River Valley Skilled Nursing and Therapy

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF803Sep 29, 2022

  Based on record review, observation and interview the facility failed to ensure menus were followed for one (#41) of 13 sampled residents reviewed for dining. The dietary manager identified 66 residents received meals from the kitchen. Findings: The diet spreadsheet, dated Spring/Summer 2022, documented breakfast on 09/27/22 consisted of 3/4 cup of hot or cold cereal of choice, and one biscuit. Resident #41 had diagnoses which included [CONDITION(S)], and type 2 diabetes mellitus. A quarterly assessment, dated 08/19/22, documented Resident #41 had severe cognitive impairment with daily decision making, and was independent with eating, and required set up assistance. […]

• No harm, potential for more than minimal, widespreadF804Sep 29, 2022

  Based on record review, observation, and interview the facility failed to ensure food was served at a palatable temperature for five (#20, 44, 56, 12 and #54) of six residents reviewed for meal services. The dietary manager identified 66 residents received meals from the kitchen. Findings: On 09/26/22 at 2:39 p.m., Resident #20 stated the food was cold by the time they received it. On 09/26/22 at 2:48 p.m., Resident #44 stated the food wasn't hot a lot of the times they received it. On 09/26/22 at 2:57 p.m., Resident #12 stated the food was always cold. On 09/27/22 at 7:27 a.m., the DA #1 was observed to temp the food on the steam table. The ground meat, pureed meat, pureed eggs were observed to be below 135 degrees Fahrenheit. These foods were observed on the left side of the steam table. […]

• No harm, potential for more than minimal, patternF812Dec 19, 2024

  Based on observation and interview, the facility failed to ensure utensils were not used from raw, uncooked food to ready to eat food. The CDM identified 49 residents received services from the kitchen. Findings: On 12/17/24 at 10:56 a.m., [NAME] #1 was observed using tongs to put raw, frozen chicken fried beef patties into the fryer. They were observed using the same tongs to remove the cooked chicken fried beef patties from the fryer basket. On 12/17/24 at 12:33 p.m., [NAME] #1 was asked for examples of cross contamination. They stated using the same utensils without washing between food items. [NAME] #1 stated they did use the same utensils for raw, uncooked meat and cooked, ready to eat meat. 51897

• No harm, potential for more than minimal, patternF550Sep 29, 2022

  Based on record review, observations and interview, the facility failed to ensure residents were treated with dignity and respect with the provision of timely incontinent care and addressing a resident by a preferred name. This affected two (#42 and #55) of two sampled residents reviewed for dignity and respect. The Resident Census and Condition of Residents report, dated 09/26/22, documented 66 residents resided in the facility. Findings: 1. Resident #55 had diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The care plan, dated 03/05/21, read in parts, .skin integrity .keep the resident's skin clean and dry .[incontinent] of bowel and bladder needs assist with toileting .disposable briefs at his requesst [sic]. […]

• No harm, potential for more than minimal, patternF677Sep 29, 2022

  Based on record review, observations and interview, the facility failed to provide toileting/incontinent care for dependent residents in a timely manner. This affected two (#41, and #55) of five sampled residents reviewed for adl care. The Resident Census and Condition of Residents report, dated 09/26/22, documented two residents were dependent and 46 residents required assistance for toileting, and 66 residents resided in the facility. Findings: 1. Resident #55 had diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The care plan, dated 03/05/21, read in parts, .skin integrity .keep the resident's skin clean and dry .[incontinent] of bowel and bladder needs assist with toileting .disposable briefs at his requesst [sic]. […]