Riverside Behavioral Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure the dietary staff followed the manufacturer's instructions for testing the Quaternary (quaternary ammonium compounds [quats] are a group of chemicals used as disinfectants) sanitizer. This failure had the potential to result in inaccurate readings of the sanitizing solution, which could lead to cross-contamination. Findings:On November 4, 2025, at 3:38 p.m., during an observation of a Dietary Aide (DA) testing the sanitizing solution, the DA was observed dipping the Quat strip into the sanitizing solution for six seconds before comparing the strip to the color comparator chart.In a concurrent interview with the DA, the DA stated the manufacturer's instructions indicated the strip should be dipped for one to… […]

• No harm, potential for more than minimal, widespreadF812Nov 7, 2024

  Based on observation, interview, and record reviews, the facility failed to maintain a sanitary environment, prepare, and serve food in accordance with professional standards for food service safety when: 1. The two-compartment preparation sink (sink used for preparing foods) did not have an air gap (a vertical space between the end of a pipe and the top of a nearby sink that prevents the backflow of contaminated water); 2. Six out of six white storage shelves in the reach-in refrigerator labeled number 2, were found to have peeled chipped paint. 3. Three drying rack shelves (one near the handwashing sink and two by the side doorway kitchen entrance) were found to be worn and with brown grime. 4. One unlabeled cooking oil was stored in a water pitcher found in the kitchen; 5. […]

• No harm, potential for more than minimal, patternF808Nov 6, 2025

  Based on observation, interview, and record review, the facility failed to ensure the physician-ordered therapeutic diets were followed for three of nine residents (Residents 65, 53, and 32). Each of these residents, who were ordered a low cholesterol -low fat diet were served creamy noodles instead of parsley noodles as specified on the therapeutic menu.These failures had the potential to result in increased cholesterol levels and compromised nutritional status for these residents.Findings:On November 6, 2025, the facility document titled Fall 2025 menu, for lunch was reviewed. The document indicated:-Regular diet- 2 oz. baked chicken; creamed noodles; 1 bread slice; 1 square banana foster cake; and 8 oz water. […]

• No harm, potential for more than minimal, patternF802Nov 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure dietary staff were able to carry out the functions of food and nutrition services safely and effectively when: 1. [NAME] 1 (CK) 1 did not check the cooking temperature for beef patties, fish, and chicken tenders during lunch meal preparation on November 5, 2024; 2. Dietary staff did not follow manufacturer's guidelines for testing the red bucket sanitizer; 3. Four dietary staff did not follow the facility food preparation and cleaning procedure of surfaces and stationary equipment; 4. One Dietary Aide did not know the right concentration of the red bucket sanitize; and 5. […]

• No harm, potential for more than minimal, patternF880Nov 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure four pill cutters (equipment used to cut medications) were cleaned before being stored in the medication carts (equipment used to store and dispense medications). This failure had the potential to result in cross contamination (transfer of microorganism (germs) from one object to another) of medications which could lead to infection. Findings: On November 6, 2024, at 10:30 a.m., during a concurrent observation of the afternoon (PM) medication cart in nursing station 2 and an interview with the Licensed Psychiatric Technician (LPT), two blue pill cutters had green -brown grime buildup and white powder residue. The LPT stated the pill cutters should be cleaned between uses, and replaced or thrown when dirty. […]