Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E6 | 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 | |
|---|---|---|---|---|---|---|
| May 29, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| May 29, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Dec 13, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 13, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 21, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 21, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E6 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 29, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 1, 2026 | |
| May 29, 2026 | 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 Jul 1, 2026 | |
| May 29, 2026 | F-0677 |
“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 |
|---|---|---|---|---|---|
| Circle B Enterprises Holding Company Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 17, 2002 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Circle B Enterprises Holding Company Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 17, 2002 |
| 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 | 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 |
|---|---|---|---|---|---|---|
| Lakeview Health Care & Rehabilitation Center 1450 Ashley Road, Boonville, MO 65233 CCN 265522 | 3.7 km | 59 | Jul 29, 2026 | 561 harm | $49k | |
| Ashley Manor Health & Rehabilitation 1630 Radio Hill Road, Boonville, MO 65233 CCN 265738 | 4.3 km | 52 | Jan 15, 2025 | 47 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265361 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265361 | 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 | 14428 | 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
| Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care |
| E · Potential harm Pattern |
| Corrected Jul 1, 2026 |
| May 29, 2026 | 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 Jul 1, 2026 |
| May 29, 2026 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 1, 2026 |
| May 29, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 1, 2026 |
| Dec 13, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2025 |
| Dec 13, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2025 |
| Dec 13, 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 Jan 15, 2025 |
| Dec 13, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 15, 2025 |
| Dec 13, 2024 | 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 Jan 15, 2025 |
| Dec 13, 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 | F · Potential harm Widespread | Corrected Jan 15, 2025 |
| Dec 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 15, 2025 |
| Dec 21, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 12, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.05 (case-mix index 1.33).
| not provided |
| Apr 23, 2021 |
| Donald Bedell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 17, 2002 |
| Robert Koch | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 27, 1988 |
| Kayla Warner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 24, 2025 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 17, 2002 |
| Todd Beaird | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 17, 2002 |
| Agh1 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 25, 2025 |
| 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 | Nov 1, 2010 |
| Riverdell Real Estate LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2005 |
| 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 | Dec 1, 2002 |
| Todd Beaird | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Robert Koch | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 27, 1988 |
| Kayla Warner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2025 |
| 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 | — |
| 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 | — |