Riverside Postacute Care

In the surveyor’s words

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

• Immediate jeopardy, patternF760Mar 3, 2026

  Based on observation, interview, and record review, the facility failed to ensure seven of 39 residents reviewed (Residents 118, 106, 8, 153, 163, 108, and 69) were free from significant medication error when:1.Resident 118 did not receive her medication Lacosamide (anticonvulsant medication used to treat seizures) from December 17, 2025, to January 15, 2026.This failure had the potential to place Resident 118 at high risk for seizure and other complications;2. Resident 106 did not receive five doses of the medication Acyclovir (antiviral medication to treat infection) from February 22 to February 23, 2026.This failure had the potential to jeopardize Resident 106's health status by leaving a skin infection untreated, leading to delayed healing and increased risk of viral spread;3. […]

• Immediate jeopardy, patternF740Sep 22, 2023

  Based on observation, interview, and record review, the facility failed to address the individualized needs related to substance use behavior, (SUB - continually using drugs or alcohol even though it is causing or adding to physical or psychological problems), for seven of 13 residents reviewed, (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 8, and Resident 9), who had history of substance use prior to admission and had been suspected of illegal drug use while at the facility. In addition, the facility failed to increase monitoring and supervision of the seven residents suspected of illegal drug use as well as the 136 residents not involved. […]

• Immediate jeopardy, isolatedF684Oct 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure that Resident 1 received necessary care and services in accordance with the resident's comprehensive assessment and professional standards of practice when the facility did not conduct a comprehensive interdisciplinary assessment of transportation needs to ensure safe and proper transport to and from dialysis appointments for 1 of 3 sampled residents (Resident 1) reviewed for dialysis.This failure resulted in Resident 1 being transported to dialysis (medical treatment that removes waste products and excess fluid from the blood when the kidneys are unable to) appointments via Uber three times a week, leading to unsafe and uncomfortable transfers from wheelchair to car every dialysis appointment and resulted in… […]

• Immediate jeopardy, isolatedF624Oct 19, 2023

  Based on interview and record review, the facility failed to provide and document sufficient preparation and orientation to ensure a safe and orderly discharge from the facility for two of six residents reviewed (Resident 1 and 2), when the residents were discharged to an undisclosed location, and there was no documentation in Resident 1's record of diabetic teaching and diabetic supplies being given to Resident 1 prior to discharge. This failure resulted in the unsafe discharge for Resident 1 and 2 back into the community. Findings: On September 18, 2023, at 12:10 p.m., an unannounced visit was conducted at the facility for an unsafe discharge. […]

• Actual harm, isolatedF686Apr 25, 2025

  Based on observation, interview, and record review, the facility failed to, for one of three sampled residents (Resident 3): 1. Re-assess the blister on the right elbow of Resident 3, initially observed during re-admission to the facility on April 13, 2025, and 2. Administer treatment to Resident 3's right elbow blister, when it was observed on April 13, 2025. These failures resulted in the worsening of the right elbow blister to a Stage 4 pressure injury (bed sore-full thickness skin loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone in the ulcer). Findings: On April 23, 2025, at 9:34 a.m., during interview with Resident 3 in her room, Resident 3 stated she had wounds on her right elbow and left heel, and she acquired those in the facility. […]