River City Center
1350 Fourteenth Avenue Southeast, Decatur, AL 35601 · Morgan County · 183 certified beds · avg 163 residents/day · certified since Oct 8, 1969
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 17, 2018 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 16, 2018 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 29, 2021 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 29, 2021 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 29, 2021 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Apr 29, 2021 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 29, 2021 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Apr 29, 2021 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 13, 2019 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 13, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 17, 2018 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jul 17, 2018 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 17, 2018 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jul 17, 2018 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 1 | G ▲ |
| 2019 | 2 | 0 | D |
| 2021 | 6 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.05 | 4.43 | 3.95 | bottom 28% in Alabama; top 38% in the U.S. |
| Registered Nurse hours | 1.13 | 0.74 | 0.69 | top 9% in Alabama; top 11% in the U.S. |
| Weekend total nurse staffing | 3.63 | 3.73 | 3.50 | bottom 41% in Alabama; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.76 | 0.36 | 0.48 | top 5% in Alabama; top 13% in the U.S. |
| Total nursing staff turnover (%) | 51.9 | 46.9 | 45.8 | bottom 35% in Alabama; bottom 32% in the U.S. |
| RN turnover (%) | 27.3 | 39.5 | 42.9 | top 31% in Alabama; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.45, RN 0.96, weekend 3.10. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/02/2015 |
| Sun Healthcare Group INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 03/02/2015 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Dunavant, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Dunavant, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Mendelson, Avi | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Morris, Diane | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
| Vakharia, Bharat | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Vakharia, Bharat | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Decatur Health & Rehab Center | 2.5 mi | Decatur, AL | ★☆☆☆☆ | 1/5 | |
| Madison Manor Nursing Home | 14.1 mi | Madison, AL | ★★★☆☆ | 3/5 | |
| Summerford Health and Rehab, LLC | 14.3 mi | Falkville, AL | ★★☆☆☆ | 2/5 | |
| Athens Health and Rehabilitation LLC | 15.0 mi | Athens, AL | ★★★★★ | 4/5 | |
| Limestone Nursing and Rehabilitation Center, LLC | 15.2 mi | Athens, AL | ★★★☆☆ | 3/5 | |
| Falkville Rehabilitation and Healthcare Center | 15.4 mi | Falkville, AL | ★☆☆☆☆ | 1/5 | SFF |
| Valley View Health and Rehabilitation, LLC | 17.1 mi | Madison, AL | ★★★★☆ | 3/5 | |
| NHC Healthcare, Moulton | 19.3 mi | Moulton, AL | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015113.