Home›Alabama›Morgan County›RIVER CITY CENTER
C
Below Standard

RIVER CITY CENTER

1350 FOURTEENTH AVENUE SOUTHEAST · DECATUR, AL 35601

2563556911 · For profit - Corporation

183 beds155.6 residents174 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

RIVER CITY CENTER receives an overall staffing grade of C (Below Standard). With 3.2938 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.60 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.16% compared to weekdays. The facility has low agency staff usage (6.87% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2938 HPRD — needs 0.19 more hours per resident per day.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2938hrs/resident/day▼ 0.60
CMS benchmark: 3.48
RN HPRD
0.7876hrs/resident/day▲ 0.10
Recommended: 0.75
Weekend Drop-off
16.16%
3.4514 weekday → 2.8938 weekend
Agency Staff
6.87%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6921hrs/resident/day
Direct care aides
LPN HPRD
0.8142hrs/resident/day
Licensed practical nurses
Consistency
0.3068std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Morgan County Average-0.41 HPRD
3.70
03.29 HPRD
vs. Alabama State Average-0.63 HPRD
3.92
03.29 HPRD
vs. National Average-0.60 HPRD
3.90
03.29 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
RIVER CITY CENTER ★
DECATUR · This facility
—
C
3.29380.7876★☆☆☆☆
DECATUR HEALTH & REHAB CENTER
DECATUR
2.5 mi
C
3.94580.5336★☆☆☆☆
MADISON MANOR NURSING HOME
MADISON
14.1 mi
B
4.39360.7463★★★☆☆
SUMMERFORD HEALTH AND REHAB, LLC
FALKVILLE
14.3 mi
C
3.36590.6501★★☆☆☆
ATHENS HEALTH AND REHABILITATION LLC
ATHENS
15 mi
B
3.7170.5942★★★★☆
LIMESTONE NURSING AND REHABILITATION CENTER, LLC
ATHENS
15.1 mi
C
4.05440.4506★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$0
Fines Assessed
Apr 29, 2021Health
6 deficiencies cited
▼
Mar 13, 2019Health
2 deficiencies cited
▼
Jul 17, 2018Health
4 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.