River Oaks Care Center: Staffing, Turnover, and Inspection Record
River Oaks Care Center is a 90-bed for-profit nursing home in Steele, Missouri, part of Circle B Enterprises. In the CMS August 2026 release it reported 2.39 nurse aide hours per resident per day, 5% above the Missouri average of 2.29, and 60.6% nursing staff turnover (Missouri average 56.0%).
River Oaks Care Center
1001 North WalnutSteele, MO 63877
Pemiscot County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At River Oaks Care Center, nurse aides logged 2.39 hours per resident per day, 5% above the Missouri average. With about 62 residents a day, that works out to roughly 147 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.39 | 2.29 | 2.32 |
| Licensed practical nurses | 0.67 | 0.68 | 0.86 |
| Registered nurses | 0.34 | 0.46 | 0.69 |
| All nursing staff | 3.40 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.03 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
60.6% of nursing staff at River Oaks Care Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 40.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 8, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $41,389 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 20, 2024 | Fine | $41,389 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. River Oaks Care Center holds 3 of 5 overall; the Missouri average is 2.5.
About River Oaks Care Center
- Ownership: For profit - Individual
- Chain: Circle B Enterprises, 36 homes
- Legal name: Steele No 1 Inc
- Medicare and Medicaid certified since: Oct 31, 1983
- Councils: resident council
- Area: rural
Nursing homes near River Oaks Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Southgate Living Center Caruthersville | 11.2 | 94 | 2.56 | 3.57 | 50.0% | 4 | $13,397 |
| Heritage Square Healthcare Center Blytheville | 12.3 | 86 | 2.61 | 3.76 | 47.9% | 4 | $7,913 |
| Gosnell Health and Rehab Gosnell | 12.5 | 70 | 2.40 | 3.68 | 53.0% | 3 | $13,627 |
| NHC Healthcare, Kennett Kennett | 17.0 | 170 | 2.60 | 3.58 | 42.0% | 5 | None |
| Heritage Nursing Center - Skilled Nursing by Ameri Kennett | 17.9 | 72 | 2.70 | 3.93 | 40.4% | 4 | None |
| Signature Healthcare of Ridgely Rehab&Wellness Ctr Ridgely | 22.0 | 100 | 2.01 | 3.55 | 39.1% | 3 | None |
| Manila Healthcare Center Manila | 24.2 | 84 | 2.98 | 4.12 | 43.5% | 3 | None |
| Okeena Health and Rehabilitation Center LLC Dyersburg | 24.3 | 130 | 1.96 | 3.46 | 52.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.