Riverways Manor
403 Watercress Road, Box 969 · Van Buren, MO · 63965 · 5733234282
60 certified beds For profit - Individual Chain: Circle B Enterprises
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Potential for harm · D January 21, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 21, 2026
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 March 2, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026
Keep all essential equipment working safely.
Corrected March 2, 2026 · Environmental
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Potential for harm · D September 27, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D September 27, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 28, 2024 · Resident Rights
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Potential for harm · D September 27, 2024
Ensure each resident receives an accurate assessment.
Corrected October 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 27, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 27, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 28, 2024 · Quality of Life and Care
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Potential for harm · D September 27, 2024
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 October 28, 2024 · Quality of Life and Care
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Potential for harm · D September 27, 2024
Provide and implement an infection prevention and control program.
Corrected October 28, 2024 · Infection Control
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Potential for harm · D June 28, 2023 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected August 12, 2023 · Resident Rights
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Potential for harm · D April 6, 2023
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.
Corrected May 21, 2023 · Resident Rights
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Potential for harm · D April 6, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 21, 2023 · Resident Rights
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Potential for harm · E April 6, 2023
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 May 21, 2023 · Resident Rights
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Potential for harm · D April 6, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 21, 2023 · Resident Rights
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Potential for harm · D April 6, 2023
Assess the resident when there is a significant change in condition
Corrected May 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 6, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected May 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 6, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected May 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 6, 2023
Plan the resident's discharge to meet the resident's goals and needs.
Corrected May 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 6, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected May 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 6, 2023
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.
Corrected May 21, 2023 · Quality of Life and Care
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Potential for harm · F April 6, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 21, 2023 · Nutrition and Dietary
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Potential for harm · D April 6, 2023
Put firmly secured handrails on each side of hallways.
Corrected May 21, 2023 · Environmental
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265363 · certified since April 28, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.