River City Center
1350 Fourteenth Avenue Southeast · Decatur, AL · 35601 · 2563556911
183 certified beds For profit - Corporation Chain: Genesis Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 2.94 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (12 in the current record)
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Potential for harm · E 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.
Corrected May 28, 2021 · Resident Rights
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Potential for harm · F 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.
Corrected May 28, 2021 · Nutrition and Dietary
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Potential for harm · D April 29, 2021
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.
Corrected May 28, 2021 · Nutrition and Dietary
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Potential for harm · F April 29, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 28, 2021 · Nutrition and Dietary
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Potential for harm · F April 29, 2021
Dispose of garbage and refuse properly.
Corrected May 28, 2021 · Nutrition and Dietary
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No harm found · C April 29, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 28, 2021 · Resident Rights
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Potential for harm · D March 13, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 17, 2019 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2019
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 May 14, 2019 · Pharmacy Service
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Actual harm · G July 17, 2018
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 16, 2018 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 17, 2018
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 16, 2018 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 17, 2018
Assess the resident when there is a significant change in condition
Corrected August 16, 2018 · Resident Assessment and Care Planning
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Potential for harm · F July 17, 2018
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 16, 2018 · Nutrition and Dietary
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 015113 · certified since October 8, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.