River Oaks Care Center has received an F grade based on CMS data, with a score of 21/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Steele facility should carefully review its inspection history and quality metrics.
Staffing at River Oaks Care Center is near the national average, with 3.52 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 15 deficiencies at River Oaks Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.52 | 3.8 | Average |
| Registered Nurses (RN) | 0.28 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.70 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.54 | 2.4 | Average |
| Weekend Total Nursing | 3.12 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dAug 7, 2025 · Resident Rights Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedAug 7, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0699 Severity DProvide care or services that was trauma informed and/or culturally competent.Aug 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0759 Severity DEnsure medication error rates are not 5 percent or greater.Aug 7, 2025 · Pharmacy Service Deficiencies
- Tag 0883 Severity DDevelop and implement policies and procedures for flu and pneumonia vaccinations.Aug 7, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.4% | 4.5% | Better |
| Falls with major injury | 3.0% | 3.0% | Average |
| On antipsychotic medication | 35.3% | 14.5% | Worse |
| Urinary tract infections | 2.8% | 2.5% | Worse |
| ADL decline (daily activities) | 21.5% | 14.0% | Worse |
| Excessive weight loss | 9.0% | 7.5% | Worse |
| New/worsened incontinence | 8.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $41,389
How This Grade Was Calculated
This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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