, usually for short-term rehab.

Typical stay 3 - 4 months

Private pay

35% of new residents, often for short stays.

Typical stay 21 days

Medicaid

51% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Home revenue

$6.2M

Profit

$434.5K

Proprietary home Corporation

Home revenue

$6,203,119.00

Profit

$434,533.00

Payroll costs

$1.9M

30% of revenue

Other operating costs

$3.9M

Total costs $5.8M

90-bed community

A larger shared setting that may offer more common spaces and organized community services.

About this community

Facility Type

SNF

Additional licensing details

CMS Certification Number: 265210

Certification type: Medicare/Medicaid

County: PEMISCOT

Ownership & operating entity

River Oaks Care Center is administrated by ALEX BOUNDS.

Owner name: STEELE #1, INC

Care Services

Accepts Medicaid

Nursing Services

Rehabilitation Services

Skilled Nursing

Licensed Nurses/CNAs

24-Hour Staffing

Short-Term Rehab

Amenities & Lifestyle

Programs & Activities

Specific Programs

Services, Facility, Resources, Calendar, Careers, Staff, Contact

Dining & Nutrition

Food Description

Nutritious meals provided.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Payment & Funding Options

Medicaid

Compare Nursing Homes around Missouri

Bertrand Nursing And Rehab Center

SNF

Bertrand

CHANCE, DON

78.8%

$5,145,452.00

$2,268,233.00

44.1%

53.70

5/5

3.6515

5/5

3/5

2/5

Advanced Care of St Joseph

SNF

MO 64505-1872

180

NORTH 18TH STREET CONSULTING LLC

57.2%

$5,504,210.00

$2,303,058.00

41.8%

141.10

1/5

2.1152

2/5

1/5

4/5

Amberwood Estates Nursing and Rehabilitation

SNF

MO 63121-1407

115

BERMUDA DRIVE CONSULTING LLC

81.7%

$5,482,532.00

$3,052,207.00

55.7%

79.70

1/5

1.7169

2/5

1/5

2/5

River Oaks Care Center

SNF

MO 63877-1355

PIERCE, DAVID

75.1%

$6,057,674.00

$1,863,496.00

30.8%

63.20

1/5

2.9973

2/5

1/5

Good Shepherd Care Community

Concordia

Bertrand Nursing And Rehab Center

Type of care: SNF AL

Community: Bertrand

Bed Count: 60

Pets Allowed: No

Operator: CHANCE, DON

CCN: 265678

Occupancy: 78.8%

Home Revenue: $5,145,452.00

Payroll Costs: $2,268,233.00

Payroll %: 44.1%

Avg Residents/Day: 53.70

Overall Rating: 5/5

Adj Nurse Hours: 3.6515

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 2/5

Advanced Care of St Joseph

Type of care: SNF AL

Community: MO 64505-1872

Bed Count: 180

Pets Allowed: No

Operator: NORTH 18TH STREET CONSULTING LLC

CCN: 265754

Occupancy: 57.2%

Home Revenue: $5,504,210.00

Payroll Costs: $2,303,058.00

Payroll %: 41.8%

Avg Residents/Day: 141.10

Overall Rating: 1/5

Adj Nurse Hours: 2.1152

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 4/5

Number of Fines: 1

Amberwood Estates Nursing and Rehabilitation

Type of care: SNF AL

Community: MO 63121-1407

Bed Count: 115

Pets Allowed: No

Operator: BERMUDA DRIVE CONSULTING LLC

CCN: 265719

Occupancy: 81.7%

Home Revenue: $5,482,532.00

Payroll Costs: $3,052,207.00

Payroll %: 55.7%

Avg Residents/Day: 79.70

Overall Rating: 1/5

Adj Nurse Hours: 1.7169

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 4

River Oaks Care Center

Type of care: SNF AL

Community: MO 63877-1355

Bed Count: 90

Pets Allowed: No

Operator: PIERCE, DAVID

CCN: 265210

Occupancy: 75.1%

Home Revenue: $6,057,674.00

Payroll Costs: $1,863,496.00

Payroll %: 30.8%

Avg Residents/Day: 63.20

Overall Rating: 1/5

Adj Nurse Hours: 2.9973

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 1/5

Number of Fines: 1

Good Shepherd Care Community

Type of care: AL HC IL MC

Community: Concordia

Pets Allowed: No

STEELE, MO 63877-1355

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Total Staff

Employees

Contractors

20,053

Total Hours (Quarter)

Avg Staff/Day

8.5

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	5	8.5	No
Licensed Practical Nurse	10	9.5	No
Certified Nursing Assistant	28	8.8	No

Staff by Category

Administration

2 staff

8hs shift avg

Nursing Staff

81 staff

8.8hs shift avg

Physicians & Practitioners

1 staff

7.8hs shift avg

Therapy Services

4 staff

6.2hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

3 staff

4.1hs shift avg

Dietary Services

2 staff

7.9hs shift avg

Other Services

1 staff

8hs shift avg

Contractor Analysis

4.1%

of total hours from contractors

823 contractor hours this quarter

Qualified Social Worker: 3 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 2 Medical Director: 1

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	28	0	28	7,966	91	100%	8.8
Licensed Practical Nurse	10	0	10	3,063	91	100%	9.5
Nurse Aide in Training	29	0	29	2,829	90	99%	8.2
Medication Aide/Technician	7	0	7	1,875	91	100%	9.6
Registered Nurse	5	0	5	980	74	81%	8.5
Administrator	1	0	1	520	65	71%	8
Nurse Practitioner	1	0	1	520	67	74%	7.8
Dental Services Staff	1	0	1	480	60	66%	8
RN Director of Nursing	2	0	2	461	54	59%	8.4
Physical Therapy Aide	0	1	1	448	46	51%	9.7
Dietitian	1	0	1	387	49	54%	7.9
Qualified Social Worker	0	3	3	251	60	66%	4.1
Other Dietary Services Staff	1	0	1	150	19	21%	7.9
Respiratory Therapy Technician	0	1	1	68	37	41%	1.8
Occupational Therapy Assistant	0	2	2	33	6	7%	5.5
Medical Director	0	1	1	24	3	3%	8

View All Staffing Data

Total Health inspections 4

39% below Missouri average

Missouri average: 6.6

Last Health inspection on Nov 2024

Total Health citations 18

51% below Missouri average

Missouri average: 36.5

4.5 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 16 citations

Complaint investigations 3 citations

Breakdown of citations

Critical Health citations 2

186% above Missouri average

Missouri average: 0.7

Serious Health citations 0

100% below Missouri average

Missouri average: 1.0

Moderate Health citations 15

Minor Health citations 1

Citations history (last 3 years)

Abuse/Neglect critical citation Nov 20, 2024

Corrected

Abuse/Neglect critical citation Nov 20, 2024

Corrected

Infection Control moderate citation Aug 16, 2024

Corrected

Pharmacy moderate citation Aug 16, 2024

Corrected

Ownership: For-Profit Individual

Resident Census by Payment Source

67 Total Residents

Medicare 2 (3%)

Medicaid 54 (80.6%)

Private Pay/Other 11 (16.4%)

Programs & Services

Residents' Group

Nurse Aide Training

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 11.9

9% worse than Missouri average

Missouri average: 10.9

Functional decline score 17.5

10% better than Missouri average

Missouri average: 19.5

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 19.1%

4% below Missouri average.

Walking Ability Worsened 26.5%

29% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 7.0%

62% below Missouri average.

Falls with Major Injury 3.3%

18% below Missouri average.

High Risk Residents with Pressure Ulcers 2.1%

59% below Missouri average.

Urinary Tract Infection 3.1%

13% above Missouri average.

Depressive Symptoms 0.0%

100% below Missouri average.

Antipsychotic Use 30.6%

39% above Missouri average.

Pneumococcal Vaccine 100.0%

17% above Missouri average.

Influenza Vaccine 96.0%

6% above Missouri average.

Lost Too Much Weight 8.7%

57% above Missouri average.

Short-stay resident measures

Pneumococcal Vaccine 100.0%

50% better than Missouri average

Antipsychotic medication increase 3.5%

56% worse than Missouri average

Total fines amount $41K

This home paid 43% less in fines than the state average.

Missouri average: $73K

Number of Fines 1

This home received 59% fewer fines than the state average.

Missouri average: 2.4

Payment Denials 0

This home had 100% fewer payment denials than the state average.

Missouri average: 0.7

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Nov 20, 2024

$41K

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for River Oaks Care Center based on CMS SNF Cost Reports.

Occupancy Rate 75.1% ↑ 2.9pp vs 2022

Net Income $434,533 ↓ ~$157K vs 2022

Total Payroll $2,410,913 ↑ ~$114K vs 2022

Profit Margin 7.2% ↓ 4.0pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	44.9%	43.3%	44.6%	44.2%	44.1%	51.2%	44.9%	58.0%	59.3%	67.0%	68.9%	72.2%	75.1%
Beds	90	90	90	90	90	90	90	90	90	90	90	90	90
Net Income	$8,567	-$74,896	$6,195	-$97,692	-$76,294	$69,438	$18,082	$258,578	$244,825	$1,331,386	$518,837	$591,344	$434,533
Gross Revenue	$2,802,683	$2,808,483	$2,782,865	$2,637,945	$2,940,014	$3,006,939	$2,454,816	$3,250,975	$3,540,435	$4,169,441	$4,262,612	$5,277,479	$6,057,674
Operating Expenses	$2,381,163	$2,492,290	$2,438,972	$2,500,937	$2,584,548	$2,791,128	$2,405,931	$2,907,330	$3,094,883	$3,978,455	$3,873,145	$4,408,479	$4,440,577
Net Patient Revenue	$2,364,772	$2,397,593	$2,414,389	$2,389,116	$2,495,020	$2,837,293	$2,389,641	$3,138,240	$3,325,776	$4,374,126	$4,211,871	$4,766,751	$4,729,665
Total Payroll	$930,611	$992,654	$1,039,765	$1,081,688	$1,168,779	$1,290,425	$1,267,263	$1,421,310	$1,476,438	$1,748,471	$2,058,155	$2,296,835	$2,410,913
Profit Margin %	0.3%	-2.7%	0.2%	-3.7%	-2.6%	2.3%	0.7%	8.0%	6.9%	31.9%	12.2%	11.2%	7.2%
Medicare %	13.2%	10.6%	8.5%	7.6%	9.9%	9.0%	6.8%	6.4%	6.0%	11.5%	8.0%	9.7%	5.2%
Medicaid %	73.5%	75.6%	76.9%	78.5%	74.0%	74.9%	79.9%	78.1%	83.8%	78.4%	87.1%	87.5%	91.9%
Private %	13.3%	13.8%	14.7%	13.9%	16.2%	16.1%	13.3%	15.4%	10.2%	10.1%	4.8%	2.8%	2.9%
Revenue/Day	$160	$168	$165	$165	$172	$168	$162	$165	$171	$198	$186	$201	$192
Cost/Day	$161	$175	$167	$172	$179	$165	$163	$153	$159	$180	$171	$186	$180
Avg Length of Stay	167.7 days	241.9 days	206.3 days	161.4 days	13.8 days	123.2 days	171.6 days	127.9 days	152.2 days	149.1 days	116.0 days	128.2 days	216.4 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

MO Specifics: Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

General: Age 65+, Missouri resident, in approved facility.

Income Limits: ~$1,215/month (individual).

Asset Limits: $2,000 (individual).

MO Specifics: Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.

Asset Limits: $5,909.25 (individual), $11,818.45 (couple).

MO Specifics: Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).

Asset Limits: Not assessed; need-based.

MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

General: Age 55+, unemployed, low-income, Missouri resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

MO Specifics: Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

MO Specifics: High veteran demand in rural/urban areas.

River Oaks Care Center

River Oaks Care Center is a Nursing Home in Missouri

River Oaks Care Center is a Nursing Home in Missouri

River Oaks Care Center

River Oaks Care Center is a Nursing Home in Missouri

River Oaks Care Center is a Nursing Home in Missouri

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly long-term care residents

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Access & Eligibility

Payment & Funding Options

Compare Nursing Homes around Missouri

Places of interest near River Oaks Care Center

Calculate Travel Distance to River Oaks Care Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Missouri Seniors

Aged and Disabled Waiver

Missouri Supplemental Nursing Care (SNC)

Structured Family Caregiving Waiver (SFCW)

MO HealthNet Aged, Blind, and Disabled (ABD)

Medicare Savings Program (MSP)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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