Riverside Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF695Jul 25, 2022

  This citation pertains to intake 0 Based on observation, interview and record review, the facility failed to provide appropriate and adequate [CONDITION(S)] care for 2 residents (Resident #1 and Resident #2) reviewed for [CONDITION(S)] care, resulting in an immediate jeopardy when (1) Resident #1 was admitted to the facility on [DATE] with a [CONDITION(S)] and no physician orders were in place for [CONDITION(S)] care or suctioning, (2) staff lacked knowledge regarding aseptic technique for suctioning and [CONDITION(S)] care increasing Resident #1's and Resident #2's chance for an infection, (3) staff lacked knowledge regarding emergency procedures in the event Resident #1 or Resident #2 decannulated, and (4) emergency supplies were not readily available in the facility in the event… […]

• Immediate jeopardy, isolatedF689Feb 10, 2022

  This citation contains two deficient practice statements. DPS #1 Based on observation, interview, and record review, the facility failed to properly monitor and maintain safe water temperatures, resulting in the high likelihood of scalding, resulting in an immediate jeopardy for all 38 residents in the facility. The Administrator was notified of the Immediate Jeopardy: [DATE] at 2:46 PM of the Immediate Jeopardy that was identified on [DATE] at 8:45 AM of the Immediate Jeopary that began on [DATE] when the facility stopped logging temps. […]

• Immediate jeopardy, isolatedF880Feb 10, 2022

  Based on observation, interview, and record review, the facility failed to follow CDC (Center Disease Control) and CMS (Centers for Medicare and Medicaid Services) guidelines and recommendations to contain and prevent the spread of COVID-19, resulting in an Immediate Jeopardy (IJ) when the facility staff did not appropriately utilize PPE (personal protective equipment) and follow basic infection control practices, resulting in 1 resident (R12) contracting COVID-19 and the continued risk for infectious disease spread in the facility. This deficient practice placed all residents and staff at risk for serious harm, injury, and or death from COVID-19 and other infections. On 1/31/22 at 8:49 AM, the Director of Nursing (DON) was passing medications. […]

• Immediate jeopardy, isolatedF602Nov 10, 2021

  This citation pertains to intake numbers MI 762 and MI 050. Based on interview and record review, the facility failed to prevent misappropriation by a staff member for Resident #1, reviewed for misappropriation. This deficient practice resulted in an immediate jeopardy when a staff member misappropriated funds from Resident #1 who then owed a large outstanding balance to the facility, sustaining mental anguish, and the risk for involuntary discharge; and failed to report the embezzlement to the State Agency, law enforcement, conduct an investigation and audit to ascertain whether the staff member embezzled from other residents. Findings include: Resident #1 Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE] revealed Resident #1 admitted to the facility on [DATE]. […]

• Actual harm, isolatedF686Jul 25, 2022

  This citation pertains to intake 0 Based on observation, interview and record review, the facility failed to implement adequate pressure ulcer prevention and treatment protocols according to professional standards for 2 residents (Resident #1 and Resident #3), resulting in the worsening of a facility acquired pressure ulcer for Resident #3 and the potential for unrecognized deterioration and serious complications from unmonitored, untreated and worsening pressure ulcers for Resident #1. Findings include: Review of the Fundamentals of Nursing revealed, Continually assess a patient's skin for breakdown and color changes such as pallor or redness. Consistently use a standardized assessment tool such as the Braden Scale. […]