Total health inspections
4
Missouri average 6.6
Last Health inspection on Nov 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
River Oaks Care Center
Nursing Home
River Oaks Care Center
Nursing Home
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.
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
90
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75.1%
Residents per day (avg)
63
Occupancy rate
75.1%
Residents per day (avg)
63
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
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
Proprietary home
Corporation
Home revenue
$6.2M
Profit
$434.5K
Proprietary home
Corporation
Home revenue
$6,203,119.00
Profit
$434,533.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
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.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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
Programs & Activities
Specific Programs
Services, Facility, Resources, Calendar, Careers, Staff, Contact
Dining & Nutrition
Food Description
Nutritious meals provided.
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%
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%
River Oaks Care Center
-32%
-20%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63877-1355
90
No
-
PIERCE, DAVID
75.1%
$6,057,674.00
$1,863,496.00
30.8%
63.20
2.9973
1
18
2
-32%-20%+13%
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%
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%
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:
Adj Nurse Hours:
2.9973
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
18
Severe Citations:
2
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
+13%
+13%Places of interest near River Oaks Care Center
0.0 miles from city center
STEELE, MO 63877-1355
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
94
Total Staff
86
Employees
8
Contractors
20,053
Total Hours (Quarter)
26
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 |
Health Inspection History
Inspections
Total health citations
18
Citations per inspection
4.5
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 18 citations resulted from standard inspections; 2 of 18 resulted from complaint investigations; and 1 of 18 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
2 critical citations
0 serious citations
15 moderate citations
1 minor citation
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
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
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
ⓘ
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.
11.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
9% 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.
17.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.5
10% better 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
19.1%
Percent of long-stay residents whose need for help with daily activities has increased
19.1%
In line with Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.5%
Percent of long-stay residents whose ability to move independently worsened
26.5%
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
7.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.0%
62% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
18% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.1%
Percent of long-stay high risk residents with pressure ulcers
2.1%
59% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.1%
Percent of long-stay residents with a urinary tract infection
3.1%
13% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.7%
Percent of long-stay residents who lose too much weight
8.7%
57% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
30.6%
Percent of long-stay residents who received an antipsychotic medication
30.6%
39% worse than 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
96.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
6% 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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
50% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
56% worse than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$41K
43% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$41K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
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