Riverside Health & Rehab Cntr

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF886Mar 11, 2021

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to consistently document in the resident's clinical records that COVID-19 testing was offered, completed (as appropriate to the resident's testing status), and the results of each test for 26 residents. The findings included: The facility staff failed to consistently document that COVID-19 testing was offered to the residents of the facility and failed to document the results of each test in the resident's clinical records. During the record reviews, the survey team were unable to locate results of COVID-19 tests for negative residents. […]

• No harm, potential for more than minimal, isolatedF684Sep 7, 2023

  Based on observation, resident interview, staff interview, local ombudsman interview, clinical record review, and facility document review, the facility staff failed to provide care and services to meet the needs of the residents for 2 of 35 current residents in the survey sample, Resident #112 and #114. The findings included: 1. For Resident #112, the facility staff failed to administer the physician ordered antibiotic medication, Cephalexin to treat cellulitis and failed to address the wound specialist's recommendations for lab testing related to concern for cellulitis. […]

• No harm, potential for more than minimal, isolatedF690Sep 7, 2023

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure medical provider orders were obtained/provided to address the urinary catheter needs of 1 of 35 current residents in the survey sample, Resident #145. The findings included: For Resident #145, the facility staff failed to obtain provider orders for an indwelling urinary catheter present on readmission. Resident #145's diagnosis list indicated diagnoses, which included, but not limited to Hemiplegia and Hemiparesis following Cerebral Infarction, Dementia, Adult Failure to Thrive, and Unstageable Pressure Ulcer of the Right Buttocks. […]

• No harm, potential for more than minimal, isolatedF744Sep 7, 2023

  Based on staff interview and clinical record review, facility staff failed to ensure that a resident diagnosed with dementia received the appropriate treatment and services by monitoring targeted behaviors associated with the use of an antipsychotic medication for 1 of 21 residents in the survey sample, Resident #75. The findings were: The facility staff failed to monitor behaviors for Resident #75 who had a dementia diagnosis. Resident #75's facesheet listed diagnoses which included but were not limited to hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, dysphagia, epilepsy, stage 4 sacral pressure ulcer, dementia, adult failure to thrive, and bipolar disorder. […]

• No harm, potential for more than minimal, isolatedF756Sep 7, 2023

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure the attending physician reviewed the pharmacists recommendations for 3 of 35 current sampled residents, Resident #57, 75, and 128. The findings include: For resident #57, the facility staff failed to ensure the physician reviewed the pharmacists recommendations for the months of May 2023 and July 2023. #57's diagnoses included but was not limited to the following; dementia, anxiety, major depressive disorder, post traumatic stress disorder, bipolar disorder and hypertension. […]