All states › Alabama › Decatur › River City Center
1350 Fourteenth Avenue Southeast Decatur, AL 35601 · Morgan County
All 2 nursing homes in Decatur, AL (2 take Medicaid)
CMS certification number 015113 · See this home on Medicare Care Compare
Is River City Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for River City Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Alabama average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.54 hours per resident per day at River City Center, below the Alabama median of 3.90 (US median: 3.72). About 1.03 of those hours are from registered nurses. On weekends it falls to 3.21 hours, 9% below its all-week average. 49% of nursing staff left within a year (Alabama median 46.2%).
About this nursing home
Paying for care at River City Center: Medicare and Medicaid
River City Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Alabama's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 29, 2021 and found 6 deficiencies. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 12 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 12 citations at River City Center across 3 inspection dates. 1 was at the actual-harm level (G–I), most recently on July 17, 2018. The most common areas cited were nutrition and dietary (5) and freedom from abuse, neglect, and exploitation (2). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, July 17, 2018). 2 citations were under CMS's abuse, neglect and exploitation rules.
April 29, 2021 · 6 citations
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
March 13, 2019 · 2 citations
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
July 17, 2018 · 4 citations, includes actual harm
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DAssess the resident when there is a significant change in condition
Questions to ask on a tour of River City Center
- Inspectors cited the home at the actual-harm level on July 17, 2018 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 17, 2018. How are staff trained, and how are concerns reported?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
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Location
Hospitals near River City Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.3 mi
Decatur General Hospital DecaturEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 40m for patients treated and sent home
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15.0 mi
Athens-Limestone Hospital AthensEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 58m for patients treated and sent home
- 20.8 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Genesis Healthcare nursing homes in Alabama
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- Magnolia Ridge · Gardendale · 1 stars
- Merry Wood Lodge · Elmore · 1 stars
- Glenwood Center · Florence · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 183 Genesis Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.