Cascades at Riverwalk

In the surveyor’s words

From the most serious findings on record at Cascades at Riverwalk, in the surveyor’s own words.

• Actual harm, isolatedF690Oct 10, 2023

  Based on interview and record review, it was determined, for 1 of 43 sampled residents, that the facility did not ensure that a resident who was incontinent of bladder received the appropriate treatment and services to prevent urinary tract infections. Specifically, the facility bladder scanner was broken and a resident required bladder scans prior to being straight catheterized (cathed) to remove urine. The resident was transferred to the hospital and diagnosed with a urinary tract infection (UTI) and sepsis. […]

• No harm, potential for more than minimal, widespreadF801Oct 28, 2021

  Based on observations and interviews, it was determined the facility did not employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service. If a qualified dietitian or other clinically qualified nutrition professional was not employed full-time, the facility must designate a person to serve as the director of food and nutrition services who was a certified dietary manager. Specifically, the Dietary Manager (DM) for this facility had not yet completed certification to become a certified dietary manager. Findings included: On 10/27/21 at 9:16 AM, the DM was interviewed regarding her qualifications as a dietary manager. […]

• No harm, potential for more than minimal, widespreadF838Oct 28, 2021

  Based on interview and record review, the facility did not conduct and document a facility-wide assessment to determine what resources were necessary to care for its residents competently during both day-to-day operations and emergencies. The facility must review and update that assessment as necessary, and at least annually. The facility must also review and update this assessment whenever there was, or the facility plans for, any change that would require a substantial modification to any part of this assessment. Specifically, the facility provided a data analysis that was not dated and incomplete of information regarding who completed the assessment and what actions were being taken to ensure necessary resources to care for its residents. […]

• No harm, potential for more than minimal, patternF582Nov 20, 2025

  Based on interview and record review, it was determined that the facility did not inform each resident periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare/Medicaid or by the facility's per diem rate. Specifically, for 2 out of 3 sampled residents, 2 residents did not receive a Skilled Nursing Facility Beneficiary Notice of Non-coverage (SNF ABN) or a Notice of Medicare Non-Coverage (NOMNC) when one was due. […]

• No harm, potential for more than minimal, patternF812Nov 20, 2025

  Based on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, food items in the reach-in refrigerator were not labeled, food in the walk-in refrigerator was not labeled and/or dated, and food in the walk-in freezer was open to air. Findings included:On 9/7/25 at 8:49 AM, an initial tour of the kitchen was conducted. In the reach-in refrigerator, 2 trays containing bowls of a white substance were covered with plastic wrap, but were not labeled or dated. In the walk-in refrigerator, a container of vanilla low-fat yogurt did not have an open date. […]