Riverpoint Crest Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Aug 4, 2023

  Based on observation and interviews with resident, vendor company, and staff, the facility failed to clean a black substance on and around the ceiling vents (diffusers) for 3 of 4 resident rooms (Rooms #501, #505 & #508) and 1 of 4 nursing station areas (500 hall nursing station) observed for environment. In addition, the facility failed to initiate testing of the black substance to ensure it was not hazardous to residents. Findings included: Observation on 7/24/23 at 11:23 AM, during the initial tour revealed room [ROOM NUMBER]'s ceiling vent had a dark substance on the vent and on the ceiling around the vent. An interview on 7/26/23 at 9:54 AM with a resident who resided in room [ROOM NUMBER]. The resident was alert and oriented to person, place, time, and situation. […]

• No harm, potential for more than minimal, patternF657Aug 4, 2023

  Based on record review and staff interviews the facility failed to have quarterly care plan meetings for 2 of 4 residents reviewed for care planning (Resident #23, Resident #11). Findings included: 1. Resident #23 was admitted to the facility on [DATE]. His active diagnoses included chorea, psychomotor deficit following cerebral infarction, type 2 diabetes, and psychophysiological insomnia. Review of a social narrative progress note dated 6/17/22 revealed the social worker spoke with Resident #23's case worker. The Case Worker asked the social worker to send over the care plan as well as medical records for her status report. The Case Worker indicated she had not had the chance to schedule a care plan meeting. […]

• No harm, potential for more than minimal, isolatedF550Sep 18, 2025

  Based on observations, record review and staff interviews the facility failed to treat 1 of 3 residents in a respectful and dignified manner when Resident #66 was seated in his geriatric wheelchair (a special medical recliner with a wheeled base designed for older adults and individuals with mobility issues) as Occupational Therapist #1 pulled the wheelchair down the hall with the resident positioned behind her resulting in the resident being unable to see where he was being taken to. A reasonable person has the expectation of being treated with dignity and would not want to be moved via wheelchair in a backwards motion with no ability to view where they are traveling. Findings included: Resident #66 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF553Sep 18, 2025

  Based on record review, staff and Resident Representative (RR) interviews, the facility failed to facilitate the inclusion of the RR of a severely cognitively impaired resident in the care planning process for 1 of 2 residents reviewed for the care planning process (Resident #71). Findings included: Resident #71 was admitted to the facility on [DATE]. The most recent Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #71 was severely cognitively impaired. The medical record indicated Resident #71's family member was her Resident Representative (RR). A review of the care plan for Resident #71 indicated it was last revised on 8/18/25. […]

• No harm, potential for more than minimal, isolatedF554Sep 18, 2025

  Based on observations, record review, and staff and resident interviews, the facility failed to assess the ability of a resident to self-administer medications (chewable antacid tablets, cough drops, topical arthritis cream with 25% capsaicin and topical arthritis pain relief gel with 2% menthol) that were kept at the bedside for 1 of 1 resident reviewed for self-administration of medications (Resident #19). Findings included: Resident #19 was admitted to the facility on [DATE] with diagnoses that included non-Alzheimer's dementia and chronic pain syndrome. Review of Resident #19's quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated she was moderately cognitively impaired. […]