River City Living Community
3038 West Truman Blvd · Jefferson City, MO · 65109 · 5738933404
87 certified beds For profit - Corporation Chain: James & Judy Lincoln
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.93 | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | 1 · $237,995 |
Inspection citations (49 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 7, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 18, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 5, 2025 · Resident Rights
-
Actual harm · G October 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 31, 2025 · Quality of Life and Care
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Potential for harm · D October 28, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 6, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · E May 6, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 13, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E February 13, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected March 10, 2025 · Nursing and Physician Services
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Potential for harm · D January 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · D October 4, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 4, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 4, 2024
Provide activities to meet all resident's needs.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D October 4, 2024
Ensure the activities program is directed by a qualified professional.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · E October 4, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected November 15, 2024 · Nursing and Physician Services
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Potential for harm · F October 4, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected November 15, 2024 · Nutrition and Dietary
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Potential for harm · F October 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 15, 2024 · Nutrition and Dietary
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Potential for harm · F October 4, 2024
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
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Potential for harm · E October 4, 2024
Implement a program that monitors antibiotic use.
Corrected November 15, 2024 · Infection Control
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Potential for harm · E October 4, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 15, 2024 · Infection Control
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Potential for harm · F October 4, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected November 15, 2024 · Infection Control
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Immediate jeopardy · J June 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 26, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 26, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2024 | Fine | $237,995 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265482 · certified since March 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.