Riverside Lifelong Health and Rehabilitation - M

In the surveyor’s words

From the most serious findings on record at Riverside Lifelong Health and Rehabilitation - M, in the surveyor’s own words.

• Actual harm, isolatedF760Feb 23, 2023

  Based on interview, record review and facility documentation the facility staff failed to ensure Residents were free from significant medication errors for 1 Resident (#21) in a survey sample of 12 Residents. The findings included: For Resident #21 the facility staff failed to ensure she received a new medication ordered while hospitalized for hypotension (1/2/22 thru 1/12/22). The Resident missed administration of the medication from 1/12/22 until 1/16/22 and was subsequently sent back to the hospital for hypotension on 1/16/22. This is harm Past Noncompliance. On 2/22/23 a review of the clinical record revealed that Resident #21 was sent to the hospital on 1/2/22 with a diagnosis of hypotension (low blood pressure). She was prescribed a new medication Midodrine for hypotension. […]

• Actual harm, isolatedF600Jul 9, 2021

  Based on staff interview, facility documentation review, clinical record review, the facility failed to ensure 1 Resident (Resident #54) was free from neglect, in a survey sample of 31 Residents. For Resident #54, the facility staff were negligent in their immediate response when he was found unresponsive. The facility staff failed to provide CPR (cardiopulmonary resuscitation) or any other emergency medical treatment, until after Resident #54 had been pronounced deceased and postmortem care had been provided, resulting in harm at past non-compliance. The findings included: Resident #54, diagnosis included but were not limited to: CAD (coronary artery disease), HTN (hypertension), old myocardial infarction, diabetes, and anxiety disorder. […]

• Actual harm, isolatedF656Jul 9, 2021

  Based on staff interview, clinical record review, and facility documentation review, the facility staff failed to implement the comprehensive care plan for 1 resident (Resident #54) in a survey sample of 31 residents. For Resident #54, the facility staff failed to implement resuscitation interventions as indicated on his comprehensive care plan when he was found unresponsive and not breathing, resulting in harm at past non-compliance. The findings include: Resident #54 was admitted to the facility on [DATE] for long term care due to increasing confusion and decline in cognitive and physical function. […]

• Actual harm, isolatedF678Jul 9, 2021

  Based on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide resuscitation interventions for 1 resident (Resident #54) in a survey sample of 31 residents. For Resident #54, who was a full code, the facility staff failed to provide resuscitation interventions when he was found unresponsive and not breathing. This resulted in harm cited at past non-compliance. The findings include: Resident #54 was admitted to the facility on [DATE] for long term care due to increasing confusion and decline in cognitive and physical function. […]

• Actual harm, isolatedF686Jul 9, 2021

  Based on observation, interview, facility documentation and clinical record review the facility staff failed to adequately prevent and treat pressure ulcers for 1 Resident (#42) in a survey of 31 Residents. The findings included: For Resident #42 the facility failed to provide heel protection boots to a non-ambulatory resident until after he developed pressure areas to bilateral heels, and right calf. Resident #42 a [AGE] year old man admitted to the facility on [DATE] with diagnoses of but not limited to wedge compression fracture 5th lumbar vertebra, Brown-Sequard Syndrome, autonomic neuropathy, muscle spasm, fracture of neck, non-displaced fracture of 5th cervical vertebra, and injury of cervical spinal cord. […]