River City Living Community
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
administered the resident's Novolog Insulin on 9/21/25 as directed by the physician.During an interview on 10/10/25 at 10:41 A.M., the resident said if he/she asks staff for his/her diabetes medication he/she will get it, if he/she doesn't ask he/she does not get it. He/She said often when he/she complains about not getting his/her insulin staff say it is documented in his/her chart he/she got it. 4. 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
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
River City Living Community
3038 West Truman Blvd Jefferson City, MO 65109
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the resident nails for him/her. NA A said he/she did use a electric nail file on the resident once but denied that he/she cut the resident. He/She said there was no redness or injury and denied that the resident had pain. He/She said he/she did not know he/she was not supposed to use an electronic nail file on resident nails. NA A said he/she is not allowed to do nail care on diabetic residents, and he/she did not realize the resident was a diabetic. He/She said that he/she did observe what looked like an old burn or corn but that was on the resident's right hand middle finger. He/She said he/she was unsure of when he/she did the residents nails with the electric nail file because he/she does not have a good sense of time. 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
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RIVER CITY LIVING COMMUNITY in JEFFERSON CITY, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.