Capitol River Wellness & Rehabilitation
1221 Southgate Lane · Jefferson City, MO · 65110 · 5736353131
120 certified beds For profit - Limited Liability company Chain: Norbert Bennett & Donald Denz
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.02 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.48 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $14,446 |
Inspection citations (30 in the current record)
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Potential for harm · D April 28, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 14, 2025 · Resident Rights
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Potential for harm · D March 4, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 4, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 17, 2025 · Nursing and Physician Services
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Potential for harm · D December 19, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · E December 19, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · E December 19, 2024
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.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · F December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 2, 2025 · Nutrition and Dietary
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Potential for harm · E February 8, 2024
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.
Corrected March 22, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
Ensure each resident receives an accurate assessment.
Corrected March 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 8, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 8, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 22, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024
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.
Corrected March 22, 2024 · Pharmacy Service
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Potential for harm · F February 8, 2024
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.
Corrected March 22, 2024 · Nutrition and Dietary
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Potential for harm · F February 8, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 22, 2024 · Nutrition and Dietary
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Potential for harm · F February 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 22, 2024 · Nutrition and Dietary
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Potential for harm · D February 8, 2024
Provide and implement an infection prevention and control program.
Corrected March 22, 2024 · Infection Control
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Potential for harm · D November 14, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 27, 2023 · Resident Rights
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Immediate jeopardy · J September 29, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 23, 2023 · Quality of Life and Care
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Potential for harm · D September 29, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 23, 2023 · Nursing and Physician Services
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Potential for harm · D June 28, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 11, 2023 · Resident Rights
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Potential for harm · D June 28, 2023 · found via complaint
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.
Corrected August 11, 2023 · Resident Rights
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Potential for harm · D June 28, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 11, 2023 · Resident Assessment and Care Planning
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Actual harm · G August 17, 2022
Ensure staff are vaccinated for COVID-19
Corrected October 1, 2022 · Infection Control
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Potential for harm · E August 17, 2022
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.
Corrected October 1, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 29, 2023 | Fine | $14,446 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265530 · certified since March 9, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.