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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E16 | F3 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Nov 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 10, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 10, 2025 | Health | Health Complaint, Health Standard | 9 | Immediate jeopardy | — | Open → |
| Oct 18, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 2, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 2, 2023 | Health | Health Standard | 14 | Immediate jeopardy | — | Open → |
| Nov 8, 2019 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Nov 8, 2019 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 10, 2025 | Denial of payment for new admissions | — | Feb 15, 2025 · 8 days | 265406|Payment Denial|2025-02-15 |
| Jan 10, 2025 | Civil money penalty (fine) | $48,539 | — | 265406|Fine|90692 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E16 | F3 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Nov 20, 2025 | 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 Dec 19, 2025 | Complaint |
| Apr 4, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 16, 2025 |
“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% | Jan 1, 1997 |
| 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% | Jan 1, 1997 |
| 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 |
|---|---|---|---|---|---|---|
| Kabul Nursing Homes Inc 1000 Main Street, Cabool, MO 65689 CCN 265055 | 13.9 km | 99 | Aug 14, 2025 | 19 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 265406 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 265406 | 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 | 07970 | 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
| Apr 4, 2025 | 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 May 16, 2025 | Complaint |
| Jan 10, 2025 | 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 | J · Immediate jeopardy Isolated | Corrected Feb 23, 2025 | Complaint |
| Jan 10, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 23, 2025 |
| Jan 10, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 23, 2025 |
| Jan 10, 2025 | 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 Feb 23, 2025 |
| Jan 10, 2025 | 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 Feb 23, 2025 |
| Jan 10, 2025 | 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 Feb 23, 2025 |
| Jan 10, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 23, 2025 |
| Jan 10, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 23, 2025 |
| Jan 10, 2025 | 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 23, 2025 |
| Oct 18, 2023 | 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 | E · Potential harm Pattern | Corrected Nov 30, 2023 | Complaint |
| Jun 2, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Mar 25, 2023 |
| Jun 2, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2023 |
| Jun 2, 2023 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | 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 | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | 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 Jul 17, 2023 |
| Jun 2, 2023 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | 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 Jul 17, 2023 |
| Jun 2, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 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 | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 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 Jul 17, 2023 |
| Jun 2, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 17, 2023 |
| Jun 2, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 2, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jul 17, 2023 |
| Nov 8, 2019 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 20, 2019 |
| Nov 8, 2019 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 20, 2019 |
| Nov 8, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 20, 2019 |
| Nov 8, 2019 | 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 Dec 23, 2019 |
| Nov 8, 2019 | 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 | E · Potential harm Pattern | Corrected Dec 23, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.58 (case-mix index 1.40).
| not provided |
| Apr 23, 2021 |
| Donald Bedell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 6, 1997 |
| Jonathan Beers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2022 |
| Cassie Miller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 4, 2025 |
| Donald Bedell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 31, 2000 |
| 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 |
| Kevin Britton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2022 |
| Agh1 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2025 |
| Circle B Enterprises Holding Company Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 1997 |
| 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 |
| 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 |
| Jonathan Beers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2022 |
| Kevin Britton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2022 |
| Cassie Miller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 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 | — |