River's Bend Health Services

In the surveyor’s words

From the most serious findings on record at River's Bend Health Services, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 26, 2023

  Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a sanitary manner. This practice had the potential to affect all 62 residents residing in the facility. Staff did not test Quaternary sanitizing solution per manufacturer's instructions. Kitchen preparation areas were not clean. Warewashing temperatures were not monitored to ensure manufacturer's minimum wash and rinse temperatures were achieved to prevent the spread of foodborne illness. Food holding temperatures were not monitored or documented. […]

• No harm, potential for more than minimal, widespreadF812Jul 7, 2022

  Based on observation, staff interview, and record review, the facility did not ensure food was stored, prepared, or served under sanitary conditions. This practice had the potential to affect all 64 residents. Dietary Manager (DM)-M cooked garlic bread on an unclean flat-top griddle for the lunch meal; egg residue was visible on the griddle surface, sidewalls, and in the drip ledge. A toaster had a build-up of blackened crumbs on the conveyor grate and inside the machine. A meat slicer was stored unclean. Food residue build-up was on a can opener cutting edge. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2021

  Based on observation and staff interview, the facility did not ensure food was stored and prepared under sanitary conditions. These practices had the potential to effect all 68 residents (R) in the facility. -Ground beef was observed thawing at room temperature -Dishes stored in clean storage area contained food residue -Ventilation hood equipment, over a food cooking surface, contained dust -Thickened drink product had an expired use-by date Findings include: On [DATE] at 8:23 AM, during the initial tour of the kitchen, Dietary Manager (DM)-F indicated that the facility utilized the Food and Drug Administration (FDA) Food Code as its standard of practice. […]

• No harm, potential for more than minimal, patternF761Aug 28, 2024

  Based on observation, staff interview, and record review, the facility did not ensure all drugs and biologicals were stored and labeled in accordance with the facility's policy. One of 5 medication carts was unlocked and unattended. and 3 of 5 medication carts and 2 of 3 medication storage rooms contained expired medication and medical supplies. In addition, the facility did not ensure an inhaler was labeled in accordance with the manufacturer's recommendations for 1 Resident (R) (R45) of 6 sampled residents observed during medication administration. […]

• No harm, potential for more than minimal, patternF809Aug 28, 2024

  Based on resident and staff interview, the facility did not consistently provide or offer a substantial evening snack to residents. The timeframe from the supper meal to the breakfast meal was greater than 14 hours. This had the potential to affect more than 4 of the 69 residents residing in the facility. A substantial snack was not regularly offered to residents which created a gap of more than 14 hours between the supper and breakfast meals. Findings include: The facility did not provide a snack policy. On 8/26/24 at 9:12 AM, Surveyor began an initial kitchen tour. During the tour, Dietary Manager (DM)-I stated the facility did not have a regular snack cart or snack pass. DM-I stared staff could enter the kitchen and make a sandwich or retrieve what was requested for a snack. […]