River Haven Nursing And Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Oct 25, 2024

  Based on observation, interview, and review of facility policies, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. These failures had the potential to affect eighty-two (82) of eighty-eight (88) residents in the facility who consumed food from the kitchen. The findings include: Review of the facility's policy titled, Food Storage: Cold Foods, dated 04/2018, revealed All Time/Temperature Control for Safety (TCS) foods, frozen and refrigerated, were to be appropriately stored in accordance with guidelines of the FDA [Food and Drug Administration] Food Code .All foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. […]

• No harm, potential for more than minimal, isolatedF656May 12, 2026

  Based on observation, interview, record review, and review of the facility's policy, the facility failed to implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for one out of five sampled residents (Resident (R)2). Review of the Diabetes Mellitus Care Plan for R2, revealed the care plan included interventions to provide regular podiatry care as ordered by the medical doctor (MD), which was not implemented.The findings include:Review of the facility's policy titled Comprehensive Care Plans Standard of Practice, reviewed 04/2025, revealed the facility's care planning… […]

• No harm, potential for more than minimal, isolatedF687May 12, 2026

  Based on observation, interview, and record review the facility failed to ensure that residents received proper treatment and care to maintain good foot health. Additionally, the facility failed to provide foot care and treatment for Resident (R) R2 in accordance with professional standards of practice that included preventing complications from the resident's medical condition(s), assisting the resident in making appointments with a qualified person, and arranging for transportation to and from such appointments, if needed for one of five sampled Residents (R2). […]

• No harm, potential for more than minimal, isolatedF584Aug 26, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure residents had a right to a safe, clean, comfortable, and homelike environment which had the potential to affect all of the facility's 81 residents.The findings include: Review of the facility policy titled, Homelike Environment Standard of Practice, reviewed 04/2025, revealed the facility was to provide residents with a safe, clean, comfortable, and homelike environment. In addition, policy review revealed the facility was to encourage residents to use their personal belongings to the extent possible. Further review revealed the facility's protocol included cleanliness and order. […]

• No harm, potential for more than minimal, isolatedF609Aug 26, 2025

  Based on interview, record review, and facility policy review, the facility failed to report an alleged violation of abuse related to an allegation that occurred on or around 03/10/2025 for 1 of 5 residents sampled for abuse out of the total 26 sampled residents, (Resident (R)8). The findings include: Review of the facility's policy titled, Abuse Prohibition Standard of Practice reviewed 04/2025, revealed sexual abuse was defined as nonconsensual sexual contact of any type with a resident/patient. Continued review revealed it was the policy of the facility to report allegations of sexual abuse to the State Survey Agency (SSA), Adult Protective Services (APS), and all other required agencies within the specified time frames. […]