Riverview Health and Rehab Center North

In the surveyor’s words

From the most serious findings on record at Riverview Health and Rehab Center North, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 21, 2024

  This citation contains two deficient practice statements: DPS#1 This citation pertains to intakes MI00142304 and MI00142542. Based on interview and record review the facility failed to provide adequate supervision and follow elopement protocol for one resident (R12) who left the facility at an unknown time to staff. R12 was determined to be missing at 8:15 AM on 1/23/24. A moderately cognitively impaired resident with a BIMS of 8 left the facility with a recorded temperature of that day of 33 degrees Fahrenheit and raining. The facility was made aware R12 was at a city hospital at 11:23 AM. […]

• Immediate jeopardy, isolatedF689Mar 17, 2022

  This citation pertains to MI 708. Based on observation, interview, and record review, the facility failed to provide adequate monitoring and supervision to prevent an elopement from the facility for one sampled resident (#11) out of three residents reviewed for elopement, resulting in the elopement of a resident from the facility without staff being aware, due to a disabled alarm on the second-floor staircase and on a door which exits the building. The resident was located wearing a jacket, sweatpants, skull cap, and house shoes. […]

• Actual harm, isolatedF689Jul 25, 2024

  This citation pertains to intake MI00145652. Based on interview and record review the facility failed to review the Plan of Care (POC) and ensure adequate assistance when providing care for one resident (R4) out of four residents reviewed for falls, resulting in a fractured pelvis and hematoma to the head. Findings include: On 7/16/24 the State Agency received a complaint stating on 7/2/2024 at approximately 11:00 P.M. the on-duty nurse (LPN A) and the Director of Nursing (DON) called the complainant reporting someone was changing R4 and in the process R4 was dropped on the floor. The complainant indicated R4 was taken to a local hospital and was found to have a fracture in the pelvis. […]

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 05/05/2026 at 8:48 AM an interview with Dietary Manager (DM) I regarding date marking found food items should have a receive, discard, and open date on them.On 05/05/2026 at 8:49 AM observed an opened package of sliced turkey with a facility marked receive date of 4/30 and a facility marked discard date of 6/1 in the walk in cooler. […]

• No harm, potential for more than minimal, widespreadF880May 7, 2026

  Based on observation, interview, and record review, the facility failed to ensure the water management plan was implemented and that appropriate infection control practices were followed for two residents (R129 and R71) out of two residents reviewed for infection control and prevention, resulting in the potential for spread of infection among residents in the facility. Findings include: On 05/05/2026 at 1:38 PM observed an inoperable water fountain on the second floor outside of the dining room indicating possible stagnant water in the line. On 05/05/2026 at 2:03 PM observed an inoperable water fountain in the first floor physical therapy room indicating possible stagnant water in the line. […]