North River Health Campus

In the surveyor’s words

From the most serious findings on record at North River Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761May 12, 2026

  Based on observation, interview, and record review, the facility failed to ensure proper storage and labeling of medication for 3 of 3 medication carts observed. Loose pills, employee drinks, and unlabeled medications were observed in the medication carts. (Medication Cart 200 Hall, Medication Cart 300 Hall, Medication Cart 400 Hall) Findings include: 1. On 5/6/26 at 9:00 A.M., the following loose pills and unlabeled medications were observed in the 200 Hall Medication Cart:2 medium-sized orange pills 1 blue capsule 1 small white oval bill1 bottle of eye drops with no open date 2. […]

• No harm, potential for more than minimal, patternF812Jan 23, 2023

  Based on observation, interview, and record review the facility failed to ensure food was prepared in a sanitary manner. Staff was observed with hair not completely covered by a hairnet for 1 of 1 meal preparations observed. Staff fed residents with bare hands, and reached over a resident's plate of food to assist another resident during 2 of 2 dining observations. (Dietary 12, Resident 16, Resident 17) Findings include: 1. On 1/19/23 during lunch preparation at 11:15 A.M., Dietary 12 was observed in the food preparation area of the kitchen pouring ketchup into containers. Her hair was not contained in the hairnet, hair was exposed and loose at the forehead area. 45933 2. During an observation on 1/17/23 from 12:04 P.M. […]

• No harm, potential for more than minimal, patternF880Jan 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure infection control practices and standards were maintained in 3 of 6 residents observed for care and 1 random observation. Staff did not change gloves from dirty to clean tasks during incontinence care and a catheter bag was observed dragging the floor. (Resident 5, Resident 29, Resident 13, Resident 195) Findings include: 1. On 1/17/23 at 9:10 A.M., RN (Registered Nurse) 21 was observed to provide catheter care to Resident 5. RN 21 wore gloves and used a peri-wipe to cleanse the skin in the folds of the resident's groin and around his pubis, after which she used the same wipe to cleanse the opening to his urethra, which was red. […]

• No harm, potential for more than minimal, isolatedF658Jul 29, 2026

  Based on observation, interview, and record review, the facility failed to ensure skin injuries did not happen during routine care for 1 of 3 resident's reviewed for ADL (activities of daily living) care. A resident received skin shearing during care. The deficient practice was corrected on July 15, 2026, prior to the start of the survey, and was therefore past noncompliance. Finding includes: On 7/28/26 at 9:41 a.m., Resident B's clinical record was reviewed. Diagnoses included but were not limited to, central cord syndrome at unspecified level of cervical spinal cord, arthrodesis status, spinal stenosis, cervical region, wedge compression fracture of fifth lumbar vertebra, subsequent encounter for fracture with routine healing. […]

• No harm, potential for more than minimal, isolatedF550May 12, 2026

  Based on observation, interview, and record review, the facility failed to treat residents with dignity for 1 of 1 random observations. Staff members stood up to feed a resident and had personal conversations in the dining area with residents present. (Resident 3) Finding includes:On 5/6/25 at 11:46 A.M., Certified Nurse Aide (CNA) 5 was observed feeding Resident 3 lunch in the restorative dining area. CNA 5 was standing up. At 11:50 A.M., CNA 6 took over feeding Resident 3. CNA 6 was standing up. At that time, CNA 5 and CNA 6 engaged in conversation about the difficulties of their job and how burnt out they were.On 5/7/26 at 12:39 P.M., Resident 3's clinical record was reviewed. […]