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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Tucked in Jefferson City, Missouri, River City Living Community stands as a stronghold of comprehensive and top-tier senior care. With a commitment to holistic well-being encompassing physical, mental, and psychosocial dimensions, this community takes seniors’ health and happiness to heart. What sets this haven apart is not just its reliability, but also its charming blend of classic elegance and warm ambiance.
At River City Living Community, a wide array of in-house services are at residents’ fingertips, including skilled nursing care, physical and occupational therapy, personalized dietary guidance, memory care, and hospice care. Amidst a bustling calendar of diverse activities, this community ensures that no facet of wellness is overlooked. A vigilant team, led by experienced physicians and medical directors, maintains a watchful eye on residents’ safety and quality of life.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 14th out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 18m per day | ▼ 36% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 38m per day | ▼ 7% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 39m per day | ▲ 56% State avg: 2h 20m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 5m per day | ▲ 34% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 250% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ■ Avg State avg: 20m per day · National avg: 29m per day |
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
12% of new residents, usually for short-term rehab.
66% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #200 / 245Payroll — state benchmarkedThis home is ranked 200th out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Missouri average: 66.6%River City Living Community is legally operated by N & R Of Jefferson City, Llc, and administrated by Ms DANETTE PATTON.
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicare services.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
The most recent inspection on November 18, 2025, identified deficiencies related to the facility’s failure to obtain a physician’s discharge order and provide a comprehensive discharge summary for one resident. Earlier inspections showed a pattern of issues including medication administration documentation, injury prevention, timely physician notification, RN staffing coverage, and safety concerns such as unsecured lighters and improper care planning. Complaint investigations substantiated failures in medication documentation, injury prevention, abuse reporting, and staff impairment, with one case involving a sexual assault by staff and delayed reporting. Enforcement actions included termination of an impaired nurse and notification of authorities, but fines or license suspensions were not listed in the available reports. The facility’s inspection history reflects ongoing challenges in clinical documentation, resident safety, and staff oversight, with some recent findings similar to prior issues, indicating limited improvement over time.
Missouri average 6.6
Last Health inspection on May 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
32 of 44 citations resulted from standard inspections; and 12 of 44 resulted from complaint investigations.
186% worse than Missouri averageMissouri average: 0.7
0
100% better than Missouri averageMissouri average: 1
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 06, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 06, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Feb 13, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
River City Living Community is located in Jefferson City, Missouri.
Here are the financial assistance programs available to residents in Missouri.
3.8 miles from city center
Estimated distance in miles from Jefferson City's city center to River City Living Community's address, calculated via Google Maps.
— 1.87 miles to nearest hospital (MOCPS)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
80% better than Missouri averageMissouri average ratio: 1.71:1
0% compared with Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Total hours from contractors
2,765 contractor hours this quarter
| Certified Nursing Assistant | 18 | 26 | 44 | 6,905 | 91 | 100% | 8.3 |
| Medication Aide/Technician | 12 | 7 | 19 | 4,008 | 91 | 100% | 9.5 |
| Licensed Practical Nurse | 5 | 16 | 21 | 2,002 | 91 | 100% | 8 |
| Nurse Aide in Training | 4 | 0 | 4 | 1,628 | 87 | 96% | 8.2 |
| Registered Nurse | 2 | 8 | 10 | 602 | 57 | 63% | 9.9 |
| Administrator | 1 | 0 | 1 | 515 | 66 | 73% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 466 | 60 | 66% | 7.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 435 | 61 | 67% | 7.1 |
| Dietitian | 1 | 0 | 1 | 362 | 55 | 60% | 6.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 340 | 62 | 68% | 5.5 |
| Nurse Practitioner | 1 | 0 | 1 | 331 | 40 | 44% | 8.3 |
| RN Director of Nursing | 1 | 0 | 1 | 269 | 37 | 41% | 7.3 |
| Physical Therapy Aide | 0 | 5 | 5 | 56 | 17 | 19% | 3.1 |
| Clinical Nurse Specialist | 0 | 2 | 2 | 49 | 4 | 4% | 8.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 41 | 14 | 15% | 2.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 3.8 |
| Qualified Social Worker | 0 | 1 | 1 | 3 | 2 | 2% | 1.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
39Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.6
51% worse than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
46% worse than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
35.6%
80% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
32.7%
59% worse than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.8%
8% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
38% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
9.4%
88% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
4.5%
65% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.5%
55% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.4%
89% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
32.2%
46% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.8%
In line with Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.6%
17% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
230% higher than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 26, 2024 · $238K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2024Last updated: Jan 2026
| Jefferson City Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City | 102 | 70.2% | +5% | 3.53 | -26% | -5% | 1 | 34 | 3.4 | 2 | 61 | 4 | Juckette, Cynthia | $13.2M | $2.4M | 18.1% | 265285 | ||||
| Stonebridge Adams Street |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City (Woodcrest) | 120 | 44.9% | -33% | 3.67 | -14% | -2% | 1 | 37 | 4.6 | 1 | 49 | 54 | Volkart, Ruth | $5.1M | $2.3M | 44% | 265810 | ||||
| River City Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City | 87 | 52.6% | -21% | 5.38 | +6% | +44% | 2 | 44 | 4.4 | 2 | 38 | 17 | N & R Of Jefferson City, Llc | $4.1M | $1.7M | 40.4% | 265482 | ||||
| Stonebridge Villa Marie |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City | 120 | 53.0% | -20% | 3.82 | -36% | +2% | 0 | 36 | 5.1 | 1 | 70 | 53 | Lierman, Mark | $6.2M | $2.4M | 38.2% | 265208 | ||||
| Capitol River Wellness & Rehabilitation | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Jefferson City (Usa) | 120 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
Historical financial and operational data for River City Living Community based on CMS SNF Cost Reports.
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