Riverview Nursing Center

Nursing Home, Hospice Care & Skilled Nursing · Mokane, MO

CMS overall rating

10303 State Rd C, Mokane, MO 65059-1211 View map

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Riverview Nursing Center accepts Medicaid, Medicare, and private pay.

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Riverview Nursing Center accepts Medicaid, Medicare, and private pay.

Overview of Riverview Nursing Center

Riverview Nursing Center is a 60-bed skilled nursing facility at 10303 State Road C in Mokane, Missouri, operated by Mokane #1, Inc. in Callaway County. Accepted are Medicare, Medicaid, and private pay, with most residents on long-term stays averaging 142 days.

CMS rates the facility 4 stars, 52.1 percent above Missouri average, with health inspection performance running 72.4 percent above state average. Across 5 inspections since 2023, the facility recorded 13 total citations, all low severity, no critical or serious findings, with no fines and no payment denials. Nurse hours run 3h 25m per resident per day, 10 percent below Missouri average, and are the primary factor behind the staffing sub-rating offset. The facility typically has availability at 62 percent occupancy, modestly below Missouri’s 66.6 percent average.

Respite care is available alongside long-term skilled nursing. An active resident council and on-site nurse aide training exist. Confirmed on-site clinical services include physical, occupational, and speech therapy; wound care; podiatry; psychiatric services; and laboratory.

The facility is well-suited for long-term skilled nursing residents in rural Callaway County who want a clean inspection record and broad clinical services.

Facility Direct Line (573) 676-3136 adm@riverviewnursing.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 25m per day

vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +92% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	31m per day	▲ 12% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	32m per day	▼ 21% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 14m per day	▼ 3% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 30m per day	▼ 18% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	4m per day	▲ 92% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	25m per day	▲ 24% State avg: 20m per day · National avg: 28m per day

Capacity and availability

142 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 16 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

BBB Rating: A- (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

62%

Lower than the Missouri average: 66.6%

Occupied beds

37 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceJune 1, 2025

ExpirationMay 31, 2027

CountyCallaway

License Number052745

CMS Certification Number265434

Certification TypeMedicare / Medicaid

Riverview Nursing Center is legally operated by Mokane #1, Inc., and administered by Josh Cross.

Corporate EntityMOKANE #1, INC

Owner NameMokane #1, Inc

Skilled Nursing Facility

60 units

Total beds

60 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Long-Term

Short-Term

Pets not allowed

Comfortable And Homelike Rooms

Transportation Services

Since 2018 · 8 years of data 143 deficiencies 15 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection May 21, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	143	35	This facility has 309% more total deficiencies than a typical Missouri assisted living residence (143 vs. MO avg 35).↑ 309% worse
Deficiencies per year Average deficiencies per year since 2018.	17.9	4.4	This facility has 307% more deficiencies per year than a typical Missouri assisted living residence (17.9 vs. MO avg 4.4).↑ 307% worse
Deficiencies per inspection Average deficiencies per inspection.	9.5	2.9	This facility has 228% more deficiencies per inspection than a typical Missouri assisted living residence (9.5 vs. MO avg 2.9).↑ 228% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	15	12	This facility has had 25% more total inspections than the Missouri average (15 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

April 4, 2024 annual inspection found no health deficiencies and no complaints substantiated.
May 21, 2025 inspection found 2 deficiencies including commingling of 13 residents' funds and unsafe medication storage with expired insulin and loose pills.
January 27, 2023 routine inspection found 9 deficiencies including financial mismanagement, unsafe environment, infection control failures, incomplete staff training, and inadequate food service.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on May 2025

Total health citations

State average N/A

Citations per inspection

3.25

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 13 citations resulted from standard inspections; and 2 of 13 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

12 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 3 years)

Pharmacy moderate citation May 21, 2025

Corrected

Resident Rights moderate citation May 21, 2025

Corrected

Abuse/Neglect moderate citation Mar 13, 2024

Corrected

Care Planning moderate citation Jul 13, 2023

Corrected

Total staff 57

Employees 51

Contractors 6

Staff to resident ratio 1.54 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18

Average shift 7.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,109

Nursing staff breakdown

8.3 hours

8.7 hours

8.6 hours

Contractor staffing

394 contractor hours this quarter

Medical Director: 1 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Physical Therapy Aide: 1

Staff by category


Certified Nursing Assistant	9	0	9	3,097	91	99%	8.6
Nurse Aide in Training	13	0	13	2,944	92	100%	8.8
Licensed Practical Nurse	8	0	8	1,906	88	96%	8.7
Medication Aide/Technician	7	0	7	1,899	92	100%	7.9
Registered Nurse	5	0	5	1,352	92	100%	8.3
Administrator	1	0	1	528	66	72%	8
Nurse Practitioner	1	0	1	488	62	67%	7.9
Other Dietary Services Staff	4	0	4	429	42	46%	8.2
Respiratory Therapy Technician	0	1	1	227	78	85%	2.9
Physical Therapy Aide	0	1	1	93	21	23%	4.4
Dental Services Staff	1	0	1	30	4	4%	7.4
Dietitian	1	0	1	28	4	4%	7
Medical Director	0	1	1	24	3	3%	8
Physical Therapy Assistant	0	1	1	18	16	17%	1.1
Occupational Therapy Aide	0	1	1	17	3	3%	5.8
Occupational Therapy Assistant	0	1	1	15	3	3%	5
Clinical Nurse Specialist	1	0	1	14	2	2%	7.2

9 Certified Nursing Assistant

% of Days 99%

13 Nurse Aide in Training

% of Days 100%

8 Licensed Practical Nurse

% of Days 96%

7 Medication Aide/Technician

% of Days 100%

5 Registered Nurse

% of Days 100%

1 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 67%

4 Other Dietary Services Staff

% of Days 46%

1 Respiratory Therapy Technician

% of Days 85%

1 Physical Therapy Aide

% of Days 23%

1 Dental Services Staff

% of Days 4%

1 Dietitian

% of Days 4%

1 Medical Director

% of Days 3%

1 Physical Therapy Assistant

% of Days 17%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

1 Clinical Nurse Specialist

% of Days 2%

View All Staffing Data

Total fines amount $10K

86% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $10K

State average $73K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 14.2

30% worse than State average

State average: 10.9

Functional decline score 21.0

8% worse than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 21.8%

10% worse than State average

State average: 19.8%

Walking Ability Worsened 26.2%

27% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 14.8%

18% better than State average

State average: 18.1%

Falls with Major Injury 2.7%

33% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 16.2%

222% worse than State average

State average: 5.0%

Urinary Tract Infection 6.1%

125% worse than State average

State average: 2.7%

Lost Too Much Weight 3.9%

30% better than State average

State average: 5.6%

Depressive Symptoms 52.3%

307% worse than State average

State average: 12.8%

Antipsychotic Use 48.7%

121% worse than State average

State average: 22.0%

Pneumococcal Vaccine 89.8%

5% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Short-stay resident measures

Pneumococcal Vaccine 53.0%

20% worse than State average

State average: 66.6%

Influenza Vaccine 50.0%

21% worse than State average

State average: 63.5%

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

32% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

50% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Total residents 37

Medicare

8.1% of residents

Medicaid

21.6% of residents

Private pay or other

70.3% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Riverview Nursing Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 56.2% ↓ 4.8pp vs 2022

Net Patient Income -$353.6K ↓ ~$96.8K vs 2022

Payroll Costs $1.5M ↑ ~$118.1K vs 2022

Operating Margin -13.5% ↓ 3.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	52.5%	60.8%	65.7%	56.8%	54.9%	65.1%	70.0%	65.2%	65.3%	53.6%	57.6%	61.0%	56.2%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	-$161,505	-$55,604	-$14,065	-$128,601	-$50,354	$1,204	$22,492	-$121,816	-$194,712	$103,717	-$255,846	-$223,294	-$349,381
Gross Revenue	$1,959,546	$2,243,085	$2,726,643	$2,456,676	$2,318,502	$2,833,500	$2,993,716	$2,750,317	$2,712,568	$2,236,717	$2,595,010	$2,692,762	$2,376,361
Operating Expenses	$2,004,227	$2,201,857	$2,468,034	$2,251,142	$2,103,479	$2,493,673	$2,601,338	$2,536,844	$2,665,262	$2,693,280	$2,589,667	$2,776,873	$2,974,330
Net Patient Income	-$176,571	-$76,124	-$15,681	-$138,320	-$59,392	-$13,461	$10,560	-$139,624	-$188,863	-$616,073	-$321,003	-$256,845	-$353,637
Net Patient Revenue	$1,827,656	$2,125,733	$2,452,353	$2,112,822	$2,044,087	$2,480,212	$2,611,898	$2,397,220	$2,476,399	$2,077,207	$2,268,664	$2,520,028	$2,620,693
Payroll Costs	$996,102	$1,030,530	$1,183,720	$1,110,852	$1,124,329	$1,321,776	$1,426,910	$1,339,301	$1,433,346	$1,416,954	$1,253,364	$1,404,090	$1,522,211
Operating Margin %	-9.7%	-3.6%	-0.6%	-6.6%	-2.9%	-0.5%	0.4%	-5.8%	-7.6%	-29.7%	-14.2%	-10.2%	-13.5%
Medicare %	10.8%	7.1%	9.4%	3.9%	4.5%	5.1%	4.0%	2.3%	2.5%	1.9%	2.2%	5.1%	4.1%
Medicaid %	76.5%	72.9%	77.3%	80.2%	84.9%	82.8%	86.7%	88.8%	87.3%	80.3%	83.5%	84.0%	81.7%
Private %	12.7%	19.9%	13.2%	15.8%	10.5%	12.1%	9.2%	8.9%	10.2%	17.8%	14.2%	10.9%	14.3%
Net Patient Revenue/Day	$159	$159	$171	$170	$170	$173	$170	$168	$173	$176	$180	$189	$213
Cost/Day	$174	$165	$172	$181	$175	$174	$170	$178	$186	$229	$205	$208	$242
Avg Length of Stay	302.8 days	317.6 days	202.6 days	303.5 days	19.1 days	216.7 days	243.5 days	332.1 days	274.9 days	230.9 days	206.6 days	190.9 days	141.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$2.6M

Net patient income

-$353.6K

For-profit Individual

Net patient revenue

$2.6M

Net patient income

-$353.6K

Other income

$4.3K

Payroll costs

$1.5M 58.1% of net patient revenue

Other operating costs

$1.5M

Total costs

$3.0M

TYPE OF STAY

Mostly long-term care residents

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

Most new residents arrive under Medicaid (50% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Coverage residents most often arrive under.

Medicare 18%

Private pay 32%

Medicaid 50%

Coverage residents most often leave under.

Medicare 10%

Private pay 30%

Medicaid 60%

0.0 miles from city center Estimated distance in miles from Mokane's city center to Riverview Nursing Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Riverview Nursing Center	NH HOS SNF	C Mokane	-	60	A-	16	-

Nursing Home Explorer

Who is the owner of Riverview Nursing Center?

Riverview Nursing Center is legally operated by Mokane #1, Inc., and administered by Josh Cross.

Is Riverview Nursing Center in a walkable area?

Riverview Nursing Center has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Riverview Nursing Center?

According to MO state health department records, Riverview Nursing Center's license number is 052745.

When does Riverview Nursing Center's license expire?

According to MO state health department records, Riverview Nursing Center's license expires on May 31, 2027.

What is the occupancy rate at Riverview Nursing Center?

Riverview Nursing Center's occupancy is 62%.

Are pets allowed at Riverview Nursing Center?

No, Riverview Nursing Center has a no-pet policy.

Does Riverview Nursing Center operate as a for-profit or non-profit?

Riverview Nursing Center is registered as a for-profit in MO.

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Riverview Nursing Center

Overview of Riverview Nursing Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Riverview Nursing Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

9 Certified Nursing Assistant

13 Nurse Aide in Training

8 Licensed Practical Nurse

7 Medication Aide/Technician

5 Registered Nurse

1 Administrator

1 Nurse Practitioner

4 Other Dietary Services Staff

1 Respiratory Therapy Technician

1 Physical Therapy Aide

1 Dental Services Staff

1 Dietitian

1 Medical Director

1 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Clinical Nurse Specialist

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Riverview Nursing Center

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