Riverview at the Park Care and Rehabilitation Cent

In the surveyor’s words

From the most serious findings on record at Riverview at the Park Care and Rehabilitation Cent, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jul 27, 2023

  Based on observation, interview, and record review, the facility failed to implement an infection control program and a risk management process specific to Legionella disease (a serious type of pneumonia caused by Legionella bacteria) which had the potential to affect all residents, staff, and the public. The facility's census was 94. 1. Review of the facility's policy titled, Legionella Water Management Program, revised September 2022, showed: - Our facility has a water management program, which is overseen by the water management team; - Water management team consists of infection preventionist, administrator, medical director or designee, director of maintenance and director of environmental services; - Water management program consists of the water management team, a detailed… […]

• No harm, potential for more than minimal, patternF628Sep 12, 2025

  Based on interview and record review, the facility failed to notify the resident and/or the resident's representative in writing of a transfer or discharge to a hospital, including the statement of appeal rights or the name, address, or telephone number of the Office of the State Long Term Care Ombudsman (advocates for the residents in nursing facilities) within the transfer and discharge notices for seven residents (Resident #2, #4, #10, #13, #14, #39, and #107) out of 22 sampled residents and three residents (Resident #12, #111, and #120) outside the sample. The facility census was 106. Review of the facility's policy, Transfer or Discharge, Facility Initiated, revised October 2022 showed: - Once admitted to the facility, residents have the right to remain in the facility. […]

• No harm, potential for more than minimal, patternF925Jul 24, 2024

  Based on observation and interview, the facility failed to maintain an effective pest control program. This practice affected five residents (Resident #13, #26, #51, #71, and #201) out of 20 sampled residents and seven residents (Resident #17, #28, #41, #54, #61, #85 and #86) outside the sample, and had the potential to affect all residents in the facility. The facility's census was 99. Review of the facility's policy, Pest Control, revised May 2018, showed: - Our facility shall maintain an effective pest control program; - This facility maintains an ongoing pest control program to ensure that the building is kept free of insects and rodents; - Pest control services are provided by Van Pest; - Only approved Food and Drug Administration (FDA) and Environmental Protection Agency (EPA)… […]

• No harm, potential for more than minimal, patternF700Jul 27, 2023

  Based on observation, interview, and record review, the facility failed to obtain physician's orders for bed rails and failed to care plan specific monitoring and supervision provided during the use of the bed rails, including how needs will be met during use of the bed rails, such as for re-positioning, hydration, meals, use of the bathroom and hygiene for ten residents with side rails (Residents #6, #11, #13, #22, #24, #30, #35, #52, #73, and #248) out of 19 sampled residents. The facility's census was 94. Review of the FDA (Federal Drug Administration) documents entitled, Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment dated [DATE] showed 413 people died as a result of entrapment events in the United States. […]

• No harm, potential for more than minimal, patternF909Jul 27, 2023

  Based on observation, interview, and record review, facility staff failed to conduct regular inspections of all bed frames, mattresses and side rails as part of a regular maintenance program for ten residents with side rails (Residents #6, #11, #13, #22, #24, #30, #35, #52, #73, and #248) out of 19 sampled residents. The facility's census was 94. Review of the facility's policy titled, Bed Safety and Bed Rails, revised [DATE], showed: - Bed frames, mattresses and bed rails are checked for compatibility and size prior to use; - Maintenance staff routinely inspects all beds and related equipment to identify risks and problems including potential entrapment risks; - Maintenance provides a copy of inspections to the administrator and reports results to the quality assurance committee; - Any… […]