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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 →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
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.

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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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.