River's Edge Rehabilitation & Healthcare Center

In the surveyor’s words

From the most serious findings on record at River's Edge Rehabilitation & Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 27, 2023

  Based on review of facility policy, review of clinical records, review of facility documentation and resident interview, it was determined that the facility failed to ensure that Resident R12 was free from resident abuse, which resulted in physical and psychosocial harm to Resident R12 who sustained bruise to right posterior upper extremity and emotional anguish for one of 12 residents reviewed. (Resident R12) Findings include: Review of facility policy title Abuse, Neglect and Exploitation last reviewed January 2023 revealed that abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. […]

• No harm, potential for more than minimal, widespreadF804Oct 27, 2021

  Based on review of a meal tray test results, reivew of facility policy, interviews with resident and staff, and review of facility documentation, it was determined that the facility failed to serve foods at proper temperatures for one of two nursing floors reviewed. (First Floor nursing unit) Findings include: Review of facility policy Hot Food Policy dated, June 3, 2013 revealed that Food service Director or Assistant Food Service Supervisor will monitor test tray temperature. D. Hot foods should be at 135-degree Fahrenheit (F) or above at the time food is served to the residents. Interview with Resident R85 on October 22, 2021 at approximately 11:26 a.m. revealed that the hot food was sometimes not served hot. […]

• No harm, potential for more than minimal, patternF812Mar 28, 2025

  Based on observations, interviews with staff, and a review of facility procedures, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Findings include: Review of facility policy, Food Storage undated, revealed, Food items will be stored, thawed, and prepared in accordance with good sanitary practice. Continued review revealed, All products shall be dated upon receipt or when they are prepared. Use Date shall be marked on all food containers . and all cooked meat shall be used within 3-4 days. A tour of the main kitchen was conducted with the Food Service Director (FSD), Employee E6, on March 25, 2025, at 10:05 a.m. […]

• No harm, potential for more than minimal, patternF814Mar 28, 2025

  Based on observations and an interview with staff it was determined that the facility did not ensure that garbage and refuse was disposed of properly. Findings include: A tour of the main kitchen was conducted with the Food Service Director (FSD), Employee E6, on March 25, 2025, at 10:05 a.m. revealed the following: Observations of the receiving area and loading dock, that are used by the facility to transport clean food, revealed hundreds of cigarette buds. Further observations revealed the garbage was not covered. Interview with Food Service Director, Employee E6 along duration of the tour confirmed observations of the receiving and dumpster area. 28 Pa. Code 201.18(b)(1) Management 28 Pa. Code 201.18(b)(3) Management 28 Pa. Code 207.2(a) Administrator's responsibility

• No harm, potential for more than minimal, patternF550Aug 17, 2023

  Based on observations, review of facility policy and interviews with staff, it was determined that the facility failed to promote care for residents that maintains or enhances dignity and respect related to dining for two of two dining rooms observed. (First and Second floor, dining rooms). Findings include: A facility policy titled Resident Right revised January 2023 under section 5 Respect and Dignity revealed The resident has a right to be treated with respect and dignity. Observations of the First dining hall on August 14, 2023, at 12:06 p.m. revealed the following: Four tables were connected to make a long dining table with nine residents sitting waiting to be served, only two residents were served a meal at 12:06 p.m. The third resident was served at 12:32 p.m. […]