Rivers Edge Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Rivers Edge Rehabilitation and Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 13, 2026

  Based on observation, interview, and facility policy review, the facility failed to store food in a sanitary manner. Specifically, the facility failed to ensure refrigerators were clean, and food items were labeled and dated prior to storage in a nutrition refrigerator located at the nurse's station. These failures had the potential to affect all residents who received meals and snacks from the facility. The findings included:Review of facility policy, Monitoring of Cooler/Freezer Temperature, revised 09/01/2024, indicated, It is the policy of this facility to maintain temperatures of coolers and freezers at the appropriate temperature to promote food safety. This policy also addresses refrigerated storage. The policy further indicated, 1. […]

• No harm, potential for more than minimal, widespreadF761Nov 15, 2024

  Based on observation, interview, and review of facility policy, it was determined the facility failed to store drugs in accordance with currently accepted professional principles for one (1) of two (2) medication carts audited out of a total of four (4) medication carts. Observation on 11/14/2024 at 11:45 AM, of the East Wing Medication cart revealed 17 cards of medications stored beyond the expiration date printed on the package labels for ten (10) of 20 residents (Resident (R) 60 (R60), R54, R69, R42, R61, R39, R86, R32, R36, and R65). The findings include: Review of the facility policies titled Medication Storage version 09/2020 and Medication Administration version 09/2020, were revealed no guidelines specified regarding the expiration dates of medications. […]

• No harm, potential for more than minimal, widespreadF812Nov 15, 2024

  Based on observation, interview, and review of facility policies, the facility failed to ensure staff labeled and dated food items stored in the refrigerator and food items stored in dry storage. This deficient practice has the potential to affect all residents who utilize the facility's dining services. The findings include: Review of the facility's policy, Food Storage, revised 01/23/2018, revealed all incoming foods will have a delivery date and an open date or use by date. When the foods are stored in a container other than the original container, the container will be labeled with the name of the product and an incoming wash and fill date. Further review revealed the first in, first out method will be used in all storage. New product will be stored behind the old product. […]

• No harm, potential for more than minimal, patternF880Nov 15, 2024

  Based on observation, interview and review of facility policy, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections while providing wound care for 2 of 3 residents with wounds of the 23 residents sampled (Resident (R) 12 and R343). Observation of the Treatment Nurse/Licensed Practical Nurse (LPN) 1 performing wound care revealed the nurse did not perform hand hygiene after entering the residents' room before initiating wound care and did not change non-sterile gloves or perform hand hygiene after the gloves were potentially contaminated during the dressing change procedure. […]

• No harm, potential for more than minimal, isolatedF656Mar 13, 2026

  Based on interview, record review, and facility policy review the facility failed to develop a care plan to address the tracheostomy (an opening in the neck to facilitate breathing) care for 1 (Resident #5) of 1 sampled residents reviewed for respiratory care. The findings included: Review of the facility's undated policy titled, Comprehensive Care Plans, indicated, It is the policy of this facility to develop and implement a comprehensive-person centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment. The policy further indicated, 3. […]