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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.
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 108th out of 129 homes in Alabama.| 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.
| 47m per day | ▲ 24% State avg: 38m 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.
| 49m per day | ▲ 4% State avg: 47m 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.
| 1h 42m per day | ▼ 32% State avg: 2h 30m per day · National avg: 2h 20m 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.
| 2h 48m per day | ▼ 15% State avg: 3h 17m 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.
| 2m per day | ■ Avg 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.
| 28m per day | ▲ 27% State avg: 22m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
29% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
26% 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 #32 / 127Payroll — state benchmarkedThis home is ranked 32nd out of 127 homes in Alabama.Shows total annual staff payroll benchmarked to the Alabama 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 Alabama average: 80.8%River City Center is administrated by Joseph Dunavant.
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
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.
Alabama average: 1 complaint visit
Alabama average: 1 inspection
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Alabama average: 17 deficiencies
River City Center’s inspection record is mixed, with repeated deficiencies in resident safety, food service, and regulatory reporting. The most recent inspection on April 29, 2021, cited six deficiencies including unclean air conditioning units, failure to notify the Ombudsman of hospital transfers, and improper food handling affecting over 130 residents. A 2018 complaint investigation substantiated physical abuse by a CNA and late reporting of multiple abuse allegations, showing ongoing challenges with resident protection and compliance.
Alabama average 2.9
Last Health inspection on Apr 2021
Alabama average 10.4
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 12 citations resulted from standard inspections.
100% better than Alabama averageAlabama average: 0.7
1
400% worse than Alabama averageAlabama average: 0.2
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 29, 2021
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 29, 2021
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 29, 2021
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 29, 2021
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.
| Adams Rehabilitation and Healthcare Center |
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. | Alexander City | 75 | 62.7% | -22% | 4.53 | +13% | +4% | 0 | 4 | 2.0 | 0 | 64 | - | - | Stalnaker, Deborah | $4.3M | $2.2M | 50% | 15386 | ||||
| Aliceville Manor Nursing Home |
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. | Aliceville | 100 | 92.2% | +14% | 4.70 | -11% | +8% | 0 | 8 | 2.7 | 0 | 83 | - | - | - | $10.3M | $5.6M | 54.4% | 15137 | ||||
| Albertville Nursing Home |
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. | Albertville | 159 | 97.4% | +21% | 5.06 | -15% | +16% | 0 | 9 | 3.0 | 0 | 154 | - | - | Brown, Terri | $17.9M | $8.9M | 49.8% | 15163 | ||||
| Altoona Health & Rehab |
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. | Altoona | 50 | 96.0% | +19% | 4.33 | +3% | -1% | 0 | 7 | 2.3 | 0 | 46 | - | - | Long, Bradley | $5.1M | $3.0M | 59.3% | 15101 | ||||
| River City Center |
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. | Decatur | 183 | 82.9% | +3% | 3.58 | +13% | -18% | 0 | 12 | 4.0 | 1 | 153 | - | - | Dunavant, Joseph | $20.4M | $6.0M | 29.2% | 15113 |
3.7 miles from city center
Estimated distance in miles from Decatur's city center to River City Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
21% worse than Alabama averageAlabama average ratio: 1.57:1
8% better than Alabama averageAlabama average: 7.9 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 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 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.
8.8 hoursThis role is partially covered by contractors.
Total hours from contractors
7,635 contractor hours this quarter
| Certified Nursing Assistant | 58 | 11 | 69 | 23,112 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 15 | 19 | 34 | 11,016 | 91 | 100% | 9.2 |
| Registered Nurse | 18 | 0 | 18 | 7,803 | 91 | 100% | 9.9 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,579 | 90 | 99% | 5.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,434 | 68 | 75% | 8.2 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,263 | 66 | 73% | 7.9 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,240 | 67 | 74% | 7 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,170 | 73 | 80% | 7 |
| Qualified Social Worker | 4 | 0 | 4 | 747 | 67 | 74% | 6.2 |
| Physical Therapy Assistant | 2 | 0 | 2 | 671 | 68 | 75% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 461 | 58 | 64% | 7.9 |
| Other Social Services Staff | 1 | 0 | 1 | 436 | 57 | 63% | 7.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 382 | 66 | 73% | 5.8 |
| Qualified Activities Professional | 2 | 0 | 2 | 362 | 46 | 51% | 6.8 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 85 | 22 | 24% | 3.7 |
| Medical Director | 0 | 1 | 1 | 50 | 50 | 55% | 1 |
| Other Activities Staff | 1 | 0 | 1 | 1 | 1 | 1% | 0.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
134Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
9.6
8% worse than Alabama averageAlabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
14% worse than Alabama averageAlabama average: 14.5
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
15.6%
12% worse than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
15.6%
In line with Alabama averageAlabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.2%
34% worse than Alabama averageAlabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
22% better than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
8.1%
37% worse than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
1.1%
60% better than Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
6.0%
11% worse than Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
2.1%
68% worse than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
16.8%
19% better than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
7% better than Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
5% better than Alabama averageAlabama average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.42
29% better than Alabama averageAlabama average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.02
43% better than Alabama averageAlabama average: 1.79
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.2%
In line with Alabama averageAlabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
27% better than Alabama averageAlabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
13% better than Alabama averageAlabama average: 80.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
13% worse than Alabama averageAlabama average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
12% better than Alabama averageAlabama average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
22% worse than Alabama averageAlabama average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.5%
21% worse than Alabama averageAlabama average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.7%
8% better than Alabama averageAlabama average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for River City Center based on CMS SNF Cost Reports.
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