Riverside Valley of Journey

In the surveyor’s words

From the most serious findings on record at Riverside Valley of Journey, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 3, 2021

  Based on observation, staff interview, and record review, the facility neglected to provide care consistent with standards of practice for Resident # 40. Facility staff neglected to provide care consistent with standards of practice for the procedure for lifting and transferring a resident, after the resident rolled out of bed. This had the potential to cause physical harm, pain, mental anguish, and/or emotional distress which resulted in neglect for Resident #40. This was a random opportunity for discovery. Resident identifier: #40. Facility census: 67. The facility was notified of the IJ (Immediate Jeopardy) at 6:00 PM on 11/02/21. The facility submitted their initial abatement plan of correction (POC) at 7:44 PM on 11/02/21 and was forwarded to the State Office for review. […]

• No harm, potential for more than minimal, widespreadF803Nov 22, 2023

  Based on observation and staff interview the facility failed to notify residents of a menu change. This was a random opportunity of discovery. This failed practice has the potential to affect all residents, as all residents residing in the facility currently receive a diet. Facility census: 84. Findings included: a) On 11/21/23 at 11:50 AM observation of the noon meal tray pass, revealed that residents had green beans, but the dietary meal tickets stated they received roasted Brussel sprouts. Review of the posted menu on the 100 Hall also revealed the residents would receive Brussels sprouts with an alternate of broccoli. On 11/21/23 at 11:55 AM Dietary Service Director #98 confirmed the residents should have received roasted Brussels sprouts as stated on their dietary ticket. […]

• No harm, potential for more than minimal, widespreadF812Nov 22, 2023

  Based on observation and staff interview, the facility failed to store food in accordance with professional standards for food service safety. The facility failed to label and date food items that were opened. The facility also failed to complete dishwasher temperature logs. This failed practice had the potential to affect all residents, as all residents residing in the facility at this time receive an oral diet. Facility Census: 84 Findings included: a) Kitchen Tour On the initial tour of the kitchen on 11/21/23 at 10:15 AM, the following food was found in the walk-in refrigerator with no label to determine the date they were opened or the expiration date. […]

• No harm, potential for more than minimal, widespreadF726Nov 3, 2021

  Based on record review, observation, resident interview and staff interview, the facility failed to ensure competent nursing staff were available to provide care and services in assisting residents to attain or maintain their highest practicable level of physical, mental, functional and psychosocial well-being. Facility staff neglected to provide care consistent with standards of practice for the procedure for lifting and transferring a resident, after the resident rolled out of bed. In addition, Resident's assessments and care plans failed to identify the amount of staff assistance required for transferring residents. This was a random observation for Resident #40 and was true for 10 of 21 residents whose care plans were reviewed. […]

• No harm, potential for more than minimal, patternF628Jul 8, 2025

  e) Resident #139 A review of Resident #139's medical record on 07/02/25 found the resident was sent to the hospital on [DATE] after facility staff discovered he was smoking an illegal drug in his room at his facility. The resident reported to staff that he had swallowed the drug therefore they sent him to the emergency room via ambulance. The initial review of the reportable incident found the only issue identified was the residents illegal drug use in the facility. An interview with Nursing Home Administrator (NHA) on the morning of 0702/25 confirmed the resident was sent to the hospital on [DATE] and he was not permitted to return to the facility. When asked if they issued the resident a 30 day discharge notice the facility initially was uncertain if they did or not. […]