Riverside Lifelong H & R Warwick Forest

In the surveyor’s words

From the most serious findings on record at Riverside Lifelong H & R Warwick Forest, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 25, 2025

  Based on observation, staff interviews, clinical record review, and review of facility documents, the facility staff failed to provide adequate supervision to prevent accidents for 1 of 17 residents (Resident #8) in the survey sample, which constituted harm. The findings included: The facility staff failed to provide adequate supervision to ensure Resident #8 was safe from falling while ambulating, which constituted harm. Resident #8 was no longer a resident of the facility; therefore, a closed record review was conducted. Resident #8 was admitted to the facility on [DATE] after a hospital stay. […]

• No harm, potential for more than minimal, patternF658Aug 25, 2025

  Based on observation, resident and staff interviews and review of facility documentation the facility staff failed to ensure resident care and services were provided in accordance with accepted standards of clinical practice for medication administration for 1of 17 residents. Resident #11.Findings included: For Resident #11, the facility staff failed to administer her scheduled Gabapentin (a seizure medication commonly used for neuropathic pain) on 2/17/24 at 8:00 PM, 2/18/24 at 8:00 AM, midday and 8:00 PM, 2/19/24 at 8:00 AM and midday as ordered by the physician.Resident #11 was originally admitted to the facility on [DATE] with diagnoses including but not limited to: hypertension, major depressive disorder, chronic pain, insomnia, muscle spasms, reduced mobility, anxiety, treatment for… […]

• No harm, potential for more than minimal, patternF697Aug 25, 2025

  Based on observations, resident interviews, staff interviews, and review of the clinical record, the facility staff failed to manage acute pain secondary to fractures for 1 of 17 residents (Resident #1) in the survey sample. The findings included: Resident #1 was initially admitted to the facility 8/13/25, after an acute care hospital stay for a fall with fractures. The resident's current diagnoses included fibromyalgia, acute on chronic lower back pain, a right distal radius fracture, and status post L4 - L5 lumbar laminectomy with fixation and TLIF pedicle screw fixation on 08/07/25. […]

• No harm, potential for more than minimal, patternF755Aug 25, 2025

  Based on observation, resident and staff interviews and review of facility documentation the facility failed to provide pharmaceutical services to assure the accurate acquiring, receiving, dispensing and administration of drugs to meet the needs of each the resident for 1 of 17 residents. Resident #11.Findings included: For Resident #11, the facility staff failed to administer her scheduled Gabapentin (a seizure medication commonly used for neuropathic pain) on 2/17/24 at 8:00 PM, 2/18/24 at 8:00 AM, midday and 8:00 PM, 2/19/24 at 8:00 AM and midday as ordered by the physician.Resident #11 was originally admitted to the facility on [DATE] with diagnoses including but not limited to: hypertension, major depressive disorder, chronic pain, insomnia, muscle spasms, reduced mobility, anxiety,… […]

• No harm, potential for more than minimal, patternF849Aug 25, 2025

  Based on Observation, staff interview, clinical record review, and facility document review the facility staff failed to provide necessary documents for two Residents receiving hospice care (Resident #15, and 6) in a survey sample of 17 Residents. 1. The Facility staff failed to provide Hospice nurses' notes and wound care measurements pertaining to Resident #15. Resident #15 was initially admitted to the facility on [DATE] and readmitted on [DATE] from the community. The current diagnoses included cerebral vascular disease. The admission, significant change, annual quarterly, Minimum Data Set (MDS) assessment with an assessment reference date (ARD) of [DATE] coded the resident as completing the Brief Interview for Mental Status (BIMS) and scoring 3 out of a possible 15. […]