Nursing homeActive

River City Center

1350 Fourteenth Avenue Southeast, Decatur, AL 356012563556911183 certified beds · 163 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2018
Deficiencies
12
1101
Penalties · 3 yrs
none on file
Last survey
2021-04-29
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Alabama Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2021-04-29Standard150CMS-2567 (Care Compare)
2019-03-13Standard020CMS-2567 (Care Compare)
2018-07-17Standard031CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Alabama Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2021-04-29Standard survey · 6 deficienciesOfficial report
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-05-28Record 015113-20210429-F584
F803Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-05-28Record 015113-20210429-F803
F809Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-28Record 015113-20210429-F809
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-05-28Record 015113-20210429-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-05-28Record 015113-20210429-F814
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2021-05-28Record 015113-20210429-F623
2019-03-13Standard survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-04-17Record 015113-20190313-F658
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-14Record 015113-20190313-F761
2018-07-17Standard survey · 4 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2018-08-16Record 015113-20180717-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2018-08-16Record 015113-20180717-F609
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2018-08-16Record 015113-20180717-F637
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2018-08-16Record 015113-20180717-F812

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.96
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.45
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours3.10
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover52%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover27%
Facility
Alabama
National
Alabama 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityAlabamaNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.5%5.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.8%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
19.1%21.2%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.0%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.6%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
18.3%12.0%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.9%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.0%24.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Genesis Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Fc-Gen Operations Investment LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Gen Operations I LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Gen Operations II LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Genesis Healthcare Inc
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Genesis Healthcare LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Sun Healthcare Group Inc
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Whitman, Arnold
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Dunavant, Joseph
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Morris, Diane
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vakharia, Bharat
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Berg, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Bridgeford, Laura
Individual
CORPORATE OFFICERNOT APPLICABLE
Dunavant, Joseph
Individual
ADP OF THE SNFNOT APPLICABLE
Mendelson, Avi
Individual
CORPORATE OFFICERNOT APPLICABLE
Vakharia, Bharat
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Genesis Healthcare184 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Alabama.

No county cost figures on file for Morgan.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Decatur Health & Rehab Center
Decatur
2.5 mi2025-02-03084
Summerford Health And Rehab, LLC
Falkville
14.3 mi2024-04-24072
Athens Health And Rehabilitation LLC
Athens
15.0 mi2022-04-14000
Limestone Nursing And Rehabilitation Center, LLC
Athens
15.2 mi2020-02-13000
Falkville Rehabilitation And Healthcare Center
Falkville
15.4 mi2025-09-0211414
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01