Total health inspections
2
Missouri average 6.6
Last Health inspection on Dec 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Riverdell Care Center
Nursing Home
Riverdell Care Center
Nursing Home
Riverdell Care Center is a skilled nursing facility located in Boonville, Missouri. It offers specialized therapy services including physical, occupational, and speech therapy. The center provides 24-hour skilled services for both short stays and long-term placements.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85.3%
Residents per day (avg)
50
Occupancy rate
85.3%
Residents per day (avg)
50
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
31% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
36% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Proprietary home
Corporation
Home revenue
$4.2M
Profit
$456.4K
Proprietary home
Corporation
Home revenue
$4,244,523.00
Profit
$456,437.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.8M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265361
Certification type:
Medicare/Medicaid
County:
COOPER
Ownership & operating entity
Riverdell Care Center is administrated by KAYLA WARNER.
Owner name:
BOONVILLE NO 2, INC
Care Services
Accepts Medicaid
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Physical therapy, Occupational therapy, Speech therapy, Dementia care unit, Wound care services, IV therapy, On-site laboratory, Radiology services, Eye exams, Mental health services, Respite care services, Religious services
Religious Services
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
10
-
+42%-2%+18%
Riverdell Care Center
-16%
-12%
+28%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65233-1419
60
No
-
KOCH, ROBERT
85.3%
$4,158,026.00
$1,550,747.00
37.3%
50.30
3.2881
10
-
-16%-12%+28%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
29
2
-2%+5%-67%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
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:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Riverdell Care Center
Type of care:
SNF
AL
Community:
MO 65233-1419
Bed Count:
60
Pets Allowed:
No
Operator:
KOCH, ROBERT
CCN:
265361
Occupancy:
85.3%
Home Revenue:
$4,158,026.00
Payroll Costs:
$1,550,747.00
Payroll %:
37.3%
Avg Residents/Day:
50.30
Overall Rating:
Adj Nurse Hours:
3.2881
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
-16%
-16%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
+28%
+28%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%Places of interest near Riverdell Care Center
0.0 miles from city center
BOONVILLE, MO 65233-1419
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
61
Total Staff
50
Employees
11
Contractors
15,335
Total Hours (Quarter)
20
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 4 | 7.8 | No |
| Licensed Practical Nurse | 10 | 8.7 | No |
| Certified Nursing Assistant | 6 | 8.9 | No |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
46 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
1 staff
7.9hs shift avg
Therapy Services ⓘ
9 staff
5.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.5hs shift avg
Dietary Services ⓘ
1 staff
6.7hs shift avg
Other Services ⓘ
1 staff
7hs shift avg
Contractor Analysis
6.6%
of total hours from contractors
1,020 contractor hours this quarter
Respiratory Therapy Technician: 1
Speech Language Pathologist: 3
Physical Therapy Aide: 1
Physical Therapy Assistant: 2
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Nurse Aide in Training | 23 | 0 | 23 | 4,888 | 91 | 100% | 8.8 |
| Certified Nursing Assistant | 6 | 0 | 6 | 2,809 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 10 | 0 | 10 | 2,382 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,476 | 91 | 100% | 10.1 |
| Registered Nurse | 4 | 0 | 4 | 1,166 | 87 | 96% | 7.8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 472 | 64 | 70% | 7.4 |
| Speech Language Pathologist | 0 | 3 | 3 | 401 | 64 | 70% | 6 |
| Dental Services Staff | 1 | 0 | 1 | 397 | 57 | 63% | 7 |
| Dietitian | 1 | 0 | 1 | 394 | 59 | 65% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 284 | 36 | 40% | 7.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 52 | 32 | 35% | 1.5 |
| Qualified Social Worker | 0 | 1 | 1 | 36 | 24 | 26% | 1.5 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 23 | 4 | 4% | 5.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 5 | 5% | 2.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 1 | 2 | 2% | 0.3 |
Health Inspection History
Inspections
Total health citations
10
Citations per inspection
5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
10 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Dec 13, 2024
Corrected
Nutrition moderate citation
Dec 13, 2024
Corrected
Pharmacy moderate citation
Dec 13, 2024
Corrected
Quality of Care moderate citation
Dec 13, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Part of: AVANT GUARDE HEALTH CARE
Resident Census by Payment Source
46
Total Residents
Medicaid
28
(60.9%)
ⓘ
Private Pay/Other
18
(39.1%)
ⓘ
Specialized Care Beds
20
Total Specialty Beds
33.3%
of Bed Capacity
20
Alzheimer's / Dementia Beds ⓘ
33.3%
Programs & Services
Nurse Aide Training
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.0
28% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.5
62% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
31.9%
Percent of long-stay residents whose need for help with daily activities has increased
31.9%
61% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.6%
Percent of long-stay residents whose ability to move independently worsened
26.6%
29% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.1%
99% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
21% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.4%
Percent of long-stay high risk residents with pressure ulcers
3.4%
32% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.5%
Percent of long-stay residents with a urinary tract infection
0.5%
80% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.8%
Percent of long-stay residents who lose too much weight
4.8%
13% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.2%
Percent of long-stay residents who have depressive symptoms
5.2%
60% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.0%
Percent of long-stay residents who received an antipsychotic medication
23.0%
In line with Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.1%
44% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
49% better than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Riverdell Care Center based on CMS SNF Cost Reports.
Occupancy Rate
85.3%
↑ 8.6pp vs 2022
Net Income
$456,437
↑ ~$114K vs 2022
Total Payroll
$1,849,299
↑ ~$248K vs 2022
Profit Margin
11.0%
↑ 1.1pp vs 2022
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