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Complaint Investigation

River City Living Community

October 28, 2025 · Jefferson City, MO · 3038 West Truman Blvd
Citations 2
CMS Rating 1/5
Beds 87
Provider ID 265482
Healthcare Facility
River City Living Community
Jefferson City, MO  ·  View full profile →
Inspection Summary

RIVER CITY LIVING COMMUNITY in JEFFERSON CITY, MO — inspection on October 28, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0658
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Review of Resident #3 Quarterly MDS, 9/19/25, showed staff assessed the resident as cognitively intact with diagnoses of diabetes, chronic pain syndrome, pneumonia.

Review of the resident's POS, dated September 2025, showed physician orders directed staff to administer Hydrocodone one tablet every six hours, ipratropium/albuterol four times a day, and metformin one time a day.

Review of the resident's Medication Administration Record (MAR), dated September 2025, showed staff did not document they administered the resident's medications for Hydrocodone (pain medication), Ipratropium/albuterol (bronchodilator medication) and Metformin (diabetes medication) on 9/15/25.#2636658

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

River City Living Community

3038 West Truman Blvd Jefferson City, MO 65109

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 10/28/25 at 2:25 P.M., the facility physician said he/she saw the resident on 9/26/25 at the facility and the resident complained of pain to his/her right index finger.

The physician said the area was red and painful but was not warm to touch. He/She said septic arthritis is an infection that has traveled to the joint. He/She said it is possible that the infection could have been caused by nail care provided to the resident with an electric nail file.

During an interview on 11/12/15 at 1:37 P.M., the hospital physician said if a Dremel tool connected with the resident's skin it could have led to the resident's finger infection. He/She said the wound did not resemble a burn. He/She said the resident's finger infection could have moved to the resident's joint and is likely what contributed to his/her sepsis.

Patient received IV antibiotics and underwent index finger arthrotomy of the distal interphalangeal joint to remove infected tissue. #2636658

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in JEFFERSON CITY, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from RIVER CITY LIVING COMMUNITY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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