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D
Poor

RIVER OAKS CARE CENTER

1001 NORTH WALNUT · STEELE, MO 63877

5736952121 · For profit - Individual

90 beds64.3 residents82 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

RIVER OAKS CARE CENTER receives an overall staffing grade of D (Poor). With 3.52 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2771 HPRD, below the recommended 0.75. It is 0.38 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.18% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.2771 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.52hrs/resident/day▼ 0.38
CMS benchmark: 3.48
RN HPRD
0.2771hrs/resident/day▼ 0.41
Recommended: 0.75
Weekend Drop-off
15.18%
3.6777 weekday → 3.1195 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6202hrs/resident/day
Direct care aides
LPN HPRD
0.7005hrs/resident/day
Licensed practical nurses
Consistency
0.3817std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pemiscot County Average-0.36 HPRD
3.88
03.52 HPRD
vs. Missouri State Average+0.04 HPRD
3.48
03.52 HPRD
vs. National Average-0.38 HPRD
3.90
03.52 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
RIVER OAKS CARE CENTER ★
STEELE · This facility
—
D
3.520.2771★★☆☆☆
NHC HEALTHCARE, KENNETT
KENNETT
17 mi
C
3.59640.5067★★★★★
GIDEON CARE CENTER
GIDEON
26 mi
F
3.15340.2059★★★☆☆
NEW MADRID LIVING CENTER
NEW MADRID
38.4 mi
C
3.47120.4032★★★★★
MEMORY LANE OF DEXTER
DEXTER
49 mi
D
3.72370.2818★★☆☆☆
CYPRESS POINT-SKILLED NURSING BY AMERICARE
DEXTER
49.4 mi
B
3.90760.6685★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
18
Total Deficiencies
$41,389
Fines Assessed
Nov 20, 2024Health
2 deficiencies cited· Includes actual harm
▼
Aug 16, 2024Health
5 deficiencies cited
▼
May 4, 2023Health
3 deficiencies cited
▼
Oct 30, 2020Health
8 deficiencies cited
▼

Penalty History

Nov 20, 2024Fine
$41,389
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.