Mokane, MO

Riverview Nursing Center

4-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

10303 State Road C, Mokane, MO

(573) 676-3136

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

44

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Circle B Enterprises

Operator or chain grouping

Approved since

1990-08-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

29 facilities

Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.48

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

2.97

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.95

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.10

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

3.05

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,562

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

11.69

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 58.33% · Performance 64.86% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.34

Baseline 4.26 hours · Performance 3.74 hours · Measure score 2.34 · Achievement 2.34 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.96%	8.2% 6.2 pts worse	Numerator 1 · Denominator 51
Staff flu vaccination coverage	18.31%	42% 23.7 pts worse	Numerator 13 · Denominator 71
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	84.8% 9.9 pts better	93.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 84.2% · Q2 97.3% · Q3 100.0% · Q4 97.6% · 4Q avg 94.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	90.9% 9.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	4.1% 0.8 pts better	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.7% · Q3 2.8% · Q4 2.4% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	64.5%	14.7% 49.8 pts worse	11.4% 53.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 45.5% · Q2 60.0% · Q3 63.6% · Q4 85.0% · 4Q avg 64.5%
Percentage of long-stay residents who lose too much weight	4.5%	5.5% 1 pts better	5.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 3.1% · Q3 3.2% · Q4 2.9% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	31.3%	25.3% 6 pts worse	19.6% 11.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 34.4% · Q3 32.3% · Q4 30.6% · 4Q avg 31.3%
Percentage of long-stay residents who received an antipsychotic medication	62.4%	25.0% 37.4 pts worse	16.7% 45.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 65.0% · Q2 65.0% · Q4 63.0% · 4Q avg 62.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	30.2%	20.3% 9.9 pts worse	16.3% 13.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 43.4% · 4Q avg 30.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.8%	19.8% 5 pts worse	14.9% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 41.9% · Q3 20.0% · Q4 23.5% · 4Q avg 24.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.1%	1.4% 0.7 pts worse	1.0% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.6% · Q3 0.0% · Q4 2.6% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.7%	2.6% 4.1 pts worse	1.7% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.4% · Q3 13.9% · Q4 2.6% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	15.6%	18.1% 2.5 pts better	19.8% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 12.7% · Q3 11.7% · Q4 13.2% · 4Q avg 15.6%
Percentage of long-stay residents with pressure ulcers	17.3%	5.0% 12.3 pts worse	5.1% 12.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.2% · Q3 12.4% · Q4 14.5% · 4Q avg 17.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	59.1%	66.4% 7.3 pts worse	81.7% 22.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 59.1%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	50.0%	63.5% 13.5 pts worse	79.7% 29.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 50.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-21 · Fire 2025-05-21

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2023-01-27 · Fire 2023-01-27

10 health deficiencies

Top issue: Infection Control (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-04

F · Potential for more than minimal harm 2024-04-04

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-04-04

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-04-04

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-04-04

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Not marked corrected

F · Potential for more than minimal harm 2024-04-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-04-04

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-05-28

E · Potential for more than minimal harm 2024-04-04

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-05-28

E · Potential for more than minimal harm 2024-04-04

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-05-28

F · Potential for more than minimal harm 2023-01-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-13

F · Potential for more than minimal harm 2023-01-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-13

F · Potential for more than minimal harm 2023-01-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-01

F · Potential for more than minimal harm 2023-01-27

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-03-13

F · Potential for more than minimal harm 2023-01-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-13

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-21

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-07-04

E · Potential for more than minimal harm 2025-05-21

F761 · Pharmacy Service Deficiencies

Health

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 2025-07-04

D · Potential for more than minimal harm 2024-03-13

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-02-04

D · Potential for more than minimal harm 2023-07-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-01-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-13