Rivers Edge Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Rivers Edge Nursing and Rehab, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Nov 2, 2021

  Based on observation, interview and record review, the facility failed to ensure it maintained an infection prevention and control program designed to help prevent the development and transmission of communicable disease and infections such as COVID-19. This had the potential to affect all residents residing within the facility at the time of the outbreak on [DATE]. At the time of survey, this outbreak involved 35 residents, 5 whom expired, and 9 staff. The facility did not: * recognize or ensure to routinely screen all residents for signs and symptoms of COVID-19 daily and increase screening to every shift once the outbreak was identified * screen all individuals who come into the facility prior to entry * ensure staff do not enter the facility with symptoms without reporting to facility… […]

• Immediate jeopardy, widespreadF880Nov 1, 2021

  Based on observation, interview and record review, the facility failed to ensure it maintained an infection prevention and control program designed to help prevent the development and transmission of communicable disease and infections such as COVID-19. This had the potential to affect all residents residing within the facility at the time of the outbreak on [DATE]. At the time of survey, this outbreak involved 35 residents, 5 whom expired, and 13 staff. The facility did not: * recognize or ensure to routinely screen all residents for signs and symptoms of COVID-19 daily and increase screening to every shift once the outbreak was identified * screen all individuals who come into the facility prior to entry * ensure staff do not enter the facility with symptoms without reporting to… […]

• Immediate jeopardy, patternF684Nov 2, 2021

  Based on interview and record review, the Facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 5 of 14 sampled residents (R1, R3, R5, R6 and R7). The facility did not perform a thorough assessment when a resident was identified with a change of condition such as COVID-19, did not increase screening once an outbreak occurred, did not notify the resident's physician when a change of condition occurred, did not increase assessments and monitoring of residents once COVID-19 was identified as the cause for the change of condition, and did not provide medication and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, patternF684Nov 1, 2021

  Based on interview and record review, the Facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 5 of 14 sampled residents (R1, R3, R5, R6 and R7). The facility did not perform a thorough assessment when a resident was identified with a change of condition such as COVID-19, did not increase screening once an outbreak occurred, did not notify the resident's physician when a change of condition occurred, did not increase assessments and monitoring of residents once COVID-19 was identified as the cause for the change of condition, and did not provide medication and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF686Aug 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure each resident receives care, consistent with professional standards of practice (SOP), to prevent pressure injuries (PI) and to ensure each resident with PIs receives necessary treatment and services, consistent with professional SOP (standards of practice), to promote healing, prevent infection, and prevent new injuries from developing for 2 of 3 Residents reviewed for pressure injuries out of a sample of 7 residents (R2 and R1). R2 was admitted to the facility with a stage 2 PI to the left gluteus and was at risk for the development of additional pressure injuries. R2 developed a total of 6 avoidable PIs while at the facility. […]