River City Living Community in Jefferson City, MO has a 1-star overall rating, with 1-star health inspection and quality scores and 2-star staffing. It reported 4.31 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $237,995 in fines in the last 24 months plus a recent federal penalty.
Last inspection: March 26, 2026Penalties, last 24 months: $237,995recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3121.
Staffing detail
Registered nurses
0.22
Licensed practical nurses
0.70
Nurse aides
3.39
Weekend nursing
3.93
Hours per resident per day.
Total staff turnover: 80%
Registered nurse turnover: 88%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
35%45.5%Worsening
Residents with a fall causing major injury
2.6%10.3%Worsening
Residents with pressure ulcers (bedsores)
7.4%3%Improving
Residents with a urinary tract infection
5.1%0%Improving
Residents who lost too much weight
3.3%6.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.9%17.2%Improving
Residents whose ability to walk got worse
—15.9%—
Long-stay residents on antianxiety or sleep medication
40%40%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.9%11.7%Worsening
Residents with depressive symptoms
2.8%16.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.4%69.2%Worsening
Short-stay residents given the pneumonia vaccine
69.6%70.6%Improving
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $237,995 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $237,995 in total fines.
Federal fine
Jun 26, 2024
$237,995
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
Occupancy
42.7 residents on an average day (49% of 87 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.