River Valley Nursing Home

In the surveyor’s words

From the most serious findings on record at River Valley Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Sep 6, 2024

  Based on interview, record review, and review of the facility's policy, the facility failed to provide eight consecutive hours of Registered Nurse (RN) coverage for 12 out of 92 days from 03/01/2024 through 05/31/2024 and 27 out of 92 days from 06/01/2024 through 08/31/2024. The findings include: Review of the facility's policy titled, Nursing Services and Sufficient Staff, dated February 2023, revealed except when waived, the facility must use the services of an RN for at least eight consecutive hours a day, seven days a week. Further review revealed the Director of Nursing (DON) could serve as a charge nurse only when the facility had an average daily occupancy of 60 or fewer residents. […]

• No harm, potential for more than minimal, patternF880Jul 23, 2026

  Based on observation, interview, and review of the facility's policies, the facility failed to follow infection prevention and control directives to help prevent the development and transmission of communicable diseases and infection for 1 of 1 resident sampled for utilizing a catheter bag, Resident (64), and for 2 of 3 residents sampled for using gait belts, R28 and R32.The findings include:Review of the facility's policy titled, Infection Prevention and Control Program, dated 07/07/2026, revealed all staff shall receive training, relevant to their specific roles and responsibilities, regarding the facility's infection prevention and control program, including policies and procedures related to their job function. […]

• No harm, potential for more than minimal, patternF880Sep 6, 2024

  Based on observation, interview, record review, review of the manufacturer's instructions for use, and review of the facility's policies, the facility failed to maintain infection control precautions for the following: 1) enhanced barrier precautions (EBP) for 1 out of 14 sampled residents on EBPs, Resident (R) 6; 2) cleaning the mechanical lift after use for 1 of 1 observation of mechanical lift use, R37; and 3) cleaning glucometers (device used to measure blood glucose levels) for 2 of 2 observations of glucometer use, R17 and R151. The findings include: 1. […]

• No harm, potential for more than minimal, isolatedF761Jul 23, 2026

  Based on observation, interview, and review of the facility's policy, the facility failed to label medications (eye drops) in accordance with currently accepted professional principles, including the expiration date, for 1 of 4 medication carts, Medication Cart B1.The findings include:Review of the facility's policy titled, Medication Storage, dated [DATE], revealed there were no instructions on dating medication with an opened date once used initially.Observation on [DATE] at 9:11 AM of Medication Cart B1 in the medication room of the B Unit revealed five boxes of eye drops were opened and not dated. […]

• No harm, potential for more than minimal, isolatedF656Jun 26, 2025

  Based on interview, record review, and review of the facility's policies, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and and psychosocial needs for 1 of 17 sampled residents, Resident (R) 34. R34 was identified as exhibiting exit-seeking behaviors on 05/25/2025, and a Wander Guard device was placed on 05/26/2025. […]