River Bend Nursing Center

In the surveyor’s words

From the most serious findings on record at River Bend Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF678Dec 14, 2023

  Based on interview and record review, the facility failed to ensure one resident (Resident 1) of three sampled residents received Cardiopulmonary Resuscitation (CPR) when Resident 1 was found pulseless and not breathing by a Respiratory Therapist (RT) and Licensed Nurses (LN). This failure decreased the facility's potential to ensure a physician's order and Resident 1's request to receive care with the primary goal to prolong life was executed. Findings: A review of LN 1's Healthcare Provider card, dated [DATE], indicated LN 1 successfully completed the requirements for certification in adult CPR and automated external defibrillator (AED, a medical device used to analyze the heart's rhythm and, if necessary, deliver an electrical shock to help the heart re-establish an effective rhythm). […]

• Actual harm, isolatedF686Jul 30, 2021

  Based on observation, interview and record review, the facility failed to ensure treatment and services were implemented to prevent the development of pressure ulcers for two residents (Resident 24 and Resident 30), for a census of 85. This failure resulted in the reopening of two Stage III pressure ulcers (full thickness skin loss extending into the fat layer) for Resident 30 and a Stage IV pressure ulcer (full thickness tissue loss with exposed bone, tendon, or muscle) for Resident 24. Findings: A review of an admission record indicated Resident 30 was admitted to the facility in November 2016 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Aug 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure food preparation in accordance with professional standards for food service safety were provided for a census of 86, when:1. A kitchen staff's personal food item was found in refrigerator opened and expired;2. Low temperature dishwasher logs showed documentation of 200 parts per million (ppm - a unit of concentration to measure pollutants in water) for June, July, and August 2025; and 3. Kitchen staff did not know how to calibrate thermometers to determine food time/temperature control during lunch tray line. These failures had the potential to cause food-borne illnesses in a vulnerable population.1. […]

• No harm, potential for more than minimal, widespreadF814Jul 30, 2021

  Based on observation, interview, and record review, the facility failed to ensure proper garbage disposal, for a census of 85. This deficient practice had the potential of disease spreading among residents and visitors by vermin and pest infestation. Findings: In an observation on 7/27/21 at 9:35 a.m., two outdoor trash dumpsters in the parking lot were overflowing to the point where lids could not be closed. Approximately 15 white plastic garbage bags were also on the ground around the bins. In a concurrent interview with the Dietary Supervisor (DS), she stated that the bins were regularly collected on Monday, Wednesday and Friday; the contractor did not collect the bins the previous day, Monday. During an interview on 7/28/21 at 12:59 p.m. […]

• No harm, potential for more than minimal, patternF812Jul 30, 2026

  Based on observation, interview and record review, the facility failed to meet food service standards for food storage and preparation when:Food labeling was not performed consistently,Worn kitchen equipment was still in use,An air gap was not found on the fruit/vegetable wash sink, andFive dirty and/or wet steam table pans were found stored in the cook's ready to use area.These failures had the potential of leading to food borne illnesses for the residents eating facility prepared meals. Findings:During the initial kitchen tour on 7/27/26 at 8:42 a.m., in the dry storage area, a large plastic container of soft, white powder was observed. […]