Riverside Health & Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF697Jan 15, 2026

  Based on observation, interview, and record review, the facility failed to provide pain management which was acceptable to the resident's goals for 1 (#3) of 25 residents sampled. The deficient practice resulted in poor pain management and decreased quality of life for the resident who consistently reported having severe pain. Findings include:During an observation and interview on 1/14/26 at 3:45 p.m., resident #3 stated the pain in his back was horrific and rated it as 8/10. Resident #3 stated he pretty much always had back pain, and he did not feel the facility controlled it well. Resident #3 stated he would consider 5/10 to be an acceptable pain level. Resident #3 stated he had taken pain medication at noon and wanted something more for the pain. […]

• Actual harm, isolatedF726Jul 6, 2023

  Based on interview and record review, the facility failed to ensure licensed nursing staff on duty knew how to perform and complete a wound vacuum dressing change as ordered, for 1 (#7) of 1 sampled resident. This deficient practice had the potential to cause an infection and worsen the surgical wound being treated with the wound vacuum. Findings Include: Review of the facility's reported incident investigation showed: The facility administration had initially written a grievance for the delay in changing the wound vacuum dressing for resident #7 on 2/4/23, with a resolution on 2/7/23, of educating nurses on wound vacuum dressing changes. […]

• No harm, potential for more than minimal, widespreadF725Jun 17, 2026

  Based on interview and record review, the facility failed to provide sufficient staffing, which contributed to ADLs not being completed for dependent residents for 4 (#s 1, 3, 6, and 8), low staffing concerns reported by residents for 4 (#s 1, 4, 5, and 9) of 9 sampled residents; and multiple staff concerns of not having enough time to complete assigned tasks or take their breaks. Findings include:During an interview on 6/15/26 at 1:26 p.m., resident #1 stated, I have a private bathroom, and I think they assume I can just walk in there and take my own shower. […]

• No harm, potential for more than minimal, widespreadF803Jan 15, 2026

  Based on interviews and record review, the facility failed to serve the substituted menu items to meet the nutritional needs of residents in accordance with established national guidelines and have the facility's dietitian review the changes for nutritional adequacy for 2 (#s 40 and 69) of 25 sampled residents. This deficient practice resulted in the residents becoming frustrated with menu selection and residents receiving food from the kitchen were not having nutritional needs met. Findings include: 1. During an interview on 1/13/26 at 4:11 p.m., resident #40 stated he wanted the chef salad alternate for lunch, but the kitchen sent everyone who ordered the chef salad chicken tenders instead. […]

• No harm, potential for more than minimal, widespreadF804Jan 15, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure food was served that was palatable, attractive, and at a safe and appetizing temperature for 7 (#s 40, 41, 49, 56, 66, 69, and 79) of 25 sampled residents. This deficient practice resulted in the residents' dissatisfaction with the food, and it potentially affected any resident who received food from the kitchen. Findings include: During an interview on 1/12/26 at 12:11 p.m., staff member R stated that when the food trays are delivered to the hall, the floor staff deliver them immediately. Staff member R stated that if the resident was not ready to eat, the tray was left on the bedside table in the room until the resident was ready to eat. […]