Riverchase Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Riverchase Health and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689May 26, 2022

  Based on record reviews and staff interviews, the facility failed to ensure residents were free from accidents or injury by failing to ensure staff utilize appropriate assistive devices during showers for 1 of 5 residents reviewed for accidents. This failure resulted in emergent care and injury to Resident #55. The findings include: Review of Resident #55's record revealed a nurse progress note dated 1/19/22 at 4:11 PM, indicating the resident had bleeding and was being sent to the hospital for evaluation and treatment, per the primary care provider instructions. The hospital record dated 1/19/22 at 5:03 PM, stated the resident presented with a vaginal laceration after a slip and fall on a shower chair. […]

• Actual harm, isolatedF867May 26, 2022

  Based on record review, staff interviews and policy review, the facility failed to thoroughly investigate an accident resulting in injury and failed to develop and implement appropriate action plans to address the cause of the accident for 1 of 5 residents sampled for accidents. (Resident #55) The findings include: Review of Resident #55's record revealed a progress note dated 1/19/22 at 4:11 PM, indicating the resident had bleeding and was being sent to the hospital for evaluation and treatment, per the primary care provider instructions. The record revealed a care plan last reviewed 3/25/22 stating resident observed with vaginal laceration during transfer with bath. […]

• No harm, potential for more than minimal, isolatedF600Mar 5, 2026

  Based on interviews and record review, the facility failed to protect 1 of 3 residents reviewed for neglect when staff failed to recognize, assess, and appropriately respond to injuries after the resident sustained a fall. (Resident #1)The findings include:Review of Resident #1's medical record revealed that on February 15, 2026, at 2:50 PM, Staff A, Licensed Practical Nurse (LPN), documented that Resident #1 fell during incontinence care and was found with abrasions, bruising, and redness to the right side and left upper back, a mark on the left forehead, and discoloration to the right knee, right arm, and right elbow.Review of Resident #1's medication orders revealed she was prescribed two daily anticoagulants: Clopidogrel and Aspirin. […]

• No harm, potential for more than minimal, isolatedF690Feb 12, 2025

  Based upon record reviews and interviews, the facility failed to follow physician orders to obtain urinalysis, adequately assess a resident for change in condition, and to prevent worsening of a urinary tract infection (UTI) that resulted in hospitalization . (Resident #1) The findings include: Resident #1 was admitted to the facility on [DATE] with a diagnosis of displaced posterior fracture of the first cervical vertebra. Skilled nursing assessments dated 1/9/25 thru 1/14/25 shows Resident #1 required setup assistance with meals, assistance with transfers, continent of bowel and bladder function, and alert and oriented. […]

• No harm, potential for more than minimal, isolatedF584Dec 27, 2023

  Based on observations, resident interviews, and staff interviews, the facility failed to provide a safe, clean and orderly environment for 8 of 22 rooms sampled. (Rooms 111, 114, 118, 201, 203, 205, 213 and 223) The findings include: On 12/27/23 at 11:05 AM, an observation of room [ROOM NUMBER]-2 revealed a fall mat with several rips and exposed padding. room [ROOM NUMBER]-2 was occupied by Resident #3 at the time of the survey. (Photographic evidence was obtained.) On 12/27/23 at 11:08 AM, an observation of room [ROOM NUMBER] -2 was conducted. The room was occupied by Resident #6 at the time of the survey. The trim on the wall by the head of the bed was detached from wall and fallen. Per resident interview, the trim had been detached for over 2 weeks. […]