River View Post Acute

In the surveyor’s words

From the most serious findings on record at River View Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 30, 2024

  Based on interview and record review, the facility failed to provide a safe environment for one of three sampled residents (Resident 2), when a blanket was caught in the wheel of a chair used to transport Resident 2 from the shower, causing the chair to stop abruptly and tip forward. This failure resulted in Resident 2's fall on 7/25/24, with a fracture to her left medial malleolus (bony bump on the inner side of the ankle) and left fibula (leg bone between the knee and ankle), increased pain, and decreased mobility, with the potential for skin breakdown and other negative health outcomes. […]

• No harm, potential for more than minimal, widespreadF814Dec 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure garbage and refuse were properly disposed for a census of 85, when:1. A garbage dumpster lid was not closed; and,2. A trash can in the kitchen did not have a working cover lid on it. These failures had the potential to expose the residents' environment to pests, odors, or diseases.Findings:1. During a concurrent observation and interview on 12/16/25, at 8:57 AM, with the Certified Dietary Manager (CDM) in the outside dumpster area of the facility, a garbage dumpster was observed to have a lid open. The CDM confirmed that the garbage dumpster's lid was open.During an interview on 12/18/25, at 9:53 AM, with the CDM, the CDM stated that the dumpster lid should always be closed when not in use. […]

• No harm, potential for more than minimal, widespreadF801Jul 13, 2023

  Based on observation, interview and record review, the facility failed to ensure: 1. A full-time, qualified Certified Dietary Manager (CDM) or Registered Dietician (RD) was employed to oversee the daily operations of the kitchen and food preparation for 82 residents who received food from the kitchen. 2. One of 28 Residents sampled (Resident 50) received nutritional assessments on admission and quarterly from the RD. These failures had the potential to effect food safety and sanitation for the 82 residents receiving facility prepared food and placed Resident 50 at risk of impaired nutritional status which could further compromise her medical status. Findings: 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 13, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, and distribute food in accordance with professional standards for food service safety for a total of 82 residents who received facility prepared foods when: 1. The ice machine contained a yellow substance around the ice chute area (where prepared ice comes out and lands in an ice storage bin), a pink substance was found on the lip of the ice bin (held prepared ice), specks of a black and pink substance were found inside the upper portion of the ice machine (contained the mechanical working parts), the ice machine filter was covered with a thick layer of a gray colored debris, and the ice machine was not cleaned correctly and at regular intervals (last cleaned [DATE]); 2. […]

• No harm, potential for more than minimal, patternF584Jul 17, 2026

  Based on observation, and interview, the facility failed to ensure a clean, comfortable, and home-like environment for a census of 94 when the facility baseboards had not been reinstalled after the flooring was replaced in November 2025, leaving exposed peeling drywall and holes in the walls with accumulated dust and debris.These failures had the potential to negatively affect the residents' physical and psychosocial well-being.Findings:During an interview on 7/17/26, at 7:26 AM, with Resident 1, Resident 1 stated she was admitted to the facility, in Room B, in early July. Resident 1 further stated her room was missing baseboards all the way around. […]