River Ridge Living Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF925Mar 27, 2026

  Based on observation, record review, and interviews during a survey, the facility did not maintain a pest-free environment and an effective pest control program in two (2) of two (2) private resident shower rooms and two (2) of three (3) main shower rooms. Specifically, (a.) dead ants and live & dead water bugs were found in a private shower room located in resident room [ROOM NUMBER]; (b.) dead ants were found in room [ROOM NUMBER]'s private shower room; (c.) dead and live ants were found in shower room on Unit A across the hall from room [ROOM NUMBER] and the shower room on Unit C across the hall from rooms #57 and #58. […]

• No harm, potential for more than minimal, patternF550Mar 18, 2025

  Based on record review and interview during the recertification survey, the facility did not ensure each resident was treated with respect, dignity, and care in a manner and in an environment that promotes maintenance or enhancement of their quality of life for three (3) (Resident #s 19, 34, and 38) of 25 residents reviewed, and for residents on C Wing. Specifically, (a) Resident #19 was given plastic utensils for their meal; (b) Resident #34 returned from an early morning dialysis appointment and was placed in their room without access to the call bell. […]

• No harm, potential for more than minimal, patternF584Mar 18, 2025

  Based on observation and interview conducted during a recertification survey, the facility did not provide a clean, comfortable and homelike environment for one (1) (Resident #17) of 25 residents reviewed. Specifically, Resident #17's personal clothing was not laundered and returned within a timely manner according to professional standards of practice. This is evidenced by: The facility's policy and procedure titled, Personal Property revised November 2024, documented Resident belongings are treated with respect by facility staff, regardless of perceived value. A representative of the admitting office advises the resident, prior to or upon admission, of the types and amount of personal clothing and possessions that the resident may keep in his or her room. […]

• No harm, potential for more than minimal, patternF585Mar 18, 2025

  Based on record review, and interviews conducted during the recertification survey, the facility did not ensure residents were aware of the grievance process. Specifically, (1.) grievance forms were not readily available to residents; (2.) residents did not have the option to file a grievance anonymously; and (3.) seven (7) of the 7 residents present at the Resident Council meeting reported they did not know the process by which to file a grievance. This is evidenced by: The facility Policy and Procedure titled, Grievance Policy, effective 12/2019, last revised 2/2025, documented each resident had the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal. […]

• No harm, potential for more than minimal, patternF656Mar 18, 2025

  36922 Based on observation, record review, and interviews conducted during a recertification survey, the facility did not develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframe's to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for three (3) (Resident #s 24, 32, and 73) of 25 residents reviewed for Care Plans. Specifically, (a.) for Resident #24, the intervention for oxygen therapy as per physician order was not consistently followed; (b.) Resident #32 had reported an allegation of abuse, during the , that was not investigated or reported. […]