Ozark Riverview Manor

In the surveyor’s words

From the most serious findings on record at Ozark Riverview Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 1, 2023

  Based on observation, interview, and record review, the facility failed to provide protective oversight for residents when the facility did not have a policy and system in place to monitor residents who entered the enclosed courtyard during periods of high temperature and increased humidity resulting in one resident (Resident #1) becoming unresponsive and being sent to the hospital. The facility census was 59. The Chief Executive Officer (CEO) and Director of Education were notified on 07/28/23, at 5:30 P.M., of an Immediate Jeopardy (IJ) which began on 07/27/2023. The IJ was removed on 08/01/2023, as confirmed by surveyor onsite verification. 1. […]

• No harm, potential for more than minimal, patternF561Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to promote and facilitate the right of self-determination for every resident when staff failed to honor reasonable shower preferences for four residents (Resident #61, #74, and #6) . The facility census was 77.Review showed the facility did not provide a shower policy. 1. During interviews on 09/22/25, at 9:58 A.M., during the resident council group meeting, the residents said there were issues with receiving showers. Some residents receive two showers per week, but most only receive one. 2. Review of Resident #61's face sheet (a general information sheet) showed the following:-admission date of 11/16/23;-Diagnoses included congestive heart failure, morbid obesity, and depression. […]

• No harm, potential for more than minimal, patternF568Dec 17, 2025

  Based on record review and interview, the facility failed to maintain a system to ensure the resident trust fund account was managed in accordance with proper accounting principles by not maintaining an accurate accounting of all monies held in the resident trust fund account by not correctly reconciling each month. The facility managed funds for 25 residents. The census was 77.Based on record review and interview, the facility failed to maintain a system to ensure the resident trust fund account was managed in accordance with proper accounting principles by not maintaining an accurate accounting of all monies held in the resident trust fund account by not correctly reconciling each month. The facility managed funds for 25 residents. […]

• No harm, potential for more than minimal, patternF700Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper assessment and documentation was completed before side rail use, failed to document risk versus benefit review, failed to obtain informed consent, and failed to care plan use of side rails for two residents (Residents #8 and #75), and failed to complete gap measurements to reduce risk of entrapment for three residents (Resident #8, #12, and #75). The facility census was 77. Review of the facility policy titled Proper Use of Side Rails, dated December 2016, showed the following:-The purpose of these guidelines is to ensure the safe use of side rails as resident mobility aids and to prohibit the use of side rails as restraints unless necessary to treat a resident's medical symptoms;-Side rails are only… […]

• No harm, potential for more than minimal, patternF728Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to nurse aides were not employed and used for resident care longer than four months without proper certification when four nurse aides (Nurse Aide (NA R, NA S, NA T, and NA U), of fifteen sampled NAs, failed to complete a certified nurse aide (CNA) training program within four months of employment in the facility as a nurse aide. The facility census was 84. Review showed the facility did not provide a policy regarding nurse aide certification or training. 1. […]