Morgan County, Alabama · Nursing home
River City Center
1 of 5 overall from CMS
1350 Fourteenth Avenue Southeast, Decatur, AL 35601
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.45 hours Below the state average of 3.88
- Nursing staff who left in a year 51.9% Above the state average of 46.9%
- Health citations, last 3 inspection cycles 12 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 89.1% of 183 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
River City Center is a 183-bed nursing home in Decatur, Alabama (Morgan County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.45 nurse staffing hours per resident per day, below the Alabama average of 3.88. CMS lists no fines in the past three years.
- Certified beds
- 183
- Residents per day (average)
- 163.0
- Certified since
- 1969 (57 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask River City Center
Chosen from this home's public data.
- CMS counts 6 health deficiencies in the latest inspection cycle (the standard inspection on Apr 29, 2021 plus complaint and infection-control inspections); the Alabama average is 4.0. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 51.9%, above the Alabama average of 46.9%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.10 hours per resident on weekends against 3.45 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Alabama average 3.0
- Health inspections 1 of 5 Alabama average 2.8
- Staffing 4 of 5 Alabama average 3.6
- Quality measures 4 of 5 Alabama average 3.2
The vertical line marks the Alabama average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.45 h Alabama average 3.88
- Nurse aides 1.86 h Alabama average 2.44
- Licensed practical nurses 0.63 h Alabama average 0.79
- Registered nurses 0.96 h Alabama average 0.65
- All staff, weekends 3.10 h Alabama average 3.26
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Alabama average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover51.9%
- Alabama average46.9%
- Registered nurse turnover27.3%
- Alabama average39.5%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Alabama and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Alabama | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 18.3% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.9% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.4% | 1.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.6% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% | 92.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.9% | 12.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% | 24.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.3% | 94.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.5% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% | 12.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 19.1% | 21.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.73 | 1.96 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.43 | 1.70 | 1.78 |
Short-stay residents
| Measure | This home | Alabama | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.8% | 85.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.8% | 80.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.5% | 24.8% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.5% | 11.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 12 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. The most recent citation at the harm level or above was on Jul 17, 2018: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 29, 2021 | 6 | 0 |
| Mar 13, 2019 | 2 | 3 |
| Jul 17, 2018 | 4 | 4 |
Alabama homes averaged 4.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (12)
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (May 28, 2021)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 28, 2021)
-
FPotential for more than minimal harm, widespread
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (May 28, 2021)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (May 28, 2021)
-
DPotential for more than minimal harm, isolated
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.
Nutrition and Dietary · Deficient, Provider has date of correction (May 28, 2021)
Show 7 more
-
CPotential for minimal harm, widespread
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 28, 2021)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 17, 2019)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (May 14, 2019)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 16, 2018)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 16, 2018)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 16, 2018)
-
DPotential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 16, 2018)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Alabama homes averaged 0.3 fines and $12,315 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Alabama
- Size22 of 224 by certified beds
- Alabama average residents per day98.1
- ChainGenesis Healthcare
- Chain average overall rating2.3 of 5
- Resident or family councilResident
- Homes in Morgan County4
Common questions
What is the CMS star rating for River City Center?
River City Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 4.
How many beds does River City Center have?
River City Center has 183 certified beds. It averages 163.0 residents per day, about 89.1% of its certified beds.
How much nursing care do residents get at River City Center?
The home reports 3.45 hours of nurse staffing per resident per day, including 0.96 hours from registered nurses. The Alabama average is 3.88 hours and 0.65 hours from registered nurses.
Has River City Center been fined?
CMS lists no fines for this home in the past three years.
Does River City Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Decatur Health & Rehab Center 119beds 93.2%in use 3.97nurse hours a day
- 3 of 5 Madison Manor Nursing Home 80beds 92.0%in use 4.31nurse hours a day
- 2 of 5 Summerford Health and Rehab, LLC 216beds 61.6%in use 3.36nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Morgan County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 015113. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.