River City Living Community has received an F grade based on CMS data, with a score of 13/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Jefferson City facility should carefully review its inspection history and quality metrics.
Staffing levels at River City Living Community exceed national averages, with 4.57 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.29 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 46 deficiencies at River City Living Community, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.57 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.29 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.63 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 3.64 | 2.4 | Above Average |
| Weekend Total Nursing | 4.35 | 3.8 | Above Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Nov 17, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Oct 27, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.May 5, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 5, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.9% | 4.5% | Worse |
| Falls with major injury | 2.0% | 3.0% | Better |
| On antipsychotic medication | 33.7% | 14.5% | Worse |
| Urinary tract infections | 3.5% | 2.5% | Worse |
| ADL decline (daily activities) | 24.5% | 14.0% | Worse |
| Excessive weight loss | 1.7% | 7.5% | Better |
| New/worsened incontinence | 15.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $237,995
How This Grade Was Calculated
This facility's grade of F is based on a score of 13 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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