River City Post Acute

In the surveyor’s words

From the most serious findings on record at River City Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 29, 2022

  Based on interviews and record review, the facility failed to ensure one of three sampled residents (Resident 1) was assessed for change of condition and monitored for elevated blood glucose (BG) in accordance with professional standards of practice and the facility policy and procedures when: 1. There was no documented evidence that Resident 1 was assessed and monitored when she had changes in conditions with dangerously elevated BG levels; 2. The physician (Medical Doctor, MD) and Resident Representative (RR) were not notified of Resident 1's change of condition timely; and, 3. There was no documented evidence the physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . These failures resulted in: 1. […]

• No harm, potential for more than minimal, widespreadF812Sep 24, 2024

  Based on observation, interview, and record review, the facility failed to provide a sanitary environment for food preparation and service for a census of 156 residents when rodent droppings were observed in the kitchen and the dry food storage area. This failure had the potential to contaminate food served to residents causing food-borne illness. Findings: A review of the facility's Commercial Service Agreement for pest control services, dated 5/26/23, indicated . [Name of company] agrees to provide service for the following pests .Roaches .Common ants .Rats and mice .Common spiders .Flies .Service means the periodic treatment to help control/combat the Covered Pests .Customer Obligations .The Customer shall extend all reasonably necessary cooperation to ensure satisfaction from pest… […]

• No harm, potential for more than minimal, widespreadF814Sep 24, 2024

  Based on observation, interview, and record review, the facility failed to dispose of trash and garbage properly when outside garbage dumpsters were uncovered for a census of 156 residents. This failure had the potential to attract rodents and insect pests resulting in an unsanitary and uncomfortable environment for residents. Findings: During a concurrent observation and interview on 9/24/24 at 3:37 p.m. with the Maintenance Director (MD), observed outside garbage dumpsters. Observed 3 blue dumpsters and 2 of the dumpsters were half covered by lid. Observed 1 large compactor bin open with no cover. Observed compactor machine with no bin underneath. Observed trash and garbage in each uncovered dumpster and in the compactor bin. Observed multiple flying pests around area. […]

• No harm, potential for more than minimal, widespreadF812Feb 11, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for safe food service for a census of 136 residents when: 1. Floor, shelves, utensil container, and microwave found dirty, 2. Multiple items were found undated, unlabeled, uncovered/unsealed and/or expired, 3. Robot coupe bowl (food processor) and steam table pans were wet inside (wet nesting) in ready to use area, 4. Clean bowls found stored next to dustpan and broom, 5. Sanitation bucket logs not filled out for 3 days and dish machine logs not updated, 6. Staff did not perform sanitary food preparation and plating, and 7. […]

• No harm, potential for more than minimal, patternF842Aug 25, 2026

  Based on interview and record review, the facility failed to maintain complete and accurate clinical records for two of six sampled residents (Resident 1 and Resident 2) when the facility did not accurately document Resident 1's wound location and severity, maintained inconsistent and inaccurate daily skilled charting of Resident 1's wounds, and Resident 2's medical record contained missing documentation of oral care, incorrect documentation of an elbow bandage change, and missing orders for a leg wound dressing change.These failures created risks for delayed treatment, improper wound monitoring, and breakdowns in communication essential for the residents safety and continuity of care. […]