River's Edge Rehabilitation & Living Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Apr 16, 2026

  Based on observation, the FDA Food Code, the SOM, and staff interview, it was determined the facility failed to ensure ice machines were cleaned. This deficient practice had the potential to affect all facility residents who consumed ice prepared by the facility. This placed residents at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses. Findings include:The FDA Food Code Section 4-602.11 Equipment Food-Contact Surfaces and Utensils documented surfaces of utensils and equipment contacting food that is not time/temperature control for food shall be cleaned in equipment such as ice bins and enclosed components of equipment such as ice makers, at a frequency specified by the manufacturer, or absent manufacturer specifications, at a frequency… […]

• No harm, potential for more than minimal, patternF565Dec 6, 2024

  Based on Resident Group interview, Resident Council Meeting minutes review, and staff interview, it was determined the facility failed to ensure resident concerns were addressed. These negative practices placed residents at risk of ongoing frustration and decreased sense of self-worth, as well as, unmet care needs, when issues of concern to them were not promptly addressed by the facility. Findings include: The Resident Council minutes from June 2024 through November 2024 documented residents' concerns. Examples include: a. Resident Council Minutes, dated 6/26/24, documented residents voiced issues related to dietary, housekeeping, and offsite activities. b. […]

• No harm, potential for more than minimal, patternF623Dec 6, 2024

  Based on review of the State Operations Manual, Apprendix PP, record review, and staff interview, it was determined the facility failed to ensure a notice of transfer was provided to the State Long Term Care Ombudsman when residents where transferred to the hospital. This was true for 4 of 5 residents (Resident #19, #30, #32, and #33) whose records were reviewed for hospital transfers. This deficient practice had the potential for harm if residents were discharged inappropriately without access to the Ombudsman who could inform them of their rights. […]

• No harm, potential for more than minimal, patternF728Dec 6, 2024

  Based on review of the State Operations Manual, Appendix PP, Nurse Aides (NA) job description, staffing schedules, personnel files, and staff interviews, it was determined the facility failed to ensure full-time employees working as a NA were either in a State approved training and competency evaluation program or had recently and successfully completed such a program. This was true for 4 of 11 NAs (NA #1, #2, #3, and #4) whose personnel files were reviewed. This failure had the potential to result in negative outcomes for the 54 residents living in the facility. […]

• No harm, potential for more than minimal, patternF880Dec 6, 2024

  Based on observation and staff interview, it was determined the facility failed to ensure infection control and prevention practices were maintained to provide a safe and sanitary environment when gown was not donned during sorting of dirty laundry. These failures had the potential for negative outcomes by exposing resident to the risk of infection and cross-contamination. Findings include: 1. The State Operation Manual Appendix PP, revised 8/8/24, documented, The facility staff should handle all used laundry as potentially contaminated and use standard precautions (gloves, gowns when sorting and rinsing). On 12/6/24 at 9:26 AM, the Laundry Personnel #1 was observed folding the clean laundry in the Laundry Room. […]