Riverside Health and Rehab

In the surveyor’s words

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

• Immediate jeopardy, patternF689Mar 15, 2024

  Based on review of facility policy, record review, interviews, and observations, the facility failed to conduct smoking assessments for 4 out of 10 residents (Resident (R)84, R116, R133, and R75) who smoke. Additionally, the facility failed to provide proper safety protocols for 10 out of 10 residents (R80, R84, R116, R595, R60, R133, R75, R93, R37, and R103) who smoke. On 03/13/24 at 4:32 PM, the Administrator was notified that the failure to conduct assessments on residents who smoke and failing to provide proper safety protocols for residents who smoke constituted Immediate Jeopardy (IJ) at F689. On 03/13/24 at 4:32 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility IJ existed as of 03/10/24. […]

• Immediate jeopardy, isolatedF600Nov 19, 2024

  Based on interviews, record reviews and review of the facility policy, the facility neglected to identify and acknowledge that Resident (R)3 was missing from the facility. The facility further failed to implement emergency protocol in a timely manner in order to locate the missing resident. On 11/18/24 at 3:15 PM, the Administrator was notified that the facility neglected to acknowledge a resident was missing from the facility and implement emergency protocol timely for locating the missing resident, which constituted IJ at F600. On 11/18/24 at 3:15 PM, the survey team provided the Administrator with a copy of the CMS IJ Templates, informing the facility IJ existed as of 11/04/24. […]

• Immediate jeopardy, isolatedF689Nov 19, 2024

  Based on interviews, record review and review of the facility policy, the facility failed to provide adequate supervision for Resident (R)3, who successfully eloped from the facility. On 11/18/24 at 3:15 PM, the Administrator was notified that the failure to provide adequate supervision to prevent an elopement constituted Immediate Jeopardy (IJ) at F689. On 11/18/24 at 3:15 PM, the survey team provided the Administrator with a copy of the CMS IJ Templates, informing the facility IJ existed as of 11/04/24. The IJ was related to 42 CFR 483.25 - Quality of Care. On 11/19/24 the facility provided an acceptable IJ Removal Plan for F689. On 11/19/24, the survey team validated the facility's corrective actions and determined the facility put forth due diligence in addressing the noncompliance. […]

• No harm, potential for more than minimal, widespreadF812Apr 21, 2026

  Based on review of the facility policies, observations, and interviews, and facility policy the facility failed to ensure proper cleaning of kitchen equipment (deep fryer, stove and 2 of 2 ovens), failed to ensure that kitchen staff hair was completely covered with a hair net and or/cap, and facial hair was covered with a hair net or beard guard. In addition, the facility failed to ensure dietary staff correctly demonstrated the calibration technique to ensure the temperature readings on the thermometers. Findings include:Review of the facility policy titled, Sanitation & Food Safety in Food and Nutrition Services last revision 10/15/25 revealed, The Certified Dietary Manager (CDM) will assume responsibility for the food safety and sanitation of the Nutrition Culinary Department. 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 15, 2025

  Based on observation and interview, the facility failed to ensure food stored in the refrigerator was labeled and dated; failed to ensure dietary equipment was clean; failed to ensure dry storage bins were free of a Styrofoam cup directly touching the flour and sugar instead of a scoop; and failed to ensure dirty dishes and trays were not stored in the dietary prep area. This deficient practice had the potential to affect 128 of 147 residents who received meals prepared in the facility and had the potential to affect the spread of food borne illness. Findings include: A request for a kitchen cleaning and service policy was requested on 04/14/25 at 3:45 PM and on 04/15/25 at 11:30 AM. […]