River City Living Community

River City Living Community is a Nursing Home in Missouri

River City Living Community is a Nursing Home in Missouri

River City Living Community

3038 W Truman Blvd, Jefferson City, MO 65109 View Map

River City Living Community is a Nursing Home in Missouri

River City Living Community is a Nursing Home in Missouri

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Overview of River City Living Community

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.

(573) 893-3404

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.38/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 87

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 52.6%
Residents per day (avg) 38
Occupancy rate
52.6%
Residents per day (avg)
38

Who this home usually serves

TYPE OF STAY

Primarily long-term care, limited rehab

Most residents stay long-term, while a smaller portion are admitted for short-term rehab.

Might be optimal for
Long-term residence Daily assistance Occasional rehab needs

Breakdown by payment type

Medicare

12% of new residents, usually for short-term rehab.

Typical stay 20 days

Private pay

66% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 1 years

Finances and operations

Proprietary home
Corporation
Home revenue
$4.1M
Operating loss
-$852.8K
Proprietary home Corporation
Home revenue
$4,089,993.00
Operating loss
$-852,791.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
40.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
Total costs $4.9M
Bed community size
87-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 17 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Facility Type
SNF

Additional licensing details

CMS Certification Number: 265482
County: COLE

Ownership & operating entity

River City Living Community is legally operated by N & R OF JEFFERSON CITY, LLC, and administrated by PATTON.

Corporate entity: N & R OF JEFFERSON CITY, LLC

Types of Care at River City Living Community

Nursing Home
Contact River City Living Community

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Comparison Chart

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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River City Living Community
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Nursing Home 24/7 care needed

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Assisted Living For seniors needing help with daily tasks but not full-time nursing.

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87
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LIERMAN, MARK
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Places of interest near River City Living Community

Address 3.8 miles from city center

Address 3038 W Truman Blvd, Jefferson City, MO 65109

Calculate Travel Distance to River City Living Community

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

120
Total Staff
46
Employees
74
Contractors
18,046
Total Hours (Quarter)
24
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse109.9 Yes
Licensed Practical Nurse218 Yes
Certified Nursing Assistant448.3 Yes
Staff by Category
Administration
1 staff
7.8hs shift avg
Nursing Staff
99 staff
8.6hs shift avg
Physicians & Practitioners
3 staff
8.2hs shift avg
Therapy Services
14 staff
5.6hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
1.5hs shift avg
Dietary Services
1 staff
6.6hs shift avg
Other Services
1 staff
7.8hs shift avg
Contractor Analysis
15.3%
of total hours from contractors
2,765 contractor hours this quarter
Licensed Practical Nurse: 16 Certified Nursing Assistant: 26 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Medication Aide/Technician: 7 Registered Nurse: 8 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Physical Therapy Aide: 5 Speech Language Pathologist: 3 Clinical Nurse Specialist: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant1826446,90591100%8.3
Medication Aide/Technician127194,00891100%9.5
Licensed Practical Nurse516212,00291100%8
Nurse Aide in Training4041,6288796%8.2
Registered Nurse28106025763%9.9
Administrator1015156673%7.8
Dental Services Staff1014666066%7.8
Respiratory Therapy Technician0224356167%7.1
Dietitian1013625560%6.6
Physical Therapy Assistant0223406268%5.5
Nurse Practitioner1013314044%8.3
RN Director of Nursing1012693741%7.3
Physical Therapy Aide055561719%3.1
Clinical Nurse Specialist0224944%8.1
Speech Language Pathologist033411415%2.9
Occupational Therapy Aide0112433%8
Occupational Therapy Assistant0111233%3.8
Qualified Social Worker011322%1.6

Health Inspection History

Source: CMS Health Citations (Aug 2019 – May 2025)

10
Inspections
44
Total Citations
2
Critical (J-L)
0
Serious (G-I)
4.4
Citations/Inspection
May 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
5
Moderate (D-F)
37
Serious (G-I)
0
Critical (J-L)
2
What do these levels mean?
Top Deficiency Categories
Infection Control
7
16% of total
Abuse, Neglect & Exploitation
7
16% of total
Resident Rights
5
11% of total
Quality of Life & Care
4
9% of total
Pharmacy Services
2
5% of total
Administration
1
2% of total
Citation Sources
Standard Inspections 32
Complaint Investigations 12
State Comparison (MO)
Citations
44
Missouri average: 36.5
Critical Citations
2
Missouri average: 0.7
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
May 06, 2025 E Care PlanningF0658 Corrected
May 06, 2025 D Resident RightsF0580 Corrected
Feb 13, 2025 E Nursing ServicesF0727 Corrected
Feb 13, 2025 D Care PlanningF0658 Corrected
Jan 17, 2025 D Quality of CareF0689 Corrected
Oct 04, 2024 F Infection ControlF0880 Corrected
Oct 04, 2024 E Infection ControlF0881 Corrected
Oct 04, 2024 E Infection ControlF0883 Corrected
Oct 04, 2024 F Infection ControlF0887 Corrected
Oct 04, 2024 E Nursing ServicesF0726 Corrected
Oct 04, 2024 F NutritionF0803 Corrected
Oct 04, 2024 F NutritionF0812 Corrected
Oct 04, 2024 E Quality of CareF0679 Corrected
Oct 04, 2024 D Quality of CareF0680 Corrected
Oct 04, 2024 D Care PlanningF0656 Corrected
Oct 04, 2024 E Care PlanningF0658 Corrected
Jun 26, 2024 J Abuse/NeglectF0600 Corrected
Jun 26, 2024 E Abuse/NeglectF0607 Corrected
Jun 26, 2024 J Abuse/NeglectF0609 Corrected
Jun 26, 2024 D Abuse/NeglectF0610 Corrected
Sep 27, 2023 D Abuse/NeglectF0602 Corrected
Jun 08, 2023 D Care PlanningF0658 Corrected
Jan 24, 2023 D Abuse/NeglectF0600 Corrected
Jan 12, 2023 E Abuse/NeglectF0607 Corrected
Jan 12, 2023 C AdministrationF0865 Corrected
Jan 12, 2023 E Infection ControlF0880 Corrected
Jan 12, 2023 C Infection ControlF0888 Corrected
Jan 12, 2023 C Nursing ServicesF0732 Corrected
Jan 12, 2023 E PharmacyF0756 Corrected
Jan 12, 2023 D PharmacyF0761 Corrected
Jan 12, 2023 E Quality of CareF0689 Corrected
Jan 12, 2023 E Care PlanningF0640 Corrected
Jan 12, 2023 E Care PlanningF0656 Corrected
Jan 12, 2023 E Care PlanningF0658 Corrected
Jan 12, 2023 D Resident RightsF0550 Corrected
Jan 12, 2023 C Resident RightsF0575 Corrected
Jan 12, 2023 E Resident RightsF0584 Corrected
Jan 12, 2023 C Resident RightsF0625 Corrected
Aug 02, 2019 F Infection ControlF0880 Corrected
Aug 02, 2019 D NutritionF0803 Corrected
Aug 02, 2019 D NutritionF0805 Corrected
Aug 02, 2019 E NutritionF0812 Corrected
Aug 02, 2019 E Care PlanningF0657 Corrected
Aug 02, 2019 E Care PlanningF0658 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: HEALTH SYSTEMS INC
Resident Census by Payment Source
39 Total Residents
Medicaid 38 (97.4%)
Private Pay/Other 1 (2.6%)
Specialized Care Beds
20 Total Specialty Beds
23% of Bed Capacity
20
Alzheimer's / Dementia Beds
23%
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
16.6 Score
51% worse than avg Missouri avg: 10.9

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
28.4 Score
46% worse than avg Missouri avg: 19.5

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
35.6%
Lost Too Much Weight
2.5%
Urinary Tract Infection
4.5%
Depressive Symptoms
1.4%
Falls with Major Injury
2.5%
Pneumococcal Vaccine
83.8%
Antipsychotic Use
32.2%
Walking Ability Worsened
32.7%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
9.4%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
16.8%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
55.6% 17% worse than avg Missouri: 66.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0% 100% better than avg Missouri: 2.2%

Penalties & Fines

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)

Total Fines $241K Missouri avg: $73K 230% worse than avg
Number of Fines 2 Missouri avg: 2.4
Compared to Missouri Average Facility: $241K | Missouri Avg: $73K
Penalty History

Showing all 2 penalties (Jan 2023 - Jun 2024)

Jun 26, 2024 Civil Money Penalty
$238K
Jan 12, 2023 Civil Money Penalty
$3K

Guides for Better Senior Living

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Claim What’s Yours: Financial Aid for Missouri Seniors

Program
State Program Name
Eligibility
Benefits
Aged and Disabled Waiver
Missouri Medicaid A&D Waiver
Official government program page
  • General: Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • MO Specifics: Rural access prioritized.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
Missouri Supplemental Nursing Care (SNC)
  • General: Age 65+, Missouri resident, in approved facility.
  • Income Limits: ~$1,215/month (individual).
  • Asset Limits: $2,000 (individual).
  • MO Specifics: Supplements SSI; facility-based only.
  • Services: Monthly cash payment (~$156-$292/month) for care costs.
Structured Family Caregiving Waiver (SFCW)
Missouri Structured Family Caregiving Waiver
Official government program page
  • General: Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
  • Income Limits (2025): ~$2,901/month (300% FBR, individual); QIT required.
  • Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics: Caregiver must be family; small program size.
  • Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
MO HealthNet Aged, Blind, and Disabled (ABD)
Missouri MO HealthNet ABD
Official government program page
  • General: Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
  • Income Limits (2025): ~$1,690/month (individual, projected); spenddown allowed.
  • Asset Limits: $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics: Less intensive than waivers; statewide access.
  • Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Medicare Savings Program (MSP)
Missouri Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, Missouri resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • MO Specifics: Three tiers; no waitlist; includes Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program (Customized Caregiver Training & Relief)
Missouri Caregiver Program
Official government program page
  • General: Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
  • Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year individual).
  • Asset Limits: Not assessed; need-based.
  • MO Specifics: Administered via AAAs and Alzheimer’s Association; rural focus.
  • Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, Missouri resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • MO Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Missouri VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • MO Specifics: High veteran demand in rural/urban areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Missouri Seniors

Missouri Medicaid A&D Waiver

Aged and Disabled Waiver

Requirements:
  • General:
    Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • MO Specifics:
    Rural access prioritized.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$65/day), home health services.
MO SNC

Missouri Supplemental Nursing Care (SNC)

Requirements:
  • General:
    Age 65+, Missouri resident, in approved facility.
  • Income Limits:
    ~$1,215/month (individual).
  • Asset Limits:
    $2,000 (individual).
  • MO Specifics:
    Supplements SSI; facility-based only.
Benefits without Contact:
  • Services: Monthly cash payment (~$156-$292/month) for care costs.
Missouri Structured Family Caregiving Waiver

Structured Family Caregiving Waiver (SFCW)

Requirements:
  • General:
    Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
  • Income Limits (2025):
    ~$2,901/month (300% FBR, individual); QIT required.
  • Asset Limits:
    $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics:
    Caregiver must be family; small program size.
Benefits without Contact:
  • Services: Cash stipend ($1,000-$1,500/month) to family caregiver, respite, training, supplies ($500/year).
Missouri MO HealthNet ABD

MO HealthNet Aged, Blind, and Disabled (ABD)

Requirements:
  • General:
    Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
  • Income Limits (2025):
    ~$1,690/month (individual, projected); spenddown allowed.
  • Asset Limits:
    $5,909.25 (individual), $11,818.45 (couple).
  • MO Specifics:
    Less intensive than waivers; statewide access.
Benefits without Contact:
  • Services: Personal care (2-4 hours/day), homemaker services, limited respite, medical equipment.
Missouri Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Missouri resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • MO Specifics:
    Three tiers; no waitlist; includes Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Missouri Caregiver Program

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Requirements:
  • General:
    Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
  • Income Limits (2025):
    No strict cap; prioritizes low-income (~$24,980/year individual).
  • Asset Limits:
    Not assessed; need-based.
  • MO Specifics:
    Administered via AAAs and Alzheimer’s Association; rural focus.
Benefits without Contact:
  • Services: Respite (4-6 hours/week), training, assistive tech ($500/year), supplies.
Missouri SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Missouri resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • MO Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Missouri VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • MO Specifics:
    High veteran demand in rural/urban areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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