River Oaks Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF814Dec 10, 2024

  Based on observation and staff interview the facility failed to store garbage and refuse in a proper manner. The dumpster area was polluted with garbage and used medical supplies. This has the potential to affect all residents that reside in the facility. Facility census: 107. Findings included: a) Dumpster area An observation on 12/09/24 2:57 PM found the dumpster area was polluted with garbage and used medical supplies. On 12/09/24 at 3:16 PM during an Interview the Administrator verified the trash / medical supplies on the ground around the dumpster.

• No harm, potential for more than minimal, widespreadF835Dec 10, 2024

  Based on record review and staff interview the facility failed to follow through with their plan of correction when a deficient practice was identified and investigated. This was true for ten (10) of ten (10 records reviewed. Resident Identifiers: #19, #25, #30, #43, #64, #69, #77, #255, #256, and #258. Facility Census: 107 Findings Include: a) Resident #19, #25, #30, #43, #64, #69, #77, #255, #256, and #258 On 12/04/24 at 11:23 AM a facility reported incident concerning a multi-resident medication error was reviewed. The incident report alleged Registered Nurse (RN) #404 failed to pass Physician ordered medications to ten (10) residents. This occurred on each night shift from 04/06/24 through 04/09/24. […]

• No harm, potential for more than minimal, widespreadF925Dec 10, 2024

  Based on observation, resident and staff interviews, the facility failed to incorporate an effective pest control program. This had the potential to affect all residents residing in the facility. Facility census: 107. Findings included: a) Gnats On 12/02/24 12:13 PM during the initial tour there were gnats all over the walls and ceiling in room [ROOM NUMBER]. The window was open, and a flying insect plug in was observed with multiple gnats trapped on the sticky pad. On 12/03/24 at 11:40 AM an observation and interview with the Central Supply Coordinator verified the gnats in the dining room and on resident trays. […]

• No harm, potential for more than minimal, patternF800Jun 3, 2026

  Based on resident interview, observation and staff interview facility failed to ensure meals are prepared and served in methods to conserve nutritive value, flavor, appearance and in a pleasing, palatable presentation. This was found during the annual facility survey process. This failed practice had the potential to affect more than a limited number of residents. Resident identifiers: #61, #72, #33, #81, #28, #11, #66, #15, #80, #87, #94 and #74. Facility census: 110. Findings included: a) Review of the food preparation policy revealed the following: All staff will practice proper handwashing techniques and glove use. Dining services staff will be responsible for food preparation procedures that avoid potentially harmful physical, biological, and chemical contamination. […]

• No harm, potential for more than minimal, patternF804Jun 3, 2026

  Based on resident interview, observation and staff interview facility failed to ensure meals are prepared and served in methods to conserve nutritive value, flavor, appearance and in a pleasing, palatable presentation. This was found during the annual facility survey process. This failed practice had the potential to affect more than a limited number of residents. Resident identifiers: #61, #72, #33, #81, #28, #11, #66, #15, #80, #87, #94 and #74. Facility census: 110. a) Review of the food preparation policy revealed the following: All staff will practice proper handwashing techniques and glove use. Dining services staff will be responsible for food preparation procedures that avoid potentially harmful physical, biological, and chemical contamination. […]