Elder Care Record

Alabama › Morgan County › Decatur

River City Center

1350 Fourteenth Avenue Southeast, Decatur, AL 35601

CCN 015113 · For-profit, corporation · 183 certified beds · chain Genesis Healthcare

No standard inspection in 2+ years
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

River City Center is a For-profit, corporation nursing home in Decatur, Alabama, certified for 183 beds and caring for about 163 residents a day.

CMS gives it 1 of 5 stars overall, below the Alabama median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.

Inspectors recorded 12 health deficiencies across the three most recent survey cycles (6, 2, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 6.6 per 100 beds, about the same as the state median of 7.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.5 hours per resident per day (1.0 RN), close to the Alabama median of 3.9; nursing staff turnover is 51.9%.

CMS flags that the facility has not had a standard health inspection in more than two years.

12health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.5nurse hours per resident per daystate median 3.9
89%occupancy (residents ÷ beds)163 residents a day

Compared with county, state and nation

MeasureThis facilityMorgan Co. medianAlabama medianUS average
Overall star rating1133.0
Health citations, 3 cycles1216928.7
Citations per 100 beds6.613.47.726.8
Total nurse hours per resident day3.53.83.93.9
RN hours per resident day1.00.70.60.7
Nursing staff turnover51.9%59.0%46.7%45.8%
Fines listed$0$25,568$0—

County and state figures are medians across facilities (4 in the county, 224 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 22
Cycle 34

Dark bar: this facility. Grey bar: Alabama average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2021, 13 Mar 2019.

Severity mix: G ×1 D ×4 E ×2 F ×4 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 Apr 2021F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FStandard survey28 May 2021
29 Apr 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey28 May 2021
29 Apr 2021F0814Dispose of garbage and refuse properly.FStandard survey28 May 2021
29 Apr 2021F0584Honor 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.EStandard survey28 May 2021
29 Apr 2021F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DStandard survey28 May 2021
29 Apr 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey28 May 2021
13 Mar 2019F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey17 Apr 2019
13 Mar 2019F0761Ensure 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.DStandard survey14 May 2019
17 Jul 2018F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey16 Aug 2018
17 Jul 2018F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Aug 2018
17 Jul 2018F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey16 Aug 2018
17 Jul 2018F0637Assess the resident when there is a significant change in conditionDStandard survey16 Aug 2018

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.45 h
Nurse aides1.86 h
LPN0.63 h
RN0.96 h
Weekend total3.1 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Alabama average. Turnover: nursing staff 51.9%, RNs 27.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityAlabama medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.3%11.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.1%0.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.0%1.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.2%1.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.9%11.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.5%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.1%20.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Sunbridge Healthcare Llc. Chain: Genesis Healthcare (184 facilities).

OrganisationRole in the CMS recordInterestSince
Genesis Holdings LLC5% or greater direct ownership interest100%02/02/2015
Fc-Gen Operations Investment LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/02/2015
Gen Operations I LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/02/2015
Genesis Healthcare Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/02/2015
Genesis Healthcare LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/02/2015
Sun Healthcare Group Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED02/02/2015

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Morgan County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Summerford Health and Rehab, LLCFalkville216223146.5$26K24 Apr 2024
Decatur Health & Rehab CenterDecatur1191131613.4$25K3 Feb 2025
Falkville Rehabilitation and Healthcare CenterSFF CandidateFalkville1161133328.4$147K2 Sep 2025

All 4 facilities in Morgan County

Questions and answers

How many deficiencies has River City Center been cited for?

12 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Alabama median is 9 per facility.

Has River City Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at River City Center compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Alabama median of 3.9 and a national average of 3.9.

Who operates River City Center?

It is part of the Genesis Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Genesis Holdings LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.

When was River City Center last inspected?

The most recent survey or investigation in the CMS record is dated 29 Apr 2021; the most recent standard health survey was 29 Apr 2021.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.