River City Living Community
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (16 vs median 10)
- High staff turnover (93%)
- High RN turnover (100%)
Bottom 25% in MO · Critically understaffed (RN) · Above recommended total nurse staffing · Very high staff turnover · Worst in JAMES & JUDY LINCOLN chain · $237,995 in fines
What this means for your family
This facility has received multiple serious reports of neglect, including failures to administer medication and provide basic nutrition. We strongly advise families to look elsewhere, as the documented patterns of poor care and unresponsive staff present significant safety risks to residents.
Google Reviews
Google Reviews
19 reviews on Google“River City Living Community faces severe criticism regarding basic patient care, including reports of medication delays, neglect, and failure to provide adequate nutrition. While some older reviews offer generic praise, multiple detailed accounts from family members describe a facility where residents are left unattended and medical needs are ignored.”
Quality Themes
Tap a score for detailsStrengths
- None identified in substantive reviews
Concerns
- Neglect of basic needs including feeding and medication administration (mentioned by 2 reviewers)
- Unresponsive staff and slow reaction to call buttons (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent feedback regarding response times, could you walk us through the protocol for how staff are alerted to and prioritize call buttons throughout the day?
- 2With the current CMS health inspection ratings in mind, what specific quality improvement initiatives are currently underway to ensure the highest standards of care and safety for residents?
- 3Could you describe the process for medication administration and how you ensure that residents receive their prescribed treatments accurately and on time?
- 4How does the facility approach the dining experience to ensure that residents receive proper nutrition and assistance during meal times?
- 5What steps are being taken to improve the daily cleanliness and maintenance of the living spaces to ensure a comfortable environment for all residents?
- 6How do you keep families updated on their loved one's health status, and what is the best way for us to communicate with the care team regarding any concerns?
Personalized based on this facility's data
Key Review Excerpts
“We had to be present in this facility seven days a week to ensure that our father was getting fed and receiving his medications. He was left in a hoyer lift for over an hour, left by himself in the room, while the staff went to charge the batte”
“This place is hell I have seen more residents die in their care more than a hospice facility itself they don’t feed their residents they don’t give them their medication they leave them in their feces yelling for help the emergency call buttons are left on for long periods of time”
“She was suppose to have 30 days of antibiotics. She didn't even start getting them until the 4th day, and they had Dr's orders. Just no one there made an effort to get them delivered”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
7
measures
3
measures
6
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
River City Living Community has faced serious concerns including families filing multiple complaints about resident abuse, neglect reporting failures, and safety hazards. The facility shows persistent problems with fire safety systems, infection control, and care quality standards across multiple surveys from 2019-2024. While all deficiencies report correction dates, the recurring pattern of issues with safety systems and the recent complaint-triggered violations regarding abuse protection warrant careful consideration before visiting.
Mar 26, 2026Complaint3
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 18, 2025Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Oct 28, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 6, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Feb 13, 2025Complaint2
Nursing and Physician Services Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jan 17, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Jun 26, 2024
$237,995
Ownership & Operations
Who Operates This Facility
River City Living Community
for profit
Chain Affiliation
James & Judy Lincoln
56 facilities nationwide
Chain avg rating: 2.5/5 · Rank 45 of 56 (Worst)
Ownership & Management
Owners
Lincoln, James
Owner
Lincoln, Judy
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Official Website
Visit rivercitylivingcommunity.com
Medicare data downloads
Original nursing home datasets
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