Capitol River Wellness & Rehabilitation
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 41 Google reviews
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What this means for your family
While the rehab unit receives some praise for its staff, the facility has a concerning history of reports regarding neglect and poor medical oversight. We strongly advise families to conduct unannounced visits and closely monitor the care of any loved one in the skilled or memory care wings, as multiple reviewers have highlighted serious safety and communication issues.
Google Reviews
Google Reviews
41 reviews on Google“Capitol River Wellness & Rehabilitation receives highly polarized feedback, with some residents and families praising the staff as family-like, while others report severe neglect, including claims of malnutrition and poor medical oversight. Critical concerns regarding patient safety, staffing ratios, and administrative responsiveness are frequently raised by family members of long-term residents. Families considering this facility should be aware of the significant disparity between the positive experiences in the rehab unit and the alarming reports regarding the skilled and memory care wings.”
Quality Themes
Tap a score for detailsStrengths
- Warm, supportive staff in rehab units
- Engaging activities and social atmosphere
- Welcoming environment for some long-term residents
Concerns
- Severe neglect and lack of basic care (nutrition/hygiene) (mentioned by 5 reviewers)
- Poor communication and administrative responsiveness (mentioned by 3 reviewers)
- Inadequate medical monitoring and medication management (mentioned by 3 reviewers)
- High staff turnover and understaffing (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 42 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent feedback regarding medication management, could you walk me through the specific protocols in place to ensure residents receive the correct dosages on time?
- 2I noticed the facility has had some challenges with administrative responsiveness; what is the best way for family members to get quick updates or resolve concerns regarding their loved one's care?
- 3With the current staffing levels, how does the team ensure that basic daily needs, such as hygiene assistance and nutritional support, are consistently met for every resident?
- 4I’ve read positive things about the social atmosphere here; what are some of the most popular daily activities that help residents feel connected and engaged?
- 5How does your nursing team coordinate with outside physicians to ensure that medical monitoring is proactive rather than reactive?
- 6What steps is the leadership team currently taking to improve the facility's overall cleanliness and dining experience for the residents?
Personalized based on this facility's data
Key Review Excerpts
“My mom is in rehab section. The staff is excellent to her. I saw doctor when she was admitted and not since. U can only use their doctor, however. Sign on wall says patient has right to their own doctor.”
“My mother passed away last week after 15 months of being admitted here. She did not receive the care she deserved, she was neglected, and starved to death.”
“My mother was there for a short time in which she was transferred from another facility. Sheila's honesty about her current condition allowed her to get hospice and less suffering for my mother.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
7
measures
5
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Capitol River Wellness & Rehabilitation shows concerning patterns with families filing multiple complaints that led to violations in resident rights, nursing staffing, and infection control. The facility has recurring issues with fire safety systems, dietary services, and emergency preparedness that persist across multiple surveys from 2022 through 2024. While all deficiencies show correction dates, the repeated nature of similar violations suggests ongoing operational challenges that families should carefully consider.
Apr 28, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Mar 4, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Dec 19, 2024Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Mar 13, 2024Complaint1
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Feb 8, 2024Routine24
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 14, 2023Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Federal Penalties
Fine
Sep 29, 2023
$14,446
Ownership & Operations
Who Operates This Facility
Capitol River Wellness & Rehabilitation
for profit
Chain Affiliation
Norbert Bennett & Donald Denz
27 facilities nationwide
Chain avg rating: 1.7/5 · Rank 8 of 29
Ownership & Management
Owners
D&n, LLC
Owner · Organization
Dtd Hc LLC
Owner · Organization
Donald T Denz Irrv Tr
Owner (parent company) · Organization
Norbert a Bennett Irrv Tr Fbo Children
Owner (parent company) · Organization
Norbert a Bennett Irrv Tr Fbo Grandchildren
Owner (parent company) · Organization
Bennett, Norbert
Owner (parent company)
Denz, Donald
Owner (parent company)
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
41 reviews from families & visitors
Official Website
Visit jeffersoncityrehabcenter.com
Medicare data downloads
Original nursing home datasets
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