Total health inspections
10
Missouri average 6.6
Last Health inspection on May 2025
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
River City Living Community
Nursing Home
River City Living Community
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational 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
52.6%
Residents per day (avg)
38
Occupancy rate
52.6%
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
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
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
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
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Programs & Activities
Specific Programs
About 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.
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.
Jefferson City Manor
-26%
-5%
+5%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jefferson City
102
No
4
JUCKETTE, CYNTHIA
70.2%
$13,039,100.00
$2,387,308.00
18.3%
60.70
3.5341
1
34
2
-26%-5%+5%1 Bed
Stonebridge Adams Street
-14%
-2%
-33%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jefferson City
120
No
54
VOLKART, RUTH
44.9%
$5,084,742.00
$2,259,865.00
44.4%
49.00
3.6712
1
37
1
-14%-2%-33%1 Bed
River City Living Community
+6%
+44%
-21%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jefferson City
87
No
17
-
52.6%
$3,975,035.00
$1,651,100.00
41.5%
37.80
5.3786
2
44
2
+6%+44%-21%1 Bed
Stonebridge Villa Marie
-36%
+2%
-20%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jefferson City
120
No
53
LIERMAN, MARK
53.0%
$6,132,044.00
$2,362,712.00
38.5%
69.70
3.8159
-
36
1
-36%+2%-20%1 Bed
Capitol River Wellness & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 65109-2465
120
No
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Jefferson City Manor
Type of care:
SNF
AL
Community:
Jefferson City
Bed Count:
102
Pets Allowed:
No
Operator:
JUCKETTE, CYNTHIA
CCN:
265285
Occupancy:
70.2%
Home Revenue:
$13,039,100.00
Payroll Costs:
$2,387,308.00
Payroll %:
18.3%
Avg Residents/Day:
60.70
Overall Rating:
Adj Nurse Hours:
3.5341
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
34
Severe Citations:
2
RN share vs State Avg:
-26%
-26%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
+5%
+5%
Bed Options:
1 Bed
Stonebridge Adams Street
Type of care:
SNF
AL
Community:
Jefferson City
Bed Count:
120
Pets Allowed:
No
Operator:
VOLKART, RUTH
CCN:
265810
Occupancy:
44.9%
Home Revenue:
$5,084,742.00
Payroll Costs:
$2,259,865.00
Payroll %:
44.4%
Avg Residents/Day:
49.00
Overall Rating:
Adj Nurse Hours:
3.6712
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
37
Severe Citations:
1
RN share vs State Avg:
-14%
-14%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
-33%
-33%
Bed Options:
1 Bed
River City Living Community
Type of care:
SNF
AL
Community:
Jefferson City
Bed Count:
87
Pets Allowed:
No
CCN:
265482
Occupancy:
52.6%
Home Revenue:
$3,975,035.00
Payroll Costs:
$1,651,100.00
Payroll %:
41.5%
Avg Residents/Day:
37.80
Overall Rating:
Adj Nurse Hours:
5.3786
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
44
Severe Citations:
2
RN share vs State Avg:
+6%
+6%
Staffing vs State Avg:
+44%
+44%
Occupancy vs State Avg:
-21%
-21%
Bed Options:
1 Bed
Stonebridge Villa Marie
Type of care:
SNF
AL
Community:
Jefferson City
Bed Count:
120
Pets Allowed:
No
Operator:
LIERMAN, MARK
CCN:
265208
Occupancy:
53.0%
Home Revenue:
$6,132,044.00
Payroll Costs:
$2,362,712.00
Payroll %:
38.5%
Avg Residents/Day:
69.70
Overall Rating:
Adj Nurse Hours:
3.8159
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
36
Severe Citations:
1
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
-20%
-20%
Bed Options:
1 Bed
Places of interest near River City Living Community
3.8 miles from city center — 1.87 miles to nearest hospital (MOCPS)
3038 W Truman Blvd, Jefferson City, MO 65109
Calculate Travel Distance to River City Living Community
Add your location
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 Nurse | 10 | 9.9 | Yes |
| Licensed Practical Nurse | 21 | 8 | Yes |
| Certified Nursing Assistant | 44 | 8.3 | 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 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 |
Health Inspection History
Inspections
Total health citations
44
Citations per inspection
4.4
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
May 06, 2025
Corrected
Resident Rights moderate citation
May 06, 2025
Corrected
Nursing Services moderate citation
Feb 13, 2025
Corrected
Care Planning moderate citation
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.
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.
Active
Resident Council
ⓘ
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
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
-$852,791
↑ ~$679K vs 2022
Total Payroll
$2,771,600
↓ ~$130K vs 2022
Profit Margin
-21.5%
↑ 21.9pp vs 2022
Loading trend charts...
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