River Landing at Sandy Ridge

In the surveyor’s words

From the most serious findings on record at River Landing at Sandy Ridge, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF677Jan 8, 2026

  Based on observations, record reviews, and staff interviews, the facility performed perineal care by wiping from back to front and wiping back to front with the same area of the wipe for 1 of 2 residents reviewed for activities of daily living (Resident #4). The findings included: Resident #4 was readmitted on [DATE] with diagnoses including fractured left femur and Alzheimer's disease.The significant change in status Minimum Data Set (MDS) dated [DATE] showed Resident #4 was severely cognitively impaired. She required substantial to maximum assistance for toileting hygiene and set up/clean up assistance with personal hygiene. […]

• No harm, potential for more than minimal, isolatedF880Jan 8, 2026

  Based on observations, record reviews, and staff interviews, the facility failed to implement manufacturer instructions and their policy and procedure to disinfect a blood glucose meter (glucometer). Nurse #1 did not allow the individually assigned glucometer to have the required two-minute wet contact time or allow the glucometer to air-dry before returning it to the individual's plastic storage bag. This occurred for 1 of 1 observation of glucometer disinfection (Nurse #1).The findings included: Review of an undated facility document titled Glucometer Cleaning Protocol read in part: Glucometers were assigned to individual residents; they will not be shared by multiple residents. Clean and sanitize glucometer machines after each use. […]

• No harm, potential for more than minimal, isolatedF761Nov 21, 2024

  Based on observations and staff interviews, the facility failed to secure resident medications left in an unattended medication cart for 1 of 3 medication carts (Hall 100 medication cart). The findings included: An continuous observation on 11/21/24 at 10:15 PM on the 100 hall revealed the medication cart was unlocked and unattended. The locking mechanism in the middle front of the medication cart was observed to be popped out in the unlocked position. Staff and residents were observed sitting near the unlocked medication cart during this time. During an interview on 11/21/24 at 10:19 AM, Nurse #1 returned to the medication cart and stated that sometimes the medication cart does not engage with the keypad lock and that was why the cart's mechanical front lock did not engage. […]