Riverside

In the surveyor’s words

From the most serious findings on record at Riverside, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 22, 2025

  Based on interviews and record reviews, the facility failed to protect a resident's right to be free from physical abuse. The facility did not protect residents (R) from physical abuse by a staff member or protect the resident immediately after the abuse occurred. This affected 1 of 4 residents (R1) reviewed for abuse. On 01/06/25, Certified Nursing Assistant (CNA) D witnessed CNA C strike R1 across the face. CNA D left CNA C alone with R1 to report the incident to nursing staff. R1 was left alone with CNA C for approximately 15 minutes. This left R1 at risk for further physical abuse from CNA C. The facility's failure to protect vulnerable residents from physical abuse created a finding of immediate jeopardy that began on 01/06/25. […]

• Immediate jeopardy, isolatedF689May 19, 2021

  Based on record review and staff interview, the facility did not ensure the environment for 1 (Resident 1) of 3 sampled residents was free of accident hazards (created by receiving liquids that were the wrong consistency) and received supervision to prevent a choking accident. Resident (R) 1 had difficulty swallowing and had a physician order for nectar-thick liquid consistency in attempt to prevent aspiration (breathing foreign objects such as food into the airway when swallowing). R1 had been seen by Speech Therapy (ST) who also recommended R1 have supervision with meal intake. R1 was given orange juice that was not thickened with breakfast and was then left unsupervised. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2022

  Based on observation and interview the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has a potential to affect all 100 (R) residents who reside in the facility. Surveyor observed 4 expired half gallons of buttermilk during initial tour of kitchen. Surveyor observed a cart of uncovered leftovers in the walk-in freezer. Surveyor observed a tray of 10 ice cream dishes uncovered. Surveyor observed 4 trays of applesauce dishes uncovered. Surveyor observed 2 pans of leftovers incorrectly dated. Surveyor observed a garbage container that was full and uncovered. […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2021

  Based on observation, interview, and record review, the facility did not sanitize and store items used to prepare and serve food in accordance with professional standards for food service safety, which has the potential to affect 102 of 102 residents residing in the facility. The following were observed during the survey: - Water temperatures of the facility's high temperature dishwasher's final rinse cycle exceeded safe levels, reducing its ability to provide sufficient sanitization to surfaces - Open refrigerated items were not properly labeled in the main kitchen and kitchenettes throughout the facility - Dented food cans were observed being stored in dry food storage This is evidenced by: The facility policy titled, Cleaning Dishes/Dish Machine, from 2017 Becky Dorner & Associates… […]

• No harm, potential for more than minimal, patternF686Aug 29, 2024

  Based on observation, interview and record review, the facility did not ensure that 4 of 6 residents (R) reviewed for pressure injuries (PI) (R58, R89, R9, and R28) received care consistent with professional standards of practice to prevent the development of a new pressure injury and promote healing of existing PIs. R58 was admitted with multiple PIs and was at risk for PI development. R58 developed an unstageable PI. The facility did not reposition R58 for several hours. R89 was at risk for PI development. The facility failed to evaluate the effectiveness of current interventions R89 had in place. The facility did not reposition R89 for several hours and did not off-load heels and coccyx. R9 and R28 have existing PIs. […]