Riverside Health & Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, patternF684Jan 13, 2025

  Based on facility review of policy, manufacturer's instructions, clinical records and staff interviews, the facility failed to notify physicians of elevated or decreased Capillary Blood Glucose (CBG) levels, failed to assess residents for hyperglycemia (high blood glucose) and hypoglycemia (low blood sugar) resulting in immediate jeopardy for 14 of 22 residents (R6, R8, R22, R32, R38, R39, R44, R56, R57, R59, R65, R79, R150, R195). Findings Include: Review of facility policy Diabetic Protocol dated 1/2/24, indicated provider and staff will work together to give appropriate treatment to manage diabetes. […]

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on a review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly label and date food, clean and sanitize food service items/dishes, and maintain cleanliness in the Main Kitchen.Findings include:Review of the Dietary Services policy, Sanitation dated 9/12/25, indicated food and nutrition services staff will maintain a clean and sanitary environment in food services areas through compliance with a written, comprehensive cleaning schedule. During an observation of the Main Kitchen on 1/6/26, at 9:05 a.m. revealed the following:-Dishwasher was not reaching temperature to effectively sanitize.-Plate warmer was not operational.-Hole in the ceiling related to a pipe burst. […]

• No harm, potential for more than minimal, widespreadF908Jul 9, 2025

  Based on a review of observations and staff interviews, it was determined that the facility failed to ensure the dish machine was in proper working order in the Main Kitchen. Findings include: During an observation on 7/8/25, of the noon meal, it was noted that all the residents received their meals in Styrofoam containers and cups. During an observation on 7/8/25, of the Main Kitchen it was noted that the drainage sink of the dishwasher had standing water in it. During an interview on 7/8/25, at 1:10 p.m. Dietary Employee E1 confirmed that the dishwasher had been inoperable since Saturday morning (7/5/25), and that on Saturday and Sunday (7/5/25, 7/6/25), dietary employees had been washing dishes by hand. During an interview on 7/8/25, at 1:12 p.m. […]

• No harm, potential for more than minimal, widespreadF801Feb 3, 2023

  Based on a review of facility documents, and staff interviews, it was determined that the facility failed to employ staff with the required skills and competencies to carry out the daily functions of the Dietary Department (Kitchen Manager Employee E1). Findings include: A review of facility document Kitchen Manager Job Description indicated that a qualified candidate will be a graduate of an approved food service program. During an interview on 1/31/23, at 11:30 a.m. Kitchen Manager Employee E1 stated that she had started the position in July 2022 after having been a Dietary Aide for [AGE] years and did not possess a Certified Dietary Manager certificate. […]

• No harm, potential for more than minimal, patternF800Aug 20, 2026

  Based on a review of facility documents and resident and staff interviews it was determined the facility failed to meet the dietary needs for one of 17 residents (Resident R2).Findings include: Review of Resident R2's record indicated the resident was admitted to the facility on [DATE]. Review of the Minimum Data Set (MDS, periodic assessment of resident care needs) dated 7/30/26, included diagnoses of heart failure (a progressive heart disease that affects pumping action of the heart muscles), malnutrition (lack of sufficient nutrients in the body), and a history of cancer. Review of a grievance submitted by Resident R2 on 7/27/26, indicated, [Resident R2] stated that she did not get a dinner tray on 7/26/26. […]