Occupancy rate
51%
In line with Missouri averagePrimarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
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Nursing Home in Jefferson City
CMS overall rating
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.
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.
River City Living Community
Nursing Home in Jefferson City
CMS overall rating
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.
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.
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
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.
Occupancy rate
50.6%
Residents per day (avg)
38
Occupancy rate
50.6%
Residents per day (avg)
38
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
Privately-owned community
Operated by a business corporation.
Home revenue
$4.1M
Operating loss
-$852.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$4.1M
Operating loss
-$852.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
87-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 17 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with Missouri averageOccupied beds
44 / 87
Average residents
72 per day
Facility TypeSnf
CountyCOLE
CMS Certification Number265482
River City Living Community is legally operated by N & R Of Jefferson City, Llc, and administrated by Patton.
Corporate EntityN & R OF JEFFERSON CITY, LLC
Rehabilitation Services
Skilled Nursing
Skilled Nursing Care
Physical And Occupational Therapies
Dietitians
Behavioral And Alzheimer’s Care
Activities
Hospice
Specific ProgramsAbout Us, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us
Types of Care at River City Living Community
Nursing Home
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.
Inspection History
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.
11 visits/inspections
5 visits/inspections triggered by complaints
3 routine inspections
Results
11 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date
November 18, 2025
Plan Of Correction48 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
Health Inspection History
Inspections
Total health inspections
10
Missouri average 6.6
Last Health inspection on May 2025
Total health citations
44
Missouri average 36.5
Citations per inspection
4.4
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
186% worse than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
2 critical citations
0 serious citations
37 moderate citations
5 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 06, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
May 06, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 06, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 06, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Feb 13, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Feb 13, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 13, 2025
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.
Compare Nursing Homes around Jefferson City The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
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
-5%
1
34
3.4
2
61
4
Juckette, Cynthia
$13.0M
$2.4M
18.3%
265285
1 Bed
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
120
44.9%
-33%
3.67
-2%
1
37
4.6
1
49
54
Volkart, Ruth
$5.1M
$2.3M
44.4%
265810
1 Bed
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
+44%
2
44
4.4
2
38
17
-
$4.0M
$1.7M
41.5%
265482
1 Bed
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
+2%
0
36
5.1
1
70
53
Lierman, Mark
$6.1M
$2.4M
38.5%
265208
1 Bed
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
120
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near River City Living Community
3.8 miles from city center — 1.87 miles to nearest hospital (MOCPS)
Calculate Travel Distance to River City Living Community
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
120
Employees
46
Contractors
74
Staff to resident ratio
3.08:1
80% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
24
Average shift
8.3 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
18,046
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
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.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
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.
Contractor staffing
Total hours from contractors
15.3%
2,765 contractor hours this quarter
Certified Nursing Assistant: 26
Licensed Practical Nurse: 16
Registered Nurse: 8
Medication Aide/Technician: 7
Physical Therapy Aide: 5
Speech Language Pathologist: 3
Respiratory Therapy Technician: 2
Physical Therapy Assistant: 2
Clinical Nurse Specialist: 2
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
44 Certified Nursing Assistant
% of Days
100%
19 Medication Aide/Technician
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
4 Nurse Aide in Training
% of Days
96%
10 Registered Nurse
% of Days
63%
1 Administrator
% of Days
73%
1 Dental Services Staff
% of Days
66%
2 Respiratory Therapy Technician
% of Days
67%
1 Dietitian
% of Days
60%
2 Physical Therapy Assistant
% of Days
68%
1 Nurse Practitioner
% of Days
44%
1 RN Director of Nursing
% of Days
41%
5 Physical Therapy Aide
% of Days
19%
2 Clinical Nurse Specialist
% of Days
4%
3 Speech Language Pathologist
% of Days
15%
1 Occupational Therapy Aide
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
1 Qualified Social Worker
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
39 residents
Residents by payment source
Medicaid
38 residents (97.4%)
Private pay or other
1 resident (2.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.6
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.4
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
35.6%
Percent of long-stay residents whose need for help with daily activities has increased
35.6%
80% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
32.7%
Percent of long-stay residents whose ability to move independently worsened
32.7%
59% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.8%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
38% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.4%
Percent of long-stay high risk residents with pressure ulcers
9.4%
88% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.5%
Percent of long-stay residents with a urinary tract infection
4.5%
65% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.5%
Percent of long-stay residents who lose too much weight
2.5%
55% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.4%
Percent of long-stay residents who have depressive symptoms
1.4%
89% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
32.2%
Percent of long-stay residents who received an antipsychotic medication
32.2%
46% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.8%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.6%
17% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
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.
Penalties and 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 amount
$241K
230% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$241K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 26, 2024
$238K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 12, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 12, 2023
$3K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for River City Living Community based on CMS SNF Cost Reports.
Occupancy Rate
52.6%
↑ 7.0pp vs 2022
Net Income
-$852.8K
↑ ~$679.0K vs 2022
Total Payroll
$2.8M
↓ ~$130.1K vs 2022
Profit Margin
-21.5%
↑ 21.9pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Missouri Seniors
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