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Nursing Home in Alabama

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

River City Center

Nursing Home in Alabama

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

River City Center

Decatur, AL 35601 View map
Overview of River City Center
River City Center is a skilled nursing facility located in Jacksonville, Florida. It provides long-term care and short-stay rehabilitation services to meet the healthcare needs of the community. The facility emphasizes personalized care and support to help residents regain their independence.
(256) 355-6911

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Alabama average: 2.9/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Alabama average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
3/5
Alabama average: 3.6/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5
Alabama average: 3.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 35m per day

This home provides 18% less nursing time per resident than the Alabama average.

Alabama average: 4h 23m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 183

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Alabama average
Occupancy rate 82.9%
Residents per day (avg) 153
Occupancy rate
82.9%
Residents per day (avg)
153

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

45% of new residents, often for short stays.

Typical stay 1 months

Medicaid

26% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$20.4M
Profit
$662.9K
Privately-owned community Operated by a business corporation.
Home revenue
$20,417,028.00
Profit
$662,949.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.0M
29.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.8M
Total costs $19.8M
Bed community size
183-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

Occupancy

Occupancy rate
83%
In line with Alabama average
Occupied beds
152 / 183
Average residents 97 per day

License details

Facility type
Nursing Home
Status Regular
County: Morgan

Additional licensing details

CMS Certification Number: 015113

Ownership & operating entity

River City Center is administrated by Joseph Dunavant.

Profit status: Limited Liability Company

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

Long-Term Care
Short-Stay Rehabilitation

Programs & Activities

Specific Programs
Long-Term Care, Short-Stay Rehabilitation
Contact River City Center

Inspection History

In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.

Alabama average: 1 complaint visit

Alabama average: 1 inspection

Health Inspection History

Inspections
Total health inspections 3

Alabama average 2.9


Last Health inspection on Apr 2021

Total health citations 12

Alabama average 10.4

Citations per inspection
4

Alabama average 3.46


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 12 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Alabama average

Alabama average: 0.7


Serious Health citations More info 1
400% worse than Alabama average

Alabama average: 0.2

0 critical citations More info Alabama average: 0.7

1 serious citation More info Alabama average: 0.2

10 moderate citations More info Alabama average: 9.1

1 minor citation More info Alabama average: 0.4
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Apr 29, 2021
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Apr 29, 2021
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Apr 29, 2021
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Apr 29, 2021
Corrected

Compare Nursing Homes around Alabama The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.

5 facilities compared · CMS & AL Dept. of Health data · Updated Apr 2026

Filter by care type
Adams Rehabilitation and Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Alexander City
75
62.7%
-22%
4.53
+13%
+4%
0
4
2.0
0
64
Stalnaker, Deborah
$4.2M
$2.2M
51.3%
15386
Aliceville Manor Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Aliceville
100
92.2%
+14%
4.70
-11%
+8%
0
8
2.7
0
83
-
$10.1M
$5.6M
55.2%
15137
Albertville Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Albertville
159
97.4%
+21%
5.06
-15%
+16%
0
9
3.0
0
154
Brown, Terri
$17.7M
$8.9M
50.4%
15163
Altoona Health & Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Altoona
50
96.0%
+19%
4.33
+3%
-1%
0
7
2.3
0
46
Long, Bradley
$5.1M
$3.0M
59.7%
15101
River City Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Decatur
183
82.9%
+3%
3.58
+13%
-18%
0
12
4.0
1
153
Dunavant, Joseph
$20.1M
$6.0M
29.6%
15113

Places of interest near River City Center

Address 3.7 miles from city center

Address Decatur, AL 35601

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 167
Employees 131
Contractors 36
Staff to resident ratio 1.25:1
21% worse than Alabama average

Alabama average ratio: 1.57:1

Avg staff/day 68
Average shift 8.5 hours
8% better than Alabama average

Alabama average: 7.9 hours

Total staff hours (quarter) 52,795
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 69
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

14.5%

7,635 contractor hours this quarter

Licensed Practical Nurse: 19 Certified Nursing Assistant: 11 Occupational Therapy Assistant: 3 Occupational Therapy Aide: 2 Medical Director: 1
Staff by category
Certified Nursing Assistant58116923,11291100%8.8
Licensed Practical Nurse15193411,01691100%9.2
Registered Nurse180187,80391100%9.9
Other Dietary Services Staff7071,5799099%5.5
Mental Health Service Worker3031,4346875%8.2
Clinical Nurse Specialist5051,2636673%7.9
Speech Language Pathologist4041,2406774%7
Physical Therapy Aide6061,1707380%7
Qualified Social Worker4047476774%6.2
Physical Therapy Assistant2026716875%6.7
Nurse Practitioner1015046369%8
Administrator1014806066%8
Occupational Therapy Aide0224615864%7.9
Other Social Services Staff1014365763%7.7
Respiratory Therapy Technician3033826673%5.8
Qualified Activities Professional2023624651%6.8
Occupational Therapy Assistant033852224%3.7
Medical Director011505055%1
Other Activities Staff101111%0.5
69 Certified Nursing Assistant
% of Days 100%
34 Licensed Practical Nurse
% of Days 100%
18 Registered Nurse
% of Days 100%
7 Other Dietary Services Staff
% of Days 99%
3 Mental Health Service Worker
% of Days 75%
5 Clinical Nurse Specialist
% of Days 73%
4 Speech Language Pathologist
% of Days 74%
6 Physical Therapy Aide
% of Days 80%
4 Qualified Social Worker
% of Days 74%
2 Physical Therapy Assistant
% of Days 75%
1 Nurse Practitioner
% of Days 69%
1 Administrator
% of Days 66%
2 Occupational Therapy Aide
% of Days 64%
1 Other Social Services Staff
% of Days 63%
3 Respiratory Therapy Technician
% of Days 73%
2 Qualified Activities Professional
% of Days 51%
3 Occupational Therapy Assistant
% of Days 24%
1 Medical Director
% of Days 55%
1 Other Activities Staff
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
134 residents
Residents by payment source
Medicare
17 residents (12.7%)
Medicaid
109 residents (81.3%)
Private pay or other
8 residents (6%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.6
8% worse than Alabama average

Alabama average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.5
14% worse than Alabama average

Alabama average: 14.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.6%
12% worse than Alabama average

Alabama average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.6%
In line with Alabama average

Alabama average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.2%
34% worse than Alabama average

Alabama average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
22% better than Alabama average

Alabama average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.1%
37% worse than Alabama average

Alabama average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
60% better than Alabama average

Alabama average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.0%
11% worse than Alabama average

Alabama average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.1%
68% worse than Alabama average

Alabama average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.8%
19% better than Alabama average

Alabama average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
7% better than Alabama average

Alabama average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.3%
5% better than Alabama average

Alabama average: 94.8%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.2%
In line with Alabama average

Alabama average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
27% better than Alabama average

Alabama average: 2.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.8%
13% better than Alabama average

Alabama average: 80.3%

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Alabama Seniors

Get financial aid guidance

Elderly and Disabled Waiver

Alabama Medicaid E&D Waiver

Age 65+ or disabled, Alabama resident, Medicaid-eligible, requires nursing home-level care but can live in community with support.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

Must be assessed by a nurse for nursing home-level care need.

Alabama Respite for Caregivers Program

Alabama Respite (via NFCSP)

Caregiver of someone 60+ (or with dementia), Alabama resident.

No strict limit; prioritizes low-income.

Not applicable.

Focus on rural caregivers; limited funding.

SenioRx Prescription Assistance Program

AL SenioRx

Age 55+, Alabama resident, chronic illness requiring daily medication, not fully covered by other drug plans.

~$3,000/month (individual, varies by AAA).

Not strictly enforced; income-focused.

High ROI; saved $43.5M for 6,825 participants in FY 2022.

Weatherization Assistance Program (WAP)

AL WAP

Age 60+ priority, Alabama resident, own or rent home, low-income status.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-driven.

Prioritizes seniors and disabled; limited annual funding.

Section 202 Supportive Housing for the Elderly

AL Section 202

Age 62+, Alabama resident, very low income, able to live independently with support.

~$1,500/month (50% of area median income, individual, varies by county).

$10,000 (individual, excludes home if owned).

High demand in urban areas like Birmingham; limited units statewide.

Alabama CARES Program

AL CARES

Caregivers of Alabama residents aged 60+ needing assistance with 3+ daily activities; no age limit for caregivers.

No strict limit; cost-sharing based on recipient’s income (e.g., ~$2,500/month threshold).

Not applicable; focus on need.

Prioritizes caregivers with greatest economic/social need; complements respite programs like AL Lifespan Respite.

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