Autumn Oaks Caring Center
1310 Hovis Street · Mountain Grove, MO · 65711 · 4179265128
120 certified beds For profit - Individual Chain: Circle B Enterprises
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $48,539 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 1 · $48,539 |
Inspection citations (30 in the current record)
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Potential for harm · D November 20, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · D April 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 23, 2025 · Quality of Life and Care
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Actual harm · G January 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected February 23, 2025 · Quality of Life and Care
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Potential for harm · D January 10, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 23, 2025 · Resident Rights
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Potential for harm · D January 10, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 10, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 23, 2025 · Quality of Life and Care
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Potential for harm · D January 10, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected February 23, 2025 · Quality of Life and Care
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Potential for harm · D January 10, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 23, 2025 · Pharmacy Service
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Potential for harm · D January 10, 2025
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.
Corrected February 23, 2025 · Pharmacy Service
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Potential for harm · E October 18, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 30, 2023 · Quality of Life and Care
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Immediate jeopardy · J June 2, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2023 · Quality of Life and Care
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Potential for harm · E June 2, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 17, 2023 · Resident Rights
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Potential for harm · E June 2, 2023
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.
Corrected July 17, 2023 · Resident Rights
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Potential for harm · D June 2, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 2, 2023
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.
Corrected July 17, 2023 · Quality of Life and Care
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Potential for harm · D June 2, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 17, 2023 · Quality of Life and Care
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Potential for harm · E June 2, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 17, 2023 · Quality of Life and Care
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Potential for harm · E June 2, 2023
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.
Corrected July 17, 2023 · Pharmacy Service
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Potential for harm · F June 2, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 17, 2023 · Nutrition and Dietary
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Potential for harm · E June 2, 2023
Provide and implement an infection prevention and control program.
Corrected July 17, 2023 · Infection Control
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Potential for harm · E June 2, 2023
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.
Corrected July 17, 2023 · Environmental
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Potential for harm · D June 2, 2023
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 17, 2023 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 10, 2025 | Fine | $48,539 |
| January 10, 2025 | Payment Denial | 8 days |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265406 · certified since December 22, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.