River Pointe Post-Acute

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Nov 19, 2021

  Based on observation, interview, and record review, the facility failed to ensure all direct care staff were fit tested annually and upon hire, and provided with the appropriate N95 respirators for use during the care of vulnerable residents in the midst of a facility wide outbreak of COVID-19 (a serious virus that can lead to [CONDITION(S)], hospitalization and death) for a census of 92. This failure placed residents at immediate risk of serious illness or death due to the potential exposure to the COVID-19 virus during a facility wide outbreak where 15 residents and 6 facility staff were positive for COVID-19 at the time of the onsite visit. […]

• Actual harm, isolatedF602Feb 12, 2026

  Based on observation, interview, and record review, the facility failed to protect one of three residents (Resident 1) from misappropriation of property, when Certified Nursing Assistant (CNA) 1 solicited and borrowed money from Resident 1, and used Resident 1's debit card for personal use. This failure resulted in Resident 1's emotional distress and loss of property. Findings: During a review of Resident 1's admission Record (AR), the AR indicated Resident 1 was admitted in 10/24/2024 with diagnoses which included anxiety disorder (excessive fear or worry that interferes with daily life to cause significant distress), depression (serious mental condition characterized by persistent sadness or loss of interest in activities), and limitation of activities due to disability. […]

• Actual harm, isolatedF600Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure one of four sampled residents (Resident 1) was free from physical abuse when Resident 2 struck Resident 1 with her fist, hitting her on the left side of her forehead. This failure resulted in Resident 1's bruised left forehead and fear manifested by crying.During a review of Resident 1's admission Record (AR), dated 10/1/24, the AR indicated Resident 1 was admitted to the facility in late 2024 with diagnoses which included aphasia (a disorder that makes it difficult to speak), cognitive communication deficit and right-side body weakness. […]

• Actual harm, isolatedF600Jun 2, 2022

  Based on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) was free from neglect, when the facility failed to provide urinary catheter care (a tube inserted into the bladder to drain urine) for 17 days; failed to assess and failed to monitor Resident 1's urine for signs and symptoms of infection for 17 days; and failed to assess for the cause of the resident's symptoms of not feeling well and lack of urine output until one day prior to Resident 1's need for hospitalization . […]

• No harm, potential for more than minimal, widespreadF812Nov 8, 2024

  Based on observation, interview and record review, the facility failed to ensure food was prepared, stored, served, or distributed in accordance with professional standards of food serve safety when: 1. The ice machine was not clean; and 2. Kitchenware was stacked and stored while wet in the clean and ready-to-use storage area; and 3. Fry pans stored in the clean and ready-to-use storage area were not clean; and 4. Food in open packages was not covered and open food items lacked complete label; and 5. Expired food was available for use; and 6. Food thawing processes were not followed; and 7. Outdated resident food brought from the outside was not discarded; and 8. One dietary staff did not have hair fully covered; and 9. […]