River Front Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at River Front Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 14, 2021

  Complaint #: NJ 2 Based on record review, interviews, observations, and facility policy review, the facility failed to investigate to determine the causative factors of falls to prevent the falls and/or reduce risk for falls for 1 of 3 residents (Resident #5) reviewed for falls. Resident #5 had multiple falls, with one fall that resulted in a fractured left arm. Findings included: 1. The admission history form indicated Resident #5 was admitted to the facility on [DATE] with diagnoses that included [CONDITION(S)], brain cancer, and a previous stroke. The quarterly Minimum Data Set (MDS) assessment, dated 01/01/2021, indicated the resident had significant memory impairment and the Brief Interview for Mental Status (BIMS) score could not be obtained. […]

• No harm, potential for more than minimal, widespreadF725Aug 14, 2024

  Complaint # NJ 158956, 166158, 170632 Based on interview, and review of other facility documentation, it was determined the facility failed to ensure there was sufficient nursing staff on a 24-hour basis to provide nursing care to the residents. This deficient practice was evidenced by the following: A review of the provided Facility assessment dated [DATE] included .our approach to ensure adequate staff based on our resident population and their needs for care . for Certified Nurse Aides 1:8 Residents for days, 1:10 evenings, 1:14 nights, one Restorative Aide day shift weekdays and one Restorative Aide Day shift weekends. During resident Council meeting on 08/08/2024 at 11:00 AM, a resident stated nights are short staffed, and wait time is long. Only two were on 2nd floor last night. […]

• No harm, potential for more than minimal, widespreadF880Dec 16, 2022

  Based on interview and review of other pertinent documents, it was determined that the facility who had been in an active COVID-19 outbreak since 11/18/22, failed to: a) follow the facility policy and conduct complete and thorough contact tracing to prevent the spread of COVID-19 (a potentially, deadly virus) and b) implement measures to prevent the growth of Legionella (bacterium that causes legionnaires' disease, a type of pneumonia caused by legionella bacteria that spreads through mist such as through air conditioning units and can also occur in potable water) and other waterborne pathogens in the facility's water systems. […]

• No harm, potential for more than minimal, widespreadF886Dec 16, 2022

  Based on interviews, and review of pertinent documents, it was determined that the facility failed to: a) conduct immediate, comprehensive resident and staff COVID-19 (a potentially, deadly virus) testing upon the identification of a single positive resident or staff member in accordance with the facility policy b) ensure that comprehensive COVID-19 testing was completed and accurately documented during a COVID-19 outbreak that began on 11/18/22, in accordance with current Federal, State and Centers for Disease Control guidelines. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2021

  Based on observations, interviews, and facility policy review, it was determined the facility failed to ensure staff wore hair restraints in the kitchen for four (Dietary Aid (DA) #1, DA #2, DA #3, and Cook #1) of four kitchen staff observed. This had the potential to affect 154 of 163 residents who receive food from the kitchen. Findings included: 1. On 01/11/2021 at 4:10 PM, this surveyor observed four staff members in the kitchen not wearing hairnets/hair restraints. Dietary Aide (DA) #1 had shoulder length braids and was not wearing a hair restraint. DA #2 had braids that were the length of her back and was not in a hairnet. DA #3 had short hair and was not wearing a hairnet. Cook #1 had short hair and a beard. He was not wearing a hairnet, beard net, or a mask. […]