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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E10 | F3 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 5, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 26, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 10, 2025 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Sep 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 5, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 5, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Jan 6, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 6, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Sep 13, 2019 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 13, 2019 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 10, 2025 | Denial of payment for new admissions | — | Mar 20, 2025 · 25 days | 265255|Payment Denial|2025-03-20 |
| Feb 10, 2025 | Civil money penalty (fine) | $83,041 | — | 265255|Fine|90719 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E10 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 5, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2026 | Complaint |
| Aug 5, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2026 |
“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 |
|---|---|---|---|---|---|
| Clinton Exempt Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 23, 2004 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Clinton Exempt Trust | 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 28, 2025 |
| Agh1 LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 2, 2016 |
| 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 | |
| Shady Oaks Healthcare Center 335 Business Route 63, Thayer, MO 65791 CCN 265246 | 120 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Adair Village 1801 North Gaines Drive, Clinton, MO 64735 CCN 265347 | 2.8 km | 120 | Jan 23, 2026 | 483 harm | $51k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265255 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265255 | 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 | 01318 | 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
| Aug 5, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2026 | Complaint |
| Aug 5, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2026 | Complaint |
| Mar 26, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 14, 2025 | Complaint |
| Mar 26, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 14, 2025 | Complaint |
| Feb 10, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Mar 17, 2025 | Complaint |
| Feb 10, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 14, 2025 | Complaint |
| Feb 10, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 14, 2025 | Complaint |
| Feb 10, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 17, 2025 | Complaint |
| Feb 10, 2025 | F-0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 17, 2025 | Complaint |
| Sep 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 20, 2024 | Complaint |
| Sep 5, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 20, 2024 |
| Sep 5, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 20, 2024 |
| Sep 5, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 20, 2024 |
| Sep 5, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2024 |
| Sep 5, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2024 |
| Sep 5, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 20, 2024 |
| Sep 5, 2024 | 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 Oct 20, 2024 |
| Sep 5, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 20, 2024 |
| Sep 5, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2024 |
| Sep 5, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 20, 2024 |
| Jan 6, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 5, 2023 |
| Jan 6, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 5, 2023 |
| Jan 6, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 5, 2023 |
| Jan 6, 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 5, 2023 |
| Jan 6, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 5, 2023 |
| Jan 6, 2023 | F-0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Feb 5, 2023 |
| Sep 13, 2019 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 20, 2019 |
| Sep 13, 2019 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 20, 2019 |
| Sep 13, 2019 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2019 |
| Sep 13, 2019 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2019 |
| Sep 13, 2019 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2019 |
| Sep 13, 2019 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 20, 2019 |
| Sep 13, 2019 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 20, 2019 |
| Sep 13, 2019 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.25 (case-mix index 1.40).
| Apr 23, 2021 |
| Donald Bedell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 23, 2004 |
| Georgann Foster | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 29, 2025 |
| Mark Snell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2001 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 23, 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 |
| Clinton Exempt Trust | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Apr 23, 2004 |
| Agh1 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 25, 2025 |
| Clinton Re LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 12, 2013 |
| 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 | Dec 2, 2016 |
| 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 | Aug 15, 2014 |
| Sovereign Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 6, 2025 |
| Van De Ven LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2000 |
| Todd Beaird | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Georgann Foster | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 29, 2025 |
| Mark Snell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2001 |
| Dec 5, 2025 |
18 |
| — |
| Truman Healthcare & Rehabilitation Center 206 West First Street, Lamar, MO 64759 CCN 265253Abuse icon | 109 | May 6, 2026 | 64 | — |
| Heart of the Ozarks Healthcare Center 2004 Crestview Street, Ava, MO 65608 CCN 265254 | 120 | Mar 25, 2025 | 27 | — |
| 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 | — |