Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

RIVER CITY LIVING COMMUNITY

JEFFERSON CITY, MO · 87 certified beds · Last Life Safety survey October 4, 2024

CMS Certification Number 265482 · first certified March 1992

Ownership

Operated by JAMES & JUDY LINCOLN · For profit - Corporation

Ownership changed September 1, 2016 (change of ownership)from GGNSC JEFFERSON CITY LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

48 citations — more than 98% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 18 citations; the earlier surveys in the window averaged 15. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (December 2025 to June 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was October 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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8 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

6 of the 48 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 48 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	48
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
August 2, 2019	10
January 12, 2023	20
October 4, 2024	18

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2024-10-04
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2024-10-04
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2024-10-04
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	3	2024-10-04
E-0037	Establish staff and initial training requirements.	3	2024-10-04
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2023-01-12
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	2	2024-10-04
K-0271	Have exits that are accessible at all times.	2	2024-10-04

What the citations cover

Citations by CMS category

Smoke Deficiencies 21
Gas, Vacuum, and Electrical Systems Deficiencies 10
Emergency Preparedness Deficiencies 6
Miscellaneous Deficiencies 5
Other 6

Citations by CMS category
Category	Citations
Smoke Deficiencies	21
Gas, Vacuum, and Electrical Systems Deficiencies	10
Emergency Preparedness Deficiencies	6
Miscellaneous Deficiencies	5
Egress Deficiencies	5
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

October 4, 2024 — 18 citations

Citations issued on October 4, 2024
Tag	What the surveyor checks	Status
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (November 15, 2024)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (November 15, 2024)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (November 15, 2024)
K-0222	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.	Deficient, Provider has date of correction (November 15, 2024)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (November 15, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (November 15, 2024)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (November 15, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (November 15, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (November 15, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 15, 2024)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (November 15, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (November 15, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (November 15, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 15, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 15, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (November 15, 2024)
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.	Deficient, Provider has date of correction (November 15, 2024)

January 12, 2023 — 20 citations

Citations issued on January 12, 2023
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (February 22, 2023)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (February 22, 2023)
K-0222	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.	Deficient, Provider has date of correction (February 22, 2023)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (February 22, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (February 22, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (February 22, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (February 22, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 22, 2023)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (February 22, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 22, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 22, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 22, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 22, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (February 22, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 22, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (February 22, 2023)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (February 22, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (February 22, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 22, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 22, 2023)

August 2, 2019 — 10 citations

Citations issued on August 2, 2019
Tag	What the surveyor checks	Status
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (September 12, 2019)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (September 12, 2019)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (September 12, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 12, 2019)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (September 12, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (September 12, 2019)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (September 12, 2019)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 12, 2019)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (September 12, 2019)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 12, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.