Riverbend Nursing and Rehabilitation Center, Inc.

In the surveyor’s words

From the most serious findings on record at Riverbend Nursing and Rehabilitation Center, Inc., in the surveyor’s own words.

• Actual harm, isolatedF600May 10, 2023

  Based on record review and interview, the facility failed to: 1. Protect a resident from physical abuse for 1 (Resident #1) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) sampled residents; and, 2. Protect a resident from sexual abuse (Resident #4) of 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) sampled residents. This deficient practice resulted in an actual harm for Resident #1 when Resident #2 pushed Resident #1 out of Resident #1's wheelchair and to the floor. Resident #1 required emergency medical evaluation at the hospital which revealed a fracture to Resident #1's proximal femur (bone in the upper leg). Resident #1 was subsequently hospitalized and received surgical intervention to repair the fractured femur on 07/12/2022. […]

• No harm, potential for more than minimal, patternF812Aug 6, 2026

  Based on observations, interviews, and record reviews, the facility failed to:1. Ensure opened foods stored in the facility's walk-in refrigerator were dated on 08/03/2026 as required;2. Ensure food stored in the pantry was not expired and available for resident consumption on 08/03/2026; and, 3. Ensure staff wore hair restraints and beard restraints when working with food and/or ice in the facility's kitchen on 08/03/2026 and 08/04/2026. The deficient practice was identified for 2 (08/03/2026, 08/04/2026) of 4 days observed for food preparation and storage requirements. Findings: 1. Review of the facility's undated Dietary Department General Procedures policy revealed, in part, all items are to be dated and stored properly. […]

• No harm, potential for more than minimal, patternF880Aug 6, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure:1. The licensed practical nurse (LPN) followed infection control guidelines during medication administration (S16LPN); and,2. The LPN changed gloves and performed hand hygiene appropriately during wound care (S16LPN).This deficient practice was identified for 1 (S16LPN) of 5 nurses observed during medication administration observations, and 1 (S16LPN) of 2 nurses observed during wound care. Findings:1.Review of the facility's undated Administering Medication policy revealed, in part, staff shall follow established infection control procedures, such as antiseptic techniques (techniques to stop harmful germs from being spread to residents). […]

• No harm, potential for more than minimal, patternF686Aug 27, 2024

  Based on observation, record review, and interviews, the facility failed to ensure wound care treatments were administered to residents as ordered for 2 (Resident #1 and Resident #3) of 2 (Resident #1 and Resident #3) sampled residents investigated for pressure injuries. Findings: Review of the facility's wound care/dressing change policy revised 12/2022 revealed, in part, in preparation to performing wound care, a review of the resident's medical record and/or care plan, current orders, and diagnoses to determine any special resident needs should be completed. […]

• No harm, potential for more than minimal, patternF684Apr 11, 2024

  Based on interviews and record reviews, the facility failed to assess and/or measure a resident's wound weekly for 2 (Resident #1 and Resident #3) of 3 (Resident #1, Resident #2, and Resident #3) sampled residents investigated for wound management. Findings: Resident #1 Review of Resident #1's hospital discharge record dated 12/29/2023 revealed, in part, Resident #1 had a wound dehiscence (total or partial separation of a wound the was previously closed). Review of Resident #1's nurse's note dated 12/30/2023, revealed, in part, Resident #1 returned back to the facility with sutures to the left side of his head. […]