Riverdell Care Center
1121 11th Street · Boonville, MO · 65233 · 6608827600
60 certified beds For profit - Individual Chain: Circle B Enterprises
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
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
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.71 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.39 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (10 in the current record)
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Potential for harm · D December 13, 2024
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.
Corrected January 15, 2025 · Resident Rights
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Potential for harm · E December 13, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · D December 13, 2024
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 January 15, 2025 · Pharmacy Service
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Potential for harm · F December 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 15, 2025 · Nutrition and Dietary
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Potential for harm · F December 13, 2024
Provide and implement an infection prevention and control program.
Corrected January 15, 2025 · Infection Control
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Potential for harm · F August 12, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · E August 12, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 21, 2022 · Resident Assessment and Care Planning
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Potential for harm · E August 12, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 21, 2022 · Quality of Life and Care
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Potential for harm · E August 12, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 21, 2022 · Quality of Life and Care
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Potential for harm · E August 12, 2022
Provide and implement an infection prevention and control program.
Corrected September 21, 2022 · Infection Control
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 265361 · certified since March 29, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.