Riverside Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Feb 18, 2022

  Based on observation, interview and record review, the facility failed to implement and maintain an infection prevention and control program designed to provide a safe environment and to help prevent the development and transmission of communicable diseases and infections for 13 of 13 (LVN A, CNA B, CNA C, CNA L, CNA M, CNA N, Cook R, HK V, ADM, Receptionist, and three unidentified staff) and 11 of 15 Residents (Resident #1, #2, #3, #4, #5, #7, #8, #16, #17, #18, and #19) reviewed for infection control: The facility failed to appropriately screen visitors/staff per HHSC guidelines, prior to entering the building. […]

• Immediate jeopardy, isolatedF689Mar 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure the residents environment remained as free of accident hazards as is possible and ensure each resident received adequate supervision for one (Resident #1) of three residents reviewed for accidents and hazards. The facility failed to ensure Resident #1 did not elope from the facility without staff's knowledge on 03/25/25 by following a contract worker out the front door. Resident #1 self-propelled to the driveway where she rolled down into and across the street to the median where she bumped into the curb and fell out of her wheelchair. An Immediate Jeopardy (IJ) existed on 03/25/25. […]

• Immediate jeopardy, isolatedF689Jan 13, 2023

  Based on interview, observation and record review, the facility failed to ensure each resident received adequate supervision and assistance to prevent accidents for one of (Resident # 1) four residents reviewed for falls and accidents. The facility failed to ensure a safe and practical room move for Resident #1. Resident #1 was visually impaired and was moved from her room in which she was acclimated to and into a room on a different hallway. The following day she fell in the threshold of her new room resulting in a wrist fracture and a traumatic subarachnoid hemorrhage (bleeding within the subarachnoid space, which is the area between the brain and the tissue covering the brain). An Immediate Jeopardy (IJ) was identified on 11/30/2022. […]

• Actual harm, isolatedF600Mar 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure all residents were free from physical abuse for 1 of 7 (Resident #1) residents reviewed for resident-resident altercations.The facility failed to ensure Resident #2 did not hit Resident #1 on 3/06/2026.This failure could place residents at risk for psychological and physical harm.The noncompliance was identified as PNC. The noncompliance began on 3/06/2026 and ended on 3/09/2026. The facility had corrected the noncompliance before the survey began.Resident #1A record review of Resident #1's face sheet dated 3/10/2026 reflected a [AGE] year-old female admitted on [DATE] with diagnoses of congestive heart failure, cirrhosis (scarring) of the liver, type 2 diabetes (uncontrolled blood sugar), cognitive… […]

• Actual harm, isolatedF755May 28, 2025

  Based on observations, interviews, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 5 residents (Resident #1), reviewed for pharmaceutical services. The facility failed to ensure that Resident #1 was administered her 2 tablets of Acetaminophen 325 MG crushed due to her diagnosis of Dysphagia and difficulty swallowing. The medication administered by RN B (2 tablets of acetaminophen non-crushed) caused the resident to cough uncontrollably. […]