River Oaks Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 10 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (67%)
- High RN turnover (67%)
Bottom 25% in MO · Critically understaffed (RN) · Above average staffing · Worst in CIRCLE B ENTERPRISES chain · $41,389 in fines
What this means for your family
While the therapy department is highly regarded for its skill and compassion, the facility has documented, recurring issues with medication management and communication. If you choose this facility, ensure you have a clear plan for monitoring your loved one's medication schedule and establish a direct line of communication with management to avoid the administrative delays reported by others.
Google Reviews
Google Reviews
10 reviews on Google“River Oaks Care Center receives highly polarized feedback, with some families praising the therapy department and staff attitude, while others report severe failures in medication management and communication. Critical concerns include inconsistent care standards, delayed response times, and serious allegations regarding medical negligence and administrative transparency.”
Quality Themes
Tap a score for detailsStrengths
- Highly skilled and compassionate therapy department
- Staff generally maintain a positive attitude
- Management perceived as supportive by some families
Concerns
- Medication management errors and delays (mentioned by 2 reviewers)
- Poor communication regarding resident health status (mentioned by 2 reviewers)
- Inconsistent care standards across different shifts (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 10 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about your therapy department; could you tell me more about how the therapists work with residents to maintain their mobility?
- 2How does the nursing team ensure that medication is administered accurately and on schedule for every resident?
- 3What is the process for keeping families updated on any changes in a resident's health or daily well-being?
- 4Since we want to ensure consistent care around the clock, how do you manage transitions between day and night shifts to maintain the same standard of care?
- 5What are some of the favorite daily activities or social events that residents look forward to here?
- 6Could you describe the protocol for handling medical emergencies or urgent health changes during the overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“The therapists are not only highly skilled, but genuinely compassionate. They take the time to create individualized treatment plans and clearly explain goals and progress.”
“It lacks professional consistency,in that each 12 hr shift does thinga their own way.. Each shift has a tendency to talk down to the residents,if they let them.”
“They failed to give my mom her medicine causing her infection to spread threw her body killing her . Then tried and still trying to sweep it under their already dirty rug .”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
9
measures
6
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
River Oaks Care Center has concerning recent complaint patterns, with families reporting abuse/neglect issues and unsafe living conditions in 2024. The facility shows recurring problems across multiple care areas including medication management (cited 3 times), maintaining safe and clean environments (cited 3 times), and care planning deficiencies. While all issues have reported correction dates, the pattern of repeated violations and recent complaint-triggered investigations regarding abuse protection warrants careful consideration during your visit.
Aug 8, 2025Routine5
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nov 20, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Respond appropriately to all alleged violations.
Aug 16, 2024Routine5
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 16, 2024Complaint1
Resident Rights Deficiencies
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.
May 4, 2023Routine6
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service Deficiencies
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.
Federal Penalties
Fine
Nov 20, 2024
$41,389
Ownership & Operations
Who Operates This Facility
River Oaks Care Center
for profit
Chain Affiliation
Circle B Enterprises
36 facilities nationwide
Chain avg rating: 2.3/5 · Rank 22 of 29 (Worst)
Ownership & Management
Owners
Circle B Enterprises Holding Company INC
Owner · Organization
Bedell, Bryan
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit riveroakscares.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.