Riverview

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Feb 6, 2025

  Based on medical record review, review of hospital records, observation, staff interviews, interview with the Local County Health Department (LCHD), interview with the physician, review of a death certificate, review of the facility's Legionella bacteria prevention plan, review of email communications with the LCHD, review of facility policy and procedures, review of the Legionella risk assessment, and review of the Centers for Disease Control and Prevention (CDC) website, the facility failed to follow their water management plan to ensure all shower heads were descaled semi-annually and flushes were completed weekly which resulted in elevated risk levels of Legionella bacteria in the facility's water system and exposure to the residents. […]

• Actual harm, isolatedF686Feb 8, 2024

  Based on observation, record review, staff interviews, review of wound notes, and facility policy review, the facility failed to accurately assess, timely notify the physician of an identified pressure area, and implement interventions to prevent a middle lumbar pressure ulcer from worsening for Resident #16. Additionally, the facility failed to comprehensively assess, notify the physician, and implement a treatment plan timely for Resident #9 and Resident #67 who were admitted to the facility with pressure ulcers/injuries. […]

• No harm, potential for more than minimal, widespreadF812Dec 16, 2021

  Based on record review, observation, staff interview, and review of the facility policy, the facility failed to ensure food was prepared and served in a safe and sanitary manner to prevent foodborne illness. This had to potential to affect 87 of 87 residents who receive meals the kitchen. The facility census was 87. Findings include: Observations on 12/15/21 from 11:15 A.M. to 11:30 A.M., revealed Cook #157 was taking the temperature of the deep fried fish. She took two pieces of fish from the steam table pan, placed them on the thermometer to get the temperature, and then took them back off with her gloved hand and did not change her gloves at that point. She then touched the steam table counter and the tongs to serve the french friends. […]

• No harm, potential for more than minimal, patternF761May 1, 2025

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure that medications were stored securely. This had the potential to affect 74 residents, #1, #2, #3, #4, #7, #8, #10, #12, #13, #14, #15, #17, #20, #25, #28, #29, #32, #33, #34, #36, #37, #40, #41, #42, #43, #44, #45, #50, #51, #52, #58, #61, #62, #76, #77, #78, #79, #84, #85, #86, #88, #89, #90, #92, #93, #94, #95, #102, #103, #104, #107, #110, #112, #116, #117, #120, #121, #122, #138, #175, #178, #179, #180, #226, #227, #229, #231, and #232 The facility also failed to ensure that medications, including three cups containing various types of pills, were stored appropriately. The facility census was 120. Findings include: 1. Continuous observation on 04/30/25 from 8:44 A.M. until 8:47 A.M. […]

• No harm, potential for more than minimal, patternF804May 1, 2025

  Based on observations, resident interview, staff interview, and review of facility policy, the facility failed to provide food and drink at a palatable, attractive, and at a safe and appetizing temperature. This affected one resident (Resident #75) and had the potential to affect all 65 of the residents on units #2 and #4 except for Resident #68 and Resident #114, who did not eat or drink food from the kitchen. The facility census was 120 residents. Findings include: 1. Review of the medical record for Resident #75 revealed an admitted [DATE]. […]