Senior CareScorecard

Nursing home · Jefferson City, MO

River City Living Community

3038 West Truman Blvd, Jefferson City, MO 65109 · 87 certified beds · for profit ownership · part of James & Judy Lincoln

Medicare & MedicaidFined $237,995 in 3 years
Medicare overall rating1 / 5Much below averageJefferson City area 2.8 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
2/5Staffing Below average
2/5Quality measures Below average
–Short-stay (rehab) quality Not rated
2/5Long-stay quality Below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Apr 20, 2026, when they cited 2 problems from complaint investigations. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Oct 4, 2024) it had 19 citations, compared with an average of 8.1 for Jefferson City-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 3.87 hours per resident per day here, 13% more than the Missouri average (3.43) and about the same as the U.S. average (3.86). Registered nurses account for 0.21 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 73% over the past year, 17 points higher than Missouri (56%) and 27 points higher than the U.S. (46%).

How River City Living Community compares

This home's latest CMS figures next to the averages for Jefferson City-area homes (10), Missouri (487) and the U.S. (14,680).

This homeJefferson City areaMissouriU.S.
Total nurse hours per resident per day3.873.643.433.86
Registered nurse hours per resident per day0.210.450.460.68
Weekend nurse hours per resident per day3.643.193.013.42
Nursing staff turnover (past year)73%62%56%46%
Registered nurse turnover (past year)80%43%48%43%
Citations at the most recent standard inspection198.111.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Apr 20, 20262complaint
Mar 26, 20263complaint
Nov 18, 20251complaint
Oct 28, 20252complaint · 1 harm-level citation
May 6, 20252complaint
Feb 13, 20252complaint
Jan 17, 20251complaint
Oct 4, 202411standard
Jun 26, 20244complaint · 2 harm-level citations
Sep 27, 20231complaint
Jan 12, 202315standard
Aug 2, 20196standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 50 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Apr 20, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning · complaint
EDeficient, Provider has date of correction
Apr 20, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Honor 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.
Resident rights · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Mar 26, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Nov 18, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident rights · complaint
DDeficient, Provider has date of correction
Oct 28, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Oct 28, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
May 6, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights · complaint
DDeficient, Provider has date of correction
May 6, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
EDeficient, Provider has date of correction
Feb 13, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Feb 13, 2025Have 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.
Nursing and physician services · complaint
EDeficient, Provider has date of correction
Jan 17, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Oct 4, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Oct 4, 2024Ensure the activities program is directed by a qualified professional.
Quality of life and care
DDeficient, Provider has date of correction
Oct 4, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Oct 4, 2024Implement a program that monitors antibiotic use.
Infection control
EDeficient, Provider has date of correction
Oct 4, 2024Educate 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.
Infection control
FDeficient, Provider has date of correction
Oct 4, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Oct 4, 2024Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Oct 4, 2024Ensure 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.
Nutrition and dietary
FDeficient, Provider has date of correction
Oct 4, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
EDeficient, Provider has date of correction
Oct 4, 2024Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Oct 4, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and physician services
EDeficient, Provider has date of correction
Jun 26, 2024Respond appropriately to all alleged violations.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
Jun 26, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation · complaint
EDeficient, Provider has date of correction
Jun 26, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
J immediate jeopardyDeficient, Provider has date of correction
Jun 26, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
J immediate jeopardyDeficient, Provider has date of correction
Sep 27, 2023Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Jan 12, 2023Post 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.
Resident rights
CDeficient, Provider has date of correction
Jan 12, 2023Ensure staff are vaccinated for COVID-19
Infection control
CDeficient, Provider has date of correction
Jan 12, 2023Have a plan that describes the process for conducting QAPI and QAA activities.
Administration
CDeficient, Provider has date of correction
Jan 12, 2023Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Jan 12, 2023Notify 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.
Resident rights
CDeficient, Provider has date of correction
Jan 12, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Jan 12, 2023Ensure 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.
Pharmacy service
DDeficient, Provider has date of correction
Jan 12, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
DDeficient, Provider has date of correction
Jan 12, 2023Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Jan 12, 2023Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy service
EDeficient, Provider has date of correction
Jan 12, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Jun 26, 2024Fine$237,995

Location

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Questions about River City Living Community

Answers computed from CMS data for this facility.

What is River City Living Community's Medicare rating?

Medicare rates River City Living Community 1 out of 5 stars overall (much below average). The average for Jefferson City-area nursing homes is 2.8, for Missouri 2.51 and for the U.S. 2.99.

How did River City Living Community do on its last inspection?

Inspectors' most recent visit in the CMS data was on Apr 20, 2026, when they cited 2 problems from complaint investigations. The most common area was resident assessment and care planning (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Oct 4, 2024) it had 19 citations, compared with an average of 8.1 for Jefferson City-area homes, 11.4 in Missouri and 9.2 nationally.

Has River City Living Community been fined?

Yes. CMS reports 1 fine totaling $237,995 in the past three years.

Does River City Living Community accept Medicaid?

River City Living Community is certified for both Medicare and Medicaid. Call (573) 893-3404 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.