PlainNursing
CMS Nursing Home Compare · August 2026

River City Center

1350 Fourteenth Avenue Southeast, Decatur, AL 35601

River City Center, a 183-bed for profit - corporation nursing facility in Decatur, AL, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #182 of 223 rated homes in AL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding 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: 2563556911

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1 / 5
Much below average · CMS overall · nat'l 3.0
#182 of 223
In-state rank among rated AL homes
3.45
Below average · nurse hrs/day · nat'l 3.86
12
Inspection findings · 1 serious

The verdict

River City Center, a 183-bed for profit - corporation nursing facility in Decatur, AL, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #182 of 223 rated homes in AL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#182 of 223
In-state rank among rated AL homes
3.45
Nurse hrs/resident-day · national 3.86
12
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 224 AL nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
015113
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
183
Residents
163
In Hospital
No
County
Morgan
Last Inspection
Apr 29, 2021

Staffing Data

How the 3.45 total nursing hours per resident-day are staffed:

RN Hours
0.96 (nat'l avg: 0.69)
LPN Hours
0.63
CNA Hours
1.86
Total Nursing Hours
3.45 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
51.9%
RN Turnover
27.3%

What the CMS Record Reveals About River City Center

According to CMS Nursing Home Compare, River City Center ranks #182 of 223 rated nursing homes in AL on overall stars (tie-broken by health+staffing+quality, then fewer fines). River City Center operates 183 certified beds in Decatur, AL with approximately 163 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 4★).

The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 3.45 total nursing hours per resident day (national average 3.86), with RN coverage at 0.96 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, River City Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.9% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (12 most recent)

C - Widespread - No harm Apr 29, 2021 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: May 28, 2021

D - Isolated - Minimal harm Apr 29, 2021 Tag: 0809

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Category: Nutrition and Dietary Deficiencies

Corrected: May 28, 2021

E - Pattern - Minimal harm Apr 29, 2021 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: May 28, 2021

F - Widespread - Minimal harm Apr 29, 2021 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: May 28, 2021

F - Widespread - Minimal harm Apr 29, 2021 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: May 28, 2021

F - Widespread - Minimal harm Apr 29, 2021 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: May 28, 2021

D - Isolated - Minimal harm Mar 13, 2019 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: May 14, 2019

D - Isolated - Minimal harm Mar 13, 2019 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 17, 2019

D - Isolated - Minimal harm Jul 17, 2018 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 16, 2018

E - Pattern - Minimal harm Jul 17, 2018 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 16, 2018

F - Widespread - Minimal harm Jul 17, 2018 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: Aug 16, 2018

G - Isolated - Actual harm Jul 17, 2018 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 16, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.4% 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 99.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 86.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 90.8% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for River City Center, both outside AL so the neighborhoods are not the same-state geography list below.

What the CMS records show for River City Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The AL registry aggregates state averages and the highest-rated homes in this cohort. View AL registry
  • Peer homes near 183 beds show how CMS stars vary at a similar scale in AL. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for River City Center?
River City Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (4★).
Where does River City Center rank among nursing homes in AL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), River City Center ranks 182nd among 223 rated nursing homes in AL (#182 of 223). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at River City Center?
River City Center reports 3.45 total nursing hours per resident day (national average: 3.86). RN hours are 0.96 per resident day (national average: 0.69). Nursing staff turnover is 51.9%.
How many beds does River City Center have?
River City Center has 183 certified beds with approximately 163 residents. The facility is located at 1350 Fourteenth Avenue Southeast, Decatur, AL 35601.
Does River City Center have any deficiencies on record?
Yes, River City Center has 12 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has River City Center received any fines or penalties?
No, River City Center has no fines or penalties on record.
Who owns River City Center?
River City Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was River City Center last inspected?
The most recent health inspection for River City Center was on Apr 29, 2021. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for River City Center?
River City Center 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. Verify the same CCN on Medicare.gov Care Compare and 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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