All states › Missouri › Jefferson City › River City Living Community
3038 West Truman Blvd Jefferson City, MO 65109 · Cole County
All 8 nursing homes in Jefferson City, MO (8 take Medicaid)
CMS certification number 265482 · See this home on Medicare Care Compare
Is River City Living Community 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 Living Community as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
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 3.55 hours per resident per day at River City Living Community, above the Missouri median of 3.37 (US median: 3.72). About 0.19 of those hours are from registered nurses. On weekends it falls to 3.17 hours, 11% below its all-week average. 62.7% of nursing staff left within a year (Missouri median 56.8%).
About this nursing home
Paying for care at River City Living Community: Medicare and Medicaid
River City Living Community 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 Missouri'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 October 4, 2024 and found 11 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 49 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 49 citations at River City Living Community across 11 inspection dates, 17 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 26, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (11) and freedom from abuse, neglect, and exploitation (8). 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 J, June 26, 2024). 8 citations were under CMS's abuse, neglect and exploitation rules.
April 20, 2026 · 2 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 26, 2026 · 3 citations · includes complaint inspection
DHonor 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.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 18, 2025 · 1 citation · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
October 28, 2025 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure services provided by the nursing facility meet professional standards of quality.
May 6, 2025 · 2 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
February 13, 2025 · 2 citations · includes complaint inspection
EHave 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.
DEnsure services provided by the nursing facility meet professional standards of quality.
January 17, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 4, 2024 · 11 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.
FProvide and implement an infection prevention and control program.
FEducate 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.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide activities to meet all resident's needs.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EImplement a program that monitors antibiotic use.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure the activities program is directed by a qualified professional.
June 26, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DRespond appropriately to all alleged violations.
January 12, 2023 · 15 citations
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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
CPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
CNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CPost nurse staffing information every day.
CHave a plan that describes the process for conducting QAPI and QAA activities.
CEnsure staff are vaccinated for COVID-19
August 2, 2019 · 6 citations
FProvide and implement an infection prevention and control program.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure 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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Questions to ask on a tour of River City Living Community
- Inspectors cited the home at the immediate-jeopardy level on June 26, 2024 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 April 20, 2026. How are staff trained, and how are concerns reported?
- The home averages about 57% of its beds filled. Are any units closed?
- 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
1 penalty in the last three years, including $237,995 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 26, 2024 | Fine | $237,995 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near River City Living Community
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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2.6 mi
St Marys Health Center Jefferson CityEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 48m for patients treated and sent home
- 23.6 mi
- 24.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near River City Living Community › All nursing homes in Jefferson City ›
Compare River City Living Community with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Stonebridge Oak Tree · Jefferson City · 5 stars · 0.1 mi
- Heisinger Bluffs Healthcare Western Campus · Jefferson City · 5 stars · 2.5 mi
- Heisinger Bluffs Rehab and Healthcare Center · Jefferson City · 5 stars · 2.8 mi
- Capitol River Wellness & Rehabilitation · Jefferson City · 3 stars · 3.0 mi
Other James & Judy Lincoln nursing homes in Missouri
- Crowley Ridge Care Center · Dexter · 5 stars
- New Madrid Living Center · New Madrid · 5 stars
- Country Meadows · Park Hills · 5 stars
- California Care Center · California · 5 stars
- Nixa Nursing & Rehab · Nixa · 5 stars
- Republic Nursing & Rehab · Republic · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 55 James & Judy Lincoln 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.