Riverside Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF578Dec 14, 2022

  Based on a review of resident records, the facility's policy, and procedure for CPR (Cardio-pulmonary resuscitation), facility reports, and interviews with staff, the facility failed to act in accordance with the resident's Advance Directives in accordance with her Full Code status (the desire to be resuscitated in the event her heart or breathing stopped) after finding her unresponsive with no respirations. This affected one (Resident #1) of three residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's Full Code status deprived her of potentially lifesaving measures. On [DATE], Resident #1 was admitted with a full-code status, indicating that she wanted to be resuscitated in the event of cardiac/respiratory arrest. […]

• Immediate jeopardy, isolatedF678Dec 14, 2022

  Based on a review of resident records, the facility's policy, and procedure for CPR (Cardio-pulmonary resuscitation), facility reports and staff interviews, the facility failed to provide CPR in accordance with the resident's physician's order and Advance Directives when an unresponsive resident stopped breathing. This affected one (Resident #1) of three residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's Full Code status (the desire to be resuscitated in the event that her heart or breathing stopped), deprived her of potentially lifesaving measures. On [DATE], Resident #1 was admitted with a full-code status, indicating that she wanted to be resuscitated in the event of cardiac/respiratory arrest. […]

• Immediate jeopardy, isolatedF578Aug 17, 2021

  Based on a review of facility and resident medical records, a review of the facility's policies Advance Directives and Advance Directives and Code Status, and interviews with staff, the facility failed to act in accordance with residents' Advance Directives and honor Do Not Resuscitate Orders (DNROs) after finding a resident unresponsive and without respirations or a pulse. This affected one (Resident #1) of eight residents reviewed for Advance Directives. On [DATE], Resident #1 was admitted to the facility and executed a Do Not Resuscitate Order. On [DATE] at 5:55 PM, Resident #1 was discovered unresponsive by her certified nursing assistant. […]

• Immediate jeopardy, isolatedF678Aug 17, 2021

  Based on observations, a review of facility and resident medical records, the facility's policies Advance Directives and Code Status, Do Not Resuscitate Orders (DNROs) and Advance Directives, and interviews with staff, the facility failed to withhold basic life support, including cardiopulmonary resuscitation (CPR), in accordance with the residents' Advance Directives for one (Resident #1) of eight residents reviewed for Advance Directives. On [DATE], Resident #1 was admitted to the facility and executed a Do Not Resuscitate Order. On [DATE] at 5:55 PM, Resident #1 was discovered unresponsive by her certified nursing assistant. […]

• Actual harm, isolatedF689Nov 16, 2023

  Based on observations, interviews, and record review, the facility failed to ensure that each resident received adequate supervision to prevent falls for one (Resident #135) of seven residents reviewed for falls, from a total sample of 41 residents. The findings include: A review of Resident #135's medical record revealed that he was admitted to the facility on [DATE], with his most recent readmission occurring on 7/31/23. Resident #135's diagnoses included unspecified fall, unspecified motor vehicle accident with injury; other injury of unspecified body region; and acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity. […]