# River City Living Community

River City Living Community is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Jefferson City, MO, CMS Certification Number 265482, with 87 certified beds and about 50 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 3/5, quality measures 3/5).

## Key facts
- Status: Active CMS certification
- Address: 3038 West Truman Blvd, Jefferson City, MO 65109 (Cole County)
- Ownership type: For profit - Corporation
- State license: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation; license 053116 (facility ID 04826), active, 87 licensed beds, licensee N & R OF JEFFERSON CITY, LLC, as of 2026-11-04

- Operator (legal business name): [N & R of Jefferson City LLC](https://carefield.site/operator/op-n-and-r-of-jefferson-city-llc)
- CMS chain: [James & Judy Lincoln](https://carefield.site/chain/cms-chain-290) — 55 facilities

- Phone: 5738933404
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/265482

## Inspection record
14 inspections in the CMS window (latest 2026-04-20); 97 citations (49 health, 48 fire safety); 1 at actual harm and 2 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2024-06-26 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2024-06-26 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2025-10-28 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-04-20 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-04-20 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-26 — [F-0585](https://carefield.site/deficiency/cms-f0585) Honor 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-26 — [F-0607](https://carefield.site/deficiency/cms-f0607) Develop and implement policies and procedures to prevent abuse, neglect, and theft. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-03-26 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-11-18 — [F-0628](https://carefield.site/deficiency/cms-f0628) Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-10-28 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-05-06 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-05-06 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-02-13 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-02-13 — [F-0727](https://carefield.site/deficiency/cms-f0727) Have 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-01-17 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-10-04 — [E-0030](https://carefield.site/deficiency/cms-e0030) List the names and contact information of those in the facility. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-04 — [E-0037](https://carefield.site/deficiency/cms-e0037) Establish staff and initial training requirements. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-04 — [E-0039](https://carefield.site/deficiency/cms-e0039) Conduct testing and exercise requirements. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-04 — [K-0222](https://carefield.site/deficiency/cms-k0222) Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-04 — [K-0271](https://carefield.site/deficiency/cms-k0271) Have exits that are accessible at all times. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- …and 77 more on the source page.

## Penalties
- 2024-06-26 — Civil money penalty (fine): $237,995

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.55102 (state avg 3.39922, US 3.90085)
- RN: 0.18905
- Nursing staff turnover: 62.7%

## Owners and managers of record (CMS disclosures)
- James Lincoln — Direct owner, 50%, since 2016-09-01
- Judy Lincoln — Direct owner, 50%, since 2016-09-01
- [Ltc Management Services LLC](https://carefield.site/owner/org-ltc-management-services-llc) — Operational / managerial control, since 2016-09-01
- James Lincoln — Operational / managerial control, since 2016-09-01

## Nearby nursing homes
- [Stonebridge Oak Tree](https://carefield.site/facility/cms-265819) — 0.1 km, CMS overall 5/5
- [Heisinger Bluffs Healthcare Western Campus](https://carefield.site/facility/cms-265837) — 4 km, CMS overall 5/5
- [Heisinger Bluffs Rehab and Healthcare Center](https://carefield.site/facility/cms-265794) — 4.5 km, CMS overall 5/5
- [Jefferson City Care & Rehab Center](https://carefield.site/facility/cms-265285) — 4.5 km, CMS overall 1/5
- [Stonebridge Villa Marie](https://carefield.site/facility/cms-265208) — 4.5 km, CMS overall 1/5
- [Capitol River Wellness & Rehabilitation](https://carefield.site/facility/cms-265530) — 4.9 km, CMS overall 3/5
- [Stonebridge Adams Street](https://carefield.site/facility/cms-265810) — 5.7 km, CMS overall 2/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265482&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265482&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265482&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265482&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265482&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=265482&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-265482 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.