Riverside Heights Healthcare Center, LLC

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 26, 2021

  Based on observation, interview, and record review, the facility failed to implement infection control practice in preventing the transmission of COVID-19 ([MEDICAL CONDITION]- an illness caused by [MEDICAL CONDITION] that can be transmitted from person to person) infection when: 1. The facility staff, required to wear a tight-fitting N95 respirator mask (respiratory protective device designed to achieve a very close facial fit and very efficient filtration of airborne particles),when working with residents with positive and suspected COVID-19 infection, were not fit-tested in accordance to the Center for Disease Control and Prevention (CDC) guidance and OSHA (Occupational Safety Health Administration - a regulatory agency that inspect and examine workplaces to assure healthy and safe work… […]

• No harm, potential for more than minimal, widespreadF812May 20, 2021

  Based on observation, interview and record review, the facility failed to store, prepare, and distribute food in accordance with professional standards for food service safety when: 1. Several various size of metal sheet pans were stacked and stored wet; and 2. The ice machine was not cleaned and sanitized properly per manufacturer's guidance. These failures had the potential to cause foodborne illnesses in a medically vulnerable resident population who consumed food in the facility. The facility census was 58. Findings: 1. During the initial tour in the kitchen, an observation and concurrent interview with the Dietary Services Supervisor (DSS) on May 17, 2021, at 9:10 a.m. was conducted. […]

• No harm, potential for more than minimal, patternF761May 20, 2021

  Based on observation, interview, and record review, the facility failed to ensure expired medications were removed from storage and not readily available for use, when: 1. One unopened bottle of milk of magnesia (MOM - medication to treat constipation) expired on April 2021, and one unopened bottle of an iron supplement syrup (medication to treat low iron) expired on February 2021; and 2. One open bottle of multivitamins expired on February 2021, and the multivitamins from the expired bottle were administered to Residents 1, 9, 475, 476, and 477. These failures increased the possibility for the residents to receive expired medications with decreased efficacy, and for Residents 1, 9, 475, 476, and 477 to receive medications unsafely. Findings: 1. […]

• No harm, potential for more than minimal, patternF802May 20, 2021

  Based on interview and record review, the facility failed to ensure two food service personnel were able to safely and effectively carry out the functions of the food and nutrition services when one Cook and one Dietary Aide (DA) were unable to demonstrate and verbalize the process of manual dishwashing by using a two-compartment sink. This failure had the potential to place 51 out of 58 highly susceptible residents who received food from the kitchen at risk for food-borne illness. Findings: During an interview on May 17, 2021, at 9:30 a.m., the DA verbalized and demonstrated the process of manual dishwashing with the two-compartment sink. […]

• No harm, potential for more than minimal, patternF803May 20, 2021

  Based on observation, interview, and record review, the facility failed to ensure that the menu was being following for the therapeutic diet for lunch on May 18, 2021 when: 1. Two residents (Resident 76 and 564) on regular puree (regular diet modifies in texture of a smooth and moist consistency and able to hold its shape. Foods usually in soft and smooth state such as pudding or mashed potatoes) diet did not receive sauce on the puree chicken as indicated on the menu; 2. Two residents (Resident 475 and 469) on regular CCHO (consistent carbohydrate) diet (a diet used in the treatment for diabetes) did not receive diet gelatin dessert as indicated on the menu; and 3. […]