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River City Living Community

⌖ Jefferson City, MO · Cole County
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Medicare overall rating 1 of 5 stars
Certified beds87
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About River City Living Community

River City Living Community is a 87-bed for-profit nursing home in Jefferson City, MO. Medicare rates it 1 out of 5 stars overall (much below average); the average in Missouri is 2.5. At its last full inspection (Oct 2024), inspectors found 19 problems, more than the Missouri average of 11.4. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 52 min a day with each resident, more than the Missouri average of 3 hr 26 min. About 73% of its nursing staff left in the past year. Medicare fined it $237,995 in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameRiver City Living Community
LocationCole County, Missouri
Address3038 West Truman Blvd, Jefferson City, MO 65109 · Cole County
CMS provider number265482
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMarch 1, 1992 (34 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections1 of 5Much below average
Quality measures2 of 5Below average
Staffing2 of 5Below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

1 strength and 5 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Nurse staffing per resident3 hr 52 min a dayMissouri average: 3 hr 26 min
    Strength

Things to ask about

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  • Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Oct 2025 (about 1 year ago). All 1 were later corrected.
    Ask about this
  • Fines and penalties1 fine totaling $237,995Federal penalties from the last three years, most recently in Jun 2024 (about 2 years ago). The national average is $30,972 per home.
    Ask about this
  • Health citations at last inspection19 (Oct 2024)Missouri average: 11.4. Most citations are minor and corrected within weeks.
    Worse than state average
  • Registered nurse time per resident12 min a dayMissouri average: 28 min
    Worse than state average
  • Nursing staff turnover73% a yearMissouri average: 56%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Missouri average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare has not rated this part of the home’s care.

  • Newly given antipsychotic drugs0.0%State average: 2.2%
    Better than average

Physical therapist time: about 6 minutes per resident a day. That is more than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury5.3%State average: 4.1%
    Worse than average
  • Pressure sores (bedsores)4.8%State average: 4.5%
    About average
  • Given antipsychotic drugs39.8%State average: 23.5%
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Missouri average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Missouri, Medicaid pays for 65% of resident days at a typical home.

  • 55% Medicaid
  • 1% Medicare
  • 43% Private pay, insurance and other
Beds in use, on average54%Missouri typical: 71%
Cost of care per resident day$289Missouri typical: $254

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, the same as 1 star in January 2019. It has ranged from 1 to 4 stars and changed 12 times.

Overall rating1★
Health inspections1★
Staffing2★
Quality of care2★
Nurse hours per resident per day3.9
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201912213.0
Jan 202033233.1
Jan 202133–33.6
Jan 202233233.8
Jan 202333445.3
Jan 202423313.5
Feb 202511324.2
Feb 202611314.6
Sep 202611223.9

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

Other nursing homes near Jefferson City

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Heisinger Bluffs Healthcare Western Campus

1306 West Main Street
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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.