Missouri › Cole County › Jefferson City
River City Living Community
3038 West Truman Blvd, Jefferson City, MO 65109
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 Living Community, in Jefferson City, Missouri, is certified for 87 beds under for-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (19, 20, 11 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 57.5 per 100 beds, more than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $238K.
Reported nurse staffing is 3.9 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 73.1%.
Compared with county, state and nation
| Measure | This facility | Cole Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 50 | 29 | 31 | 28.7 |
| Citations per 100 beds | 57.5 | 34.2 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.7 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 73.1% | 72.0% | 56.1% | 45.8% |
| Fines listed | $237,995 | $8,340 | $0 | — |
County and state figures are medians across facilities (8 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Oct 2024, 12 Jan 2023.
Severity mix: J ×2 G ×1 D ×17 E ×20 F ×5 C ×5
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 1 Jun 2026 |
| 20 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 Jun 2026 |
| 26 Mar 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 7 May 2026 |
| 26 Mar 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 7 May 2026 |
| 26 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 May 2026 |
| 18 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 5 Dec 2025 |
| 28 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 31 Oct 2025 |
| 28 Oct 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 31 Oct 2025 |
| 6 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 17 Jun 2025 |
| 6 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 17 Jun 2025 |
| 13 Feb 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Complaint investigation | 10 Mar 2025 |
| 13 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Mar 2025 |
| 17 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Feb 2025 |
| 4 Oct 2024 | F0803 | Ensure 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. | F | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Nov 2024 |
| 4 Oct 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 15 Nov 2024 |
| 26 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 12 Jul 2024 |
| 26 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 12 Jul 2024 |
| 26 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 12 Jul 2024 |
| 26 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Jul 2024 |
| 27 Sep 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 14 Sep 2023 |
| 12 Jan 2023 | F0584 | 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. | E | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Feb 2023 |
| 12 Jan 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0761 | 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. | D | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0625 | 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. | C | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | Standard survey | 22 Feb 2023 |
| 12 Jan 2023 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 22 Feb 2023 |
| 2 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 12 Sep 2019 |
| 2 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 12 Sep 2019 |
| 2 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 12 Sep 2019 |
| 2 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Sep 2019 |
| 2 Aug 2019 | F0803 | Ensure 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. | D | Standard survey | 12 Sep 2019 |
| 2 Aug 2019 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 12 Sep 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Jun 2024 | Fine | $237,995 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 73.1%, RNs 80.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.5% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 39.8% | 21.0% | 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. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Jefferson City Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LTC Management Services LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2016 |
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 Cole County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Heisinger Bluffs Healthcare Western Campus | Jefferson City | 69 | 5 | 5 | 4 | 24 | 34.8 | — | 3 Apr 2026 |
| Heisinger Bluffs Rehab and Healthcare Center | Jefferson City | 60 | 4 | 4 | 2 | 18 | 30.0 | — | 28 Mar 2025 |
| Stonebridge Oak Tree | Jefferson City | 42 | 4 | 4 | 3 | 14 | 33.3 | — | 1 May 2026 |
| Capitol River Wellness & Rehabilitation | Jefferson City | 120 | 2 | 3 | 1 | 25 | 20.8 | $14K | 21 May 2026 |
| Stonebridge Adams Street | Jefferson City | 120 | 2 | 2 | 2 | 41 | 34.2 | $39K | 19 Mar 2026 |
| Jefferson City Manor Care Center | Jefferson City | 102 | 1 | 3 | 1 | 40 | 39.2 | $8K | 7 Apr 2026 |
| Stonebridge Villa Marie | Jefferson City | 120 | 1 | 3 | 1 | 29 | 24.2 | — | 13 Mar 2026 |
All 8 facilities in Cole County
Questions and answers
How many deficiencies has River City Living Community been cited for?
50 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has River City Living Community been fined?
Yes. CMS lists fines totalling $238K in the period covered.
How does staffing at River City Living Community compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates River City Living Community?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.
When was River City Living Community last inspected?
The most recent survey or investigation in the CMS record is dated 20 Apr 2026; the most recent standard health survey was 4 Oct 2024.
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.