River Falls Post Acute

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 2, 2025

  Based on review of facility policy, record review, observations, and interviews, the facility failed to ensure that Resident (R)1 was free from accidents, for 1 of 1 residents reviewed for accidents. Specifically, R1 suffered a fracture due to improper transfer by Certified Nursing Assistant (CNA)1. Findings include: Review of the facility policy titled, Care Plans, Comprehensive Person-Centered, with a last revision date of March 2022, documented, The comprehensive, person-centered care plan: a. includes measurable objectives and timeframes; b. describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being, including: . (3) which professional services are responsible for each element of care; c. […]

• Actual harm, isolatedF600Jun 15, 2022

  Based on record review, interview, and review of the facility's policy titled Abuse and Neglect-Clinical Protocol, the facility failed to ensure that Resident (R)1 was free from abuse, for 1 of 3 residents reviewed for abuse. Findings include: Review of the facility's policy titled, Abuse and Neglect - Clinical Protocol with a revised date of March 2018, revealed, 1. Abuse . the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish . Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain, or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse . 2. Willful . […]

• No harm, potential for more than minimal, patternF584Mar 6, 2025

  Based on observation, interview, and record review, the facility failed to provide housekeeping and maintenance services to maintain a safe, clean, comfortable and home-like environment for residents. Specifically, (1) Resident rooms on 100 Hall were found with damaged furniture, floors, walls, and/or trim affecting Resident (R)17, R29, R1, R28, R32, R36, R144, and R148; (2) Two restrooms and a shower room, which were available for use by residents on 100 Hall, was not maintained in good repair and/or in a sanitary manner; (3) The door and pathway to the outdoor designated smoking area were not maintained in a safe, clean, and homelike manner; the door and pathway were routinely used by five residents who smoked (R31, R5, R29, R11, and R23); and (4) Not maintaining vinyl composite tile… […]

• No harm, potential for more than minimal, patternF689Mar 6, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure smoking materials were properly disposed of in the designated resident smoking area. The facility also failed to maintain good condition of the fire blanket mounted in the smoking area used by 5 of 5 residents who smoke, Resident (R)5, R11, R23, R29, and R31. Findings include: Review of the facility's policy titled Smoking Policy - Residents, revised on August 2022, documented, Policy Statement: This facility shall establish and maintain safe resident smoking practices. Policy Interpretation and Implementation: . 2. Smoking is only permitted in designated resident smoking areas, which are located outside of the building. 4. Ashtrays are emptied only into designated receptacles. 10. […]

• No harm, potential for more than minimal, patternF761Mar 6, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure drugs were properly labeled and stored in locked compartments and under proper temperature controls, as evidenced by: (1) not monitoring medication refrigerator temperatures twice daily when storing vaccines; (2) storing an unidentifiable clear liquid into a syringe in the medication refrigerator, recapping the needle, and storing it in the medication refrigerator; (3) failure to date multi-dose vials of Tuberculin Purified Protein Derivative (PPD) after opening and accessing them; and (4) not securing a medicated cream prescribed for Resident (R)23, which was left unattended in an unlocked shower room. […]