PlainNursing
CMS Nursing Home Compare · March 2026

Capitol River Wellness & Rehabilitation

1221 Southgate Lane, Jefferson City, MO 65110 · All homes in Jefferson City

Capitol River Wellness & Rehabilitation, a 120-bed for profit - limited liability company nursing facility in Jefferson City, MO, holds a 2-star CMS overall rating - below the 3.0-star national average, with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5736353131

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2 / 5
Below average · CMS overall · nat'l 3.0
4.01
About average · nurse hrs/day · nat'l 3.89
31
Inspection findings · 3 serious
$14K
Federal penalties (1)

Health Inspection

2/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

1/5

Facility Information

Provider Number
265530
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
75
In Hospital
No
County
Cole
Last Inspection
Dec 19, 2024

Staffing Data

How the 4.01 total nursing hours per resident-day are staffed:

RN Hours
0.41 (nat'l avg: 0.68)
LPN Hours
1.07
CNA Hours
2.53
Total Nursing Hours
4.01 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
75.2%
RN Turnover
50.0%

What the CMS Record Reveals About Capitol River Wellness & Rehabilitation

Capitol River Wellness & Rehabilitation operates 120 certified beds in Jefferson City, MO with approximately 75 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (3★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 31 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $14K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.01 total nursing hours per resident day (national average 3.89), with RN coverage at 0.41 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Capitol River Wellness & Rehabilitation falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 75.2%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (31 most recent)

D - Isolated - Minimal harm Apr 28, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: May 14, 2025

D - Isolated - Minimal harm Mar 4, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 17, 2025

D - Isolated - Minimal harm Mar 4, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 17, 2025

F - Widespread - Minimal harm Dec 19, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 2, 2025

E - Pattern - Minimal harm Dec 19, 2024 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Feb 2, 2025

E - Pattern - Minimal harm Dec 19, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Feb 2, 2025

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Feb 2, 2025

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 22, 2024

F - Widespread - Minimal harm Feb 8, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 22, 2024

F - Widespread - Minimal harm Feb 8, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 22, 2024

F - Widespread - Minimal harm Feb 8, 2024 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 22, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 22, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 22, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 22, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 22, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 22, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Mar 22, 2024

D - Isolated - Minimal harm Nov 14, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 27, 2023

D - Isolated - Minimal harm Sep 29, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 23, 2023

J - Isolated - Jeopardy Sep 29, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 23, 2023

D - Isolated - Minimal harm Jun 28, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 11, 2023

D - Isolated - Minimal harm Jun 28, 2023 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Aug 11, 2023

D - Isolated - Minimal harm Jun 28, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 11, 2023

K - Pattern - Jeopardy Mar 3, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 3, 2023

G - Isolated - Actual harm Aug 17, 2022 Tag: 0888

Ensure staff are vaccinated for COVID-19

Category: Infection Control Deficiencies

Corrected: Oct 1, 2022

E - Pattern - Minimal harm Aug 17, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Oct 1, 2022

F - Widespread - Minimal harm Aug 17, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 1, 2022

F - Widespread - Minimal harm Aug 17, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 1, 2022

E - Pattern - Minimal harm Aug 17, 2022 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 1, 2022

E - Pattern - Minimal harm Aug 17, 2022 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 1, 2022

E - Pattern - Minimal harm Aug 17, 2022 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Oct 1, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 11.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 80.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.5% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 20.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 40.4% No

Penalty History 1 penalties totaling $14K

Date Type Amount
Sep 29, 2023 Fine $14K
Mar 3, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for Capitol River Wellness & Rehabilitation?
Capitol River Wellness & Rehabilitation has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at Capitol River Wellness & Rehabilitation?
Capitol River Wellness & Rehabilitation reports 4.01 total nursing hours per resident day (national average: 3.89). RN hours are 0.41 per resident day (national average: 0.68). Nursing staff turnover is 75.2%.
How many beds does Capitol River Wellness & Rehabilitation have?
Capitol River Wellness & Rehabilitation has 120 certified beds with approximately 75 residents. The facility is located at 1221 Southgate Lane, Jefferson City, MO 65110.
Does Capitol River Wellness & Rehabilitation have any deficiencies on record?
Yes, Capitol River Wellness & Rehabilitation has 31 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Capitol River Wellness & Rehabilitation received any fines or penalties?
Yes, Capitol River Wellness & Rehabilitation has received 1 penalties totaling $14K.
Who owns Capitol River Wellness & Rehabilitation?
Capitol River Wellness & Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Capitol River Wellness & Rehabilitation last inspected?
The most recent health inspection for Capitol River Wellness & Rehabilitation was on Dec 19, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Capitol River Wellness & Rehabilitation?
Capitol River Wellness & Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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