Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at River City Nursing And Rehab Center during CMS and state inspections, most recent first.
The facility failed to ensure dignity while dining for two residents. One resident was left with an uncovered breakfast tray for 25 minutes before being assisted by a CNA who stood over her while feeding. Another resident struggled to open a nutritional supplement without assistance, and no staff entered to help. Both residents had significant medical histories and required mechanically altered diets.
The facility failed to ensure residents maintained acceptable nutritional status by not providing timely interventions, resulting in significant weight loss for two residents. One resident, with a history of stroke and difficulty swallowing, lost over 14% of her weight and developed a worsening pressure ulcer. Another resident, with severe cognitive impairment, lost over 13% of her weight in six months. Observations revealed inadequate assistance with meals, and interviews highlighted gaps in communication and follow-up between the dietitian and dietary manager.
The facility failed to ensure that all drugs and biologicals were stored in locked compartments with access granted only to authorized personnel. A medication cup containing seven tablets was found unattended in a resident's room, and the resident's private duty aide, who was not authorized to administer medications, stated that the nurse had left them for her to administer. The resident had severe cognitive impairment, and there was no documentation verifying that the resident or the aide was authorized to handle the medications.
Failure to Ensure Dignity While Dining
Penalty
Summary
The facility failed to ensure dignity while dining for two residents. Resident #94 was observed lying in bed with her breakfast tray uncovered for 25 minutes before a CNA assisted her. The CNA was observed standing over the resident while assisting her with her meal. Resident #94 had a history of stroke, right-sided paralysis, difficulty swallowing, and severe cognitive impairment, requiring a mechanically altered diet. On a subsequent observation, another CNA was also seen standing over Resident #94 while assisting her with her meal. Resident #54 was observed lying in bed with her breakfast tray uncovered and struggling to open a Mighty Shake nutritional supplement without assistance. No staff entered her room to assist her during the meal. Resident #54 had a history of stroke, right-sided paralysis, Parkinson's disease, difficulty swallowing, and moderately impaired cognition, also requiring a mechanically altered diet. The facility's policy on Assistance with Meals states that residents should be fed with attention to safety, comfort, and dignity, and staff should not stand over residents while assisting them with meals.
Failure to Provide Timely Nutritional Interventions
Penalty
Summary
The facility failed to ensure residents maintained acceptable parameters of nutritional status by not providing timely nutritional interventions for two residents, resulting in significant weight loss. Resident #54, who had a history of stroke, right-sided paralysis, Parkinson's disease, difficulty swallowing, and weakness, was observed struggling to eat and drink her nutritional supplements. Despite recommendations from a dietitian for additional nutritional support, there were no follow-up Nutrition Progress Notes, and her weight dropped from 188 pounds to 160.6 pounds over three months. Additionally, she developed a stage 2 pressure ulcer that worsened over time, indicating a lack of adequate nutritional and wound care management. Resident #94, who had severe cognitive impairment and a history of stroke, right-sided paralysis, and difficulty swallowing, also experienced significant weight loss, dropping from 172.6 pounds to 149.8 pounds over six months. Despite multiple documented instances of weight loss, there were no follow-up notes from the dietitian addressing this issue. Observations revealed that Resident #94 often received inadequate assistance with meals, consuming only a small portion of her food. The dietary manager was aware of the weight loss but did not communicate effectively with the dietitian or follow up on the discontinuation of a nutritional supplement. Interviews with the dietitian and dietary manager revealed gaps in communication and follow-up regarding the residents' nutritional needs. The dietitian was unaware of the significant weight loss and new wounds in Resident #54 and had not assessed Resident #94 since October 2023. The dietary manager acknowledged the weight loss but did not take appropriate actions to address it, relying on the dietitian to write orders for nutritional interventions. This lack of timely and coordinated care contributed to the residents' deteriorating nutritional status and overall health.
Failure to Secure and Properly Administer Medications
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments with access granted only to authorized personnel. During a tour of the facility, a medication cup containing seven medication tablets was observed unattended on a bedside table in a resident's room. The resident's private duty aide, who was not a certified medication technician but a certified nursing assistant hired by the resident's family, stated that the nurse had left the medications for her to administer. The resident had severe cognitive impairment, and there was no documentation verifying that the resident was safe to self-administer medications or that the private duty aide was authorized to administer them. A review of the resident's medical record showed that the medications were documented as administered by an LPN earlier that day. However, the LPN had no recollection of leaving the medications at the bedside. The facility's policy on medication administration states that medications are to be administered by licensed nurses or other legally authorized staff, in accordance with professional standards of practice. This incident indicates a failure to adhere to the facility's medication administration policy and to ensure the security and proper administration of medications.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Jacksonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lanier Rehabilitation Center | 3 mi | — | 0 | 0 |
| Aviata At Harts Harbor | 3.4 mi | — | 26 | 0 |
| Lakeside Center For Rehabilitation And Healing | 5 mi | — | 5 | 0 |
| Jacksonville Nursing And Rehab Center | 6.1 mi | — | 0 | 0 |
| Pavilion At Jacksonville, The | 7.9 mi | — | 18 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.