River Chase Village

In the surveyor’s words

From the most serious findings on record at River Chase Village, in the surveyor’s own words.

• Immediate jeopardy, isolatedF835Feb 1, 2023

  Based on interviews, record review, and facility policy review, the facility administration failed to ensure residents in the facility were able to attain or maintain the highest practicable physical, mental, and psychosocial well-being by failing to ensure staff who tested positive for COVID-19 were not allowed to work with residents who did not have COVID-19 infection. The facility's administration allowed Certified Nursing Aide (CNA) #1, who tested positive for COVID-19 and had not met the return to work criteria, to provide direct patient care to residents without suspected or confirmed COVID-19 infection. […]

• Immediate jeopardy, isolatedF880Feb 1, 2023

  Based on interviews, record review, and facility policy review, the facility failed to ensure infection control measures were implemented to prevent the development and/or transmission of a communicable disease (COVID-19) among residents and staff for three (3) of 11 sampled residents. Resident #1, Resident #2, and Resident #3. The facility allowed Certified Nursing Aide (CNA) #1, with a known positive COVID-19 test, who had not met the return to work criteria, to provide direct patient care to residents without suspected or confirmed COVID-19 infection. […]

• No harm, potential for more than minimal, widespreadF851Feb 6, 2025

  Based on interview and record review, the facility failed to accurately report to the Centers for Medicare and Medicaid Services (CMS) the direct care hours based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS for the fourth quarter of fiscal year 2024 ([DATE] - [DATE]) for one (1) of (1) quarters reviewed. Findings included: A record review of a typed statement on facility letterhead provided and signed by the Administrator, dated February 6, 2025, revealed (Proper name of facility) does not have the following policies: Staffing . A record review of the facility's Payroll Based Journal (PBJ) Staffing Data Report for the fourth quarter of fiscal year 2024 ([DATE]-[DATE]) revealed, . […]

• No harm, potential for more than minimal, patternF925Jun 22, 2023

  Based on observation, staff interview, resident interview, and record review, the facility failed to ensure an effective pest control program was maintained as evidenced by multiple flies observed throughout the facility for three (3) of four (4) days of survey. Findings include: Record review of a document on facility letterhead dated 6/21/23 and signed by the Administrator revealed the facility does not have a pest control policy on flies. On 06/19/23 at 11:51 AM, an observation and interview with Resident #8 sitting at a table in the dining room with two (2) other residents revealed 4 flies flying around the table and landing on the resident's food. Resident #8 revealed she had not eaten her soup because she is letting the flies have it. […]

• No harm, potential for more than minimal, isolatedF657Feb 6, 2025

  Based on interview, record review, and facility policy review, the facility failed to revise a comprehensive care plan for Diabetes Mellitus to include interventions related to a continuous glucose monitoring (CGM) device for one (1) of (20) care plans reviewed. Resident #49. Findings included: A review of the facility's policy titled Comprehensive Care Plans, revised on 02/05/2025, revealed, . An individual comprehensive care plan that includes measurable objectives and time frames to meet the resident's medical, nursing, mental, and psychological needs is developed for each resident . Policy Interpretation .5. […]