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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 16th out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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 |
|
Weekend Total Nursing
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 |
|
Weekend RN
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 |
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.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 48 | 35 | This facility has 37% more total deficiencies than a typical Missouri nursing home (48 vs. MO avg 35).↑ 37% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 6.9 | 5 | This facility has 38% more deficiencies per year than a typical Missouri nursing home (6.9 vs. MO avg 5).↑ 38% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.4 | 5 | This facility has 12% fewer deficiencies per inspection than a typical Missouri nursing home (4.4 vs. MO avg 5).↓ 12% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 11 | 7 | This facility has 57% more total inspections than a typical Missouri nursing home (11 vs. MO avg 7).↑ 57% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri 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
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
66% better than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 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.
8.1 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.
8.1 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,727 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 24 | 11 | 35 | 9,229 | 92 | 100% | 8.1 |
| Medication Aide/Technician | 11 | 13 | 24 | 2,972 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 6 | 16 | 22 | 2,172 | 92 | 100% | 8.1 |
| Nurse Aide in Training | 4 | 0 | 4 | 1,126 | 81 | 88% | 8.4 |
| Dental Services Staff | 2 | 0 | 2 | 951 | 63 | 68% | 7.9 |
| RN Director of Nursing | 3 | 0 | 3 | 580 | 63 | 68% | 7.4 |
| Administrator | 1 | 0 | 1 | 500 | 62 | 67% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 483 | 59 | 64% | 8.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 426 | 64 | 70% | 6.7 |
| Dietitian | 1 | 0 | 1 | 406 | 59 | 64% | 6.9 |
| Registered Nurse | 1 | 3 | 4 | 381 | 35 | 38% | 10.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 281 | 62 | 67% | 4.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 35 | 8 | 9% | 3.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 24 | 10 | 11% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.2 |
| Qualified Social Worker | 0 | 1 | 1 | 7 | 7 | 8% | 1 |
Includes penalties issued in 2024
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
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.
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.
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.
Historical financial and operational data for River City Living Community based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #194 / 286Payroll — State benchmarkedThis home is ranked 194th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
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)
Add your location
River City Living Community is located in Jefferson City, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Heisinger Bluffs |
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 | 111 | 80.5% | +21% | 3.36 | +42% | -10% | $24.0k | 17 | 5.7 | - | 59 | - | 32 | Hb Operations Holdco LLC | $5.4M | $3.7M | 68.1% | 265794 | ||||
| StoneBridge Senior Living Oak Tree |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Jefferson City | 42 | 42.9% | -36% | - | -60% | - | $0 | 21 | 3.5 | 1 | 29 | - | 27 | Ricky Doerhoff | $5.0M | $2.3M | 46.9% | 265819 | ||||
| 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 | 45.8% | -31% | 3.67 | +33% | -2% | $38.7k | 37 | 4.6 | 1 | 55 | - | 54 | Ruth Volkart | $5.1M | $2.8M | 55.1% | 265810 | ||||
| The Jefferson City Nursing and Rehabilitation 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. | Jefferson City | 120 | 67.5% | +1% | 4.28 | -27% | +14% | $27.3k | 31 | 3.4 | 3 | 81 | A+ | 33 | Victoria Gilbert | $8.3M | $5.7M | 68.5% | 265530 | ||||
| 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 | 50.6% | -24% | 5.38 | -53% | +44% | $241.2k | 44 | 4.4 | 2 | 38 | - | 17 | N & R Of Jefferson City, LLC | $4.1M | $2.8M | 67.8% | 265482 |
The legal owner and operator of River City Living Community is N & R Of Jefferson City, Llc.
River City Living Community has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.
River City Living Community's occupancy is 51%.
Ms DANETTE PATTON is the administrator of River City Living Community.
River City Living Community has 87 beds.
Yes — there are 14 photos of River City Living Community in the photo gallery on this page.
(573) 893-3404 will put you in contact with the team at River City Living Community.
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