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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E2 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 5, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Aug 1, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 1, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jan 24, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 24, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D12 | E2 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 5, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 12, 2026 | |
| Dec 5, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 12, 2026 | |
| Dec 5, 2025 | F-0761 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
36 facilities in 2 states. CMS chain ID 145.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Thayer Exempt Trust Dated 04/23/2004 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 23, 2004 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Thayer Exempt Trust Dated 04/23/2004 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 23, 2004 |
| Bryan Bedell | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 12, 2025 |
| Agh1 LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 24, 2020 |
| Sovereign Healthcare Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| River Oaks Care Center 1001 North Walnut, Steele, MO 63877 CCN 265210 | 90 | Aug 8, 2025 | 192 IJ | $41k | |
| Truman Healthcare & Rehabilitation Center 206 West First Street, Lamar, MO 64759 CCN 265253Abuse icon |
Coordinates as published by CMS (geocoding footnote 22).
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265246 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265246 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Missouri DHSS Long-Term Care Directory MO | 01364 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 4, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| D · Potential harm Isolated |
| Corrected Jan 12, 2026 |
| Dec 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 12, 2026 |
| Aug 1, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 18, 2024 |
| Aug 1, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 18, 2024 |
| Aug 1, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 18, 2024 |
| Aug 1, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2024 |
| Aug 1, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 18, 2024 |
| Aug 1, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 18, 2024 |
| Aug 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 18, 2024 |
| Aug 1, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 18, 2024 |
| Jan 24, 2023 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 28, 2023 |
| Jan 24, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 28, 2023 |
| Jan 24, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2023 |
| Jan 24, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2023 |
| Jan 24, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.66 (case-mix index 1.55).
| not provided |
| Apr 23, 2021 |
| Tiffani Allen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 28, 2025 |
| Donald Bedell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 23, 2004 |
| Christopher Cochran | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2005 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 11, 2004 |
| Todd Beaird | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 23, 2004 |
| Agh1 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2025 |
| Dcb Real Estate Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2013 |
| Fg LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 24, 2020 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 16, 2021 |
| Mid States Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 24, 2020 |
| Sovereign Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 6, 2025 |
| Thayer Re LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2013 |
| Van De Ven LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 24, 2020 |
| Tiffani Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 28, 2025 |
| Todd Beaird | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Christopher Cochran | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2005 |
| 109 |
| May 6, 2026 |
64 |
| — |
| Heart of the Ozarks Healthcare Center 2004 Crestview Street, Ava, MO 65608 CCN 265254 | 120 | Mar 25, 2025 | 27 | — |
| Clinton Healthcare and Rehabilitation Center 1009 East Ohio, Clinton, MO 64735 CCN 265255Abuse icon | 120 | Aug 5, 2026 | 371 IJ | $83k |
| Adair Village 1801 North Gaines Drive, Clinton, MO 64735 CCN 265347 | 120 | Jan 23, 2026 | 483 harm | $51k |
| Quail Run Health Care Center 1405 West Grand Ave, Cameron, MO 64429 CCN 265353 | 84 | Mar 27, 2026 | 54 | — |
| Valley Manor and Rehabilitation Center 1410 Hospital Drive, Excelsior Springs, MO 64024 CCN 265356 | 120 | Aug 4, 2026 | 65 | — |
| Riverdell Care Center 1121 11th Street, Boonville, MO 65233 CCN 265361 | 60 | May 29, 2026 | 14 | — |