RIVER CITY LIVING COMMUNITY

CCN 265482 · N & R OF JEFFERSON CITY LLC · For profit - Corporation · JAMES & JUDY LINCOLN chain · 87 certified beds · Cole · MO


RIVER CITY LIVING COMMUNITY is a 87-bed nursing home in JEFFERSON CITY, Missouri. CMS has certified it for Medicare and Medicaid since 1992-03-01. It averages 45.1 residents a day.

What harm was found in the violations cited at RIVER CITY LIVING COMMUNITY?

CMS lists 50 health-inspection deficiencies for RIVER CITY LIVING COMMUNITY since 2019-08-02, 29 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-20.

Survey dateTagDeficiencySeverity
2026-04-20F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2026-04-20F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-03-26F0585, F0607, F0609Honor 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-11-18F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D
2025-10-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-10-28F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-05-06F0658Ensure services provided by the nursing facility meet professional standards of quality.E
2025-05-06F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-02-13F0727Have 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.E
2025-02-13F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-01-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-10-04F0803, F0812, F0880, F0887Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / 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.F
2024-10-04F0658, F0679, F0726, F0881, F0883Ensure services provided by the nursing facility meet professional standards of quality. / Provide activities to meet all resident's needs. / 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. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2024-10-04F0656, F0680Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure the activities program is directed by a qualified professional.D
2024-06-26F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J
2024-06-26F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
2024-06-26F0610Respond appropriately to all alleged violations.D
2023-09-27F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2023-01-12F0584, F0607, F0640, F0656, F0658, F0689, F0756, F0880Honor 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program.E
2023-01-12F0550, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure 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.D
2023-01-12F0575, F0625, F0732, F0865, F0888Post 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. / Notify 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. / Post nurse staffing information every day. / Have a plan that describes the process for conducting QAPI and QAA activities. / Ensure staff are vaccinated for COVID-19C
2019-08-02F0880Provide and implement an infection prevention and control program.F
2019-08-02F0657, F0658, F0812Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2019-08-02F0803, F0805Ensure 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D

Why was RIVER CITY LIVING COMMUNITY fined?

DateTypeAmount
2024-06-26Fine$237,995

How is RIVER CITY LIVING COMMUNITY staffed?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day3.872643.43324
Total nursing staff turnover (%)73.156.0
Average number of residents per day45.173.0

Who owns RIVER CITY LIVING COMMUNITY, and what chain is it in?

RIVER CITY LIVING COMMUNITY is registered with CMS as For profit - Corporation, operates under the legal business name N & R OF JEFFERSON CITY LLC and belongs to the JAMES & JUDY LINCOLN chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLINCOLN, JAMES, LINCOLN, JUDYsince 09/01/2016
OPERATIONAL/MANAGERIAL CONTROLLTC MANAGEMENT SERVICES LLC, LINCOLN, JAMESsince 09/01/2016

Were you or a family member harmed at RIVER CITY LIVING COMMUNITY?