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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E1 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Jan 21, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 21, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 27, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 27, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Apr 6, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 6, 2023 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E1 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 21, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 2, 2026 | |
| Jan 21, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 2, 2026 | |
| Jan 21, 2026 | F-0690 |
“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 Pamela D Bedell Exempt Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 31, 2000 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Pamela D Bedell Exempt Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 31, 2000 |
| 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 (geocoding footnote 22).
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265363 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265363 | 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 | 06744 | 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 Mar 2, 2026 |
| Jan 21, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Sep 27, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 28, 2024 |
| Sep 27, 2024 | 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 28, 2024 |
| Sep 27, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 28, 2024 |
| Sep 27, 2024 | 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 Oct 28, 2024 |
| Sep 27, 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 | D · Potential harm Isolated | Corrected Oct 28, 2024 |
| Sep 27, 2024 | 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 28, 2024 |
| Sep 27, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 28, 2024 |
| Apr 6, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2023 |
| Apr 6, 2023 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2023 |
| Apr 6, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2023 |
| Apr 6, 2023 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2023 |
| Apr 6, 2023 | 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 May 21, 2023 |
| Apr 6, 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 May 21, 2023 |
| Apr 6, 2023 | 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 May 21, 2023 |
| Apr 6, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2023 |
| Apr 6, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2023 |
| Apr 6, 2023 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2023 |
| Apr 6, 2023 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2023 |
| Apr 6, 2023 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2023 |
| Apr 6, 2023 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 21, 2023 |
| Apr 6, 2023 | 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 May 21, 2023 |
| Apr 6, 2023 | F-0924 | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.92 (case-mix index 1.34).
| Apr 23, 2021 |
| Donald Bedell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 6, 1997 |
| Rodney Rubi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2017 |
| Amanda Scott | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 11, 2025 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2001 |
| Todd Beaird | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 6, 1997 |
| The Pamela D Bedell Exempt Trust | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Oct 31, 2000 |
| Agh1 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 5, 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 |
| Sovereign Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 6, 2025 |
| The Pamela D Bedell Exempt Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 31, 2000 |
| 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 |
| Rodney Rubi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2017 |
| Amanda Scott | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 11, 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 | — |