River Run Healthcare of Portsmouth

In the surveyor’s words

From the most serious findings on record at River Run Healthcare of Portsmouth, in the surveyor’s own words.

• Immediate jeopardy, isolatedF627May 11, 2026

  Based on record review, review of hospital records, policy review, review of local police reports, staff interview, resident interview and interview with the Long-Term Care Ombudsman, the facility failed to provide a safe and proper discharge to an appropriate location for Resident #25. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injuries, and/or death on [DATE] when Resident #25, who had diagnoses including type two diabetes mellitus with two chronic ulcers, adult failure to thrive, functional quadriplegia, nicotine dependence, deep vein thrombosis, personality disorder, psychoactive substance abuse, anxiety, depression, and viral Hepatitis C, was discharged to an unknown location without housing, medications, or arrangements for ongoing care. […]

• No harm, potential for more than minimal, widespreadF921Aug 27, 2023

  Based on observations, staff interviews, and resident interviews, the facility failed to provide an effective pest control program. This had the potential to affect all 21 residents residing in the facility. The facility census was 21. Findings include: Observation on 08/24/23 at 10:12 A.M. revealed five flies were observed on the window of the exit door located at the end of the hallway by room [ROOM NUMBER]. An unknown number of flies were observed flying in the hallway. More than 30 dead flies were observed on the ledge located between the walls and hand rails along the 100 and 200 halls. Observation and interview with Licensed Practical Nurse (LPN) #200 on 08/24/23 at 10:55 A.M. […]

• No harm, potential for more than minimal, widespreadF727May 16, 2022

  Based on review of daily staffing sheets, review of employee time clock punches and staff interview the facility failed to ensure a Registered Nurse was on-duty and present in the facility for at least eight hours daily as required. This had the potential to affect all 22 residents residing in the facility. Findings include: Review of the facility sheets titled Report of Nursing Staff Directly Responsible for Resident Care, dated 05/02/22 and 05/03/22, revealed documentation a Registered Nurse (RN) was only present for six hours each day at the facility. Review of the employee time clock punches for 05/02/22 and 05/03/22 revealed there was not an RN clocked in for work on 05/02/22 or 05/03/22. […]

• No harm, potential for more than minimal, widespreadF868May 16, 2022

  Based on record review and staff interview the facility failed to ensure all required members of the Quality Assessment and Assurance (QAA) committee attended meetings at least quarterly. This had the potential to affect all 22 residents residing in the facility. Findings include: Review of the QAA committee meeting minutes, dated 04/20/22 revealed the absence of the signature of the Director of Nursing (DON) to indicated the DON's presence at the meeting. On 05/12/22 at 3:00 P.M. interview with the Administrator verified the DON had not been in attendance at the QAA meeting held on 04/20/22 due to another work commitment.

• No harm, potential for more than minimal, widespreadF804Jan 13, 2021

  Based on observation, policy review and staff interview the facility failed to ensure food was served at a temperature that was palatable. This affected one resident (#6) and had the potential affect all 20 residents who resided in the facility. Findings include: On 01/12/21 observation of midday meal service revealed the following: At 11:37 A.M. the midday meal cart arrived on the quarantine unit. The food for all residents were on the cart and the meals were all served in disposable Styrofoam containers. The first tray was served at 11:40 A.M. At 11:45 A.M. State tested Nursing Assistant (STNA) #101 delivered Resident #6's meal tray. STNA #101 placed the food on the over bed table across the room from the resident. The resident was unable to access the meal on her own. […]