What is River City Center's Medicare star rating?

CMS rates River City Center 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did River City Center get at its last inspection?

6 health deficiencies at the standard inspection on April 29, 2021. The Alabama average is 4.

Has River City Center been fined?

CMS lists no fines in the last three years.

Does River City Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns River City Center?

CMS lists 16 owners and managers, and links the home to Genesis Healthcare. Legal business name: SUNBRIDGE HEALTHCARE LLC.

River City Center: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on April 29, 2021, inspectors cited 6 health deficiencies (the Alabama average is 4, the national average 9.2).

Of 12 health citations since July 2018, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.45 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.

51.9% of nursing staff left within the year CMS measured (Alabama average 46.9%).

CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

407/18

203/19

604/21

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

April 29, 2021Standard inspection · 6 citations

F

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.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 28, 2021

Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow the posted menu for the lunch meal on 04/26/21. This failure has the potential to affect 133 of 134 residents living at the facility, there was one resident requiring tube feedings.
F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 28, 2021

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the proper handling of clean dishes and silverware. This failure has the potential to affect 133 of 134 residents living at the facility, there was one resident requiring tube feedings.
F

Dispose of garbage and refuse properly.

F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 28, 2021

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure garbage was properly disposed of and contained. This failure has the potential to affect all 134 residents who resided at the facility.
E

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.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 28, 2021

Inspectors wroteBased on observations, interviews, review of the facility's document, and facility policy review, it was determined the facility failed to ensure a clean and comfortable environment free of the growth of a black substance on three air conditioning units: six overbed tables missing vinyl covering. All located in nine of 39 rooms located on the Solona unit and the East hallway (short hall).
D

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.

F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 28, 2021

Inspectors wroteBased on observation, record review and interview, the facility failed to provide breakfast or a nourishing snack to residents who dialyze on the first/early shift three times a week. This failure affected two of nine residents identified by the facility as receiving dialysis.
C

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

F623 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 28, 2021

Inspectors wroteBased on document review and staff interview, the facility failed to notify the Ombudsman of a resident's transfer to the hospital for three of three residents (Resident Identifier (RI) #27,112 and 72) reviewed who were transferred to the hospital.

March 13, 2019Standard inspection · 2 citations

D

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

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 17, 2019

Inspectors wroteBased on observation, interview and review of a facility policy titled, NSG305 Medication Administration: General and [NAME] and Perry's FUNDAMENTALS OF NURSING, the facility failed to ensure a Licensed Practical Nurse (LPN) did not leave an insulin pen on top the medication cart, out of her sight, when she entered a resident's room during medication administration on 3/12/19. This had the potential to affect one of 27 residents who received medications from cart one on the East wing. Findings Include: A review of a facility policy titled . Medication Administration: General with a Revised date of 7/24/18, revealed the following: POLICY . Accepted standards of practice will be followed . A review of [NAME] and Perry's FUNDAMENTALS OF NURSING, NINTH EDITION, with a Copyright of 2017, Chapter 32, page 683, revealed the following: .prepared medications are never left unattended . [...]
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 14, 2019

Inspectors wroteBased on observation, interview and review of a facility policy titled, . Storage and Expiration Dating of Medications ., the facility failed to ensure an opened vial of Influenza Vaccine was marked with the date it was opened and the date to be used by. This deficient practice affected one of two medication rooms observed.

July 17, 2018Standard inspection · 4 citations

G

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

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · Corrected (the home has a date of correction) August 16, 2018

Inspectors wroteBased on record review, interviews, review of the facility's policy titled, OPS 300 Abuse Prohibition, the facility's investigation file and a report received by the Alabama State Survey Agency, the facility failed to ensure Resident Identifier (RI) #14 was free from abuse. On 6/22/2018, RI #14 reported a tall girl that worked the previous night grabbed him/her by both arms and threw him/her into the bed. When assessed, it was found RI #14 had bruising to left forearm and swelling and pain was noted to the left hand. The facility's investigation revealed Employee Identifier (EI) #15, a Certified Nursing Assistant (CNA), was responsible for physically abusing the resident. This deficient practice affected RI #14, one of 10 sampled residents reviewed for abuse.
F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 16, 2018

Inspectors wroteBased on observations, interviews and review of facility policy titled Food and Nutrition Services Use By Dating Guidelines, the facility failed to ensure the following unopened food items in the walk-in refrigerator were discarded after the best before date: thirteen boxes of thickened dairy drink honey consistency with a best before date of 6/2/18; twenty-four boxes of thickened dairy drink honey consistency with a best before date of 12/5/17; thirty-eight boxes of Sysco Imperial thickened dairy drink nectar consistency with a best before date of 12/11/17; and one unopened box of hashbrowns with a best before date of 5/24/18. This deficient had the potential to affect 10 of 10 residents receiving thickened liquids and all residents receiving meals from dietary:
E

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

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 16, 2018

Inspectors wroteBased on interview, review of the facility's online reports to the state agency, and review of the facility's policy titled, OPS 300 Abuse Prohibition, the facility failed to ensure allegations of verbal and physical abuse were timely reported to the state agency. This deficient practice involved nine residents (Resident Identifier (RI) #9, RI #42, RI #69, RI #70,RI #161, RI #172, RI #178, RI #229 and RI #230) and five of 12 abuse allegations reviewed.
D

Assess the resident when there is a significant change in condition

F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2018

Inspectors wroteBased on medical record review and interview, the facility failed to ensure a Significant Change Minimum Data Set (MDS) was completed within fourteen days when Resident Identifier (RI) #10 elected to receive Hospice services. This affected one of six residents reviewed for Hospice.

Fire safety inspections

7 fire safety citations on file: 3 on March 13, 2019, 4 on July 17, 2018.

Every fire safety citation7 citations

F
Establish emergency prep training and testing.

E 36 · March 13, 2019 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · March 13, 2019 · Corrected (the home has a date of correction)
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · March 13, 2019 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · July 17, 2018 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · July 17, 2018 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · July 17, 2018 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · July 17, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Alabama	United States
All nursing staff (RN, LPN and aides)	3.45	3.88	3.86
Registered nurses	0.96	0.65	0.69
All nursing staff on weekends	3.10	3.26	3.42
Nurse aides	1.86
Licensed practical nurses	0.63
Nursing staff turnover (share who left in a year)	51.9%	46.9%	45.8%
Registered nurse turnover	27.3%	39.5%	42.9%
Administrators who left	0

CMS expects 3.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.59 on weekdays and 3.10 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.13 in April to June 2025 to 3.45 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.45	0.96	3.59	3.10	3.9%	0 of 90	163
Oct to Dec 2025	3.30	0.87	3.45	2.94	6.5%	0 of 92	155
Jul to Sep 2025	3.29	0.79	3.45	2.89	6.9%	0 of 92	156
Apr to Jun 2025	3.13	0.69	3.26	2.80	16.1%	0 of 91	153
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Alabama, Jan to Mar 2026	3.88	0.63	4.13	3.27	0.9%	0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Alabama	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	18.3	12.0	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.1	0.9	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.0	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.8	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.2	2.0	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	17.9	12.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.5	5.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	19.1	21.2	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	17.5	24.8	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.5	11.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.7	1.8

Owners and operators

Legal business name: SUNBRIDGE HEALTHCARE LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.

Name	Role	Type	Share	Since
Genesis Holdings LLC	5% or greater direct ownership interest	Organization	100%	02/02/2015
Fc-Gen Operations Investment LLC	5% or greater indirect ownership interest	Organization		02/02/2015
Gen Operations I LLC	5% or greater indirect ownership interest	Organization		02/02/2015
Gen Operations II LLC	5% or greater indirect ownership interest	Organization		02/02/2015
Genesis Healthcare Inc	5% or greater indirect ownership interest	Organization		02/02/2015
Genesis Healthcare LLC	5% or greater indirect ownership interest	Organization		02/02/2015
Sun Healthcare Group Inc	5% or greater indirect ownership interest	Organization		02/02/2015
Whitman, Arnold	5% or greater indirect ownership interest	Individual		02/02/2015
Berg, Michael	Corporate officer	Individual		03/02/2015
Bridgeford, Laura	Corporate officer	Individual		06/01/2024
Mendelson, Avi	Corporate officer	Individual		06/01/2024
Dunavant, Joseph	Operational/managerial control	Individual		03/01/2024
Morris, Diane	Operational/managerial control	Individual		10/01/2021
Vakharia, Bharat	Operational/managerial control	Individual		03/01/2024
Dunavant, Joseph	Adp of the SNF	Individual		01/27/2025
Vakharia, Bharat	Adp of the SNF	Individual		01/27/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on April 29, 2021: "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."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 29, 2021: "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."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 13, 2019: "Ensure services provided by the nursing facility meet professional standards of quality."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 17, 2018: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.10 hours per resident per day, below the Alabama average of 3.26.

Other nursing homes nearby

Decatur Health & Rehab Center
Decatur, 2.5 mi · 1 of 5 stars · 16 citations
Madison Manor Nursing Home
Madison, 14.1 mi · 3 of 5 stars · 8 citations
Summerford Health and Rehab, LLC
Falkville, 14.3 mi · 2 of 5 stars · 14 citations
Athens Health and Rehabilitation LLC
Athens, 15 mi · 5 of 5 stars · 10 citations
Limestone Nursing and Rehabilitation Center, LLC
Athens, 15.2 mi · 3 of 5 stars · 10 citations
Falkville Rehabilitation and Healthcare Center
Falkville, 15.4 mi · 1 of 5 stars · 33 citations
Valley View Health and Rehabilitation, LLC
Madison, 17.1 mi · 4 of 5 stars · 10 citations
NHC Healthcare, Moulton
Moulton, 19.3 mi · 5 of 5 stars · 6 citations

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Alabama Department of Public Health, Bureau of Health Provider Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Alabama Office of the State Long-Term Care Ombudsman Program, 334-242-5753. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Alabama Health Care Facilities Deficiencies, where Alabama publishes its own records on licensed homes.

Common questions

What is River City Center's Medicare star rating?: CMS rates River City Center 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did River City Center get at its last inspection?: 6 health deficiencies at the standard inspection on April 29, 2021. The Alabama average is 4.
Has River City Center been fined?: CMS lists no fines in the last three years.
Does River City Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns River City Center?: CMS lists 16 owners and managers, and links the home to Genesis Healthcare. Legal business name: SUNBRIDGE HEALTHCARE LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.