Riverview Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656May 12, 2022

  Based on observation, interview, record review, and review of facility policies, it was determined the facility failed to implement the plan of care for one (1) of nine (9) sampled residents (Resident #1) to prevent accidents. The facility identified Resident #1 was at risk for elopement due to dementia and developed a plan of care with interventions for elopement to monitor and provide supervision to the resident. Interviews with staff revealed on the evening of 04/18/2022, Resident #1 was wandering, attempted to exit the building by pushing on doors, and made statements of wanting to go home. The staff failed to implement the resident's plan of care interventions. […]

• Immediate jeopardy, isolatedF689May 12, 2022

  Based on observation, interview, record review, and review of facility policies, it was determined the facility failed to supervise one (1) of nine (9) sampled residents (Resident #1) to prevent accidents. The facility identified Resident #1 was at risk for elopement due to dementia and developed a plan of care for elopement to monitor and provide supervision to the resident. Interviews with staff revealed on the evening of 04/18/2022, Resident #1 was wandering the facility and attempted to exit the building by pushing on doors. The staff heard the resident making statements of wanting to go home. […]

• No harm, potential for more than minimal, patternF880Feb 20, 2026

  Based on observation, interview, record review, and policy review, the facility failed to establish and maintain an effective infection prevention and control program to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 of 25 sampled residents (Residents (Rs)38, R57, R96, and R102). The findings include: Review of the facility policy titled, Infection Control, revised on 01/30/2026, revealed the facility must maintain infection control practices intended to provide a safe, sanitary, and comfortable environment and to prevent, detect, investigate, and control infections. […]

• No harm, potential for more than minimal, patternF921Feb 20, 2026

  Based on observation, interview, and facility policy review, the facility failed to provide housekeeping services to ensure a clean and sanitary environment for 5 of 25 sampled residents (Residents (R)40, R62, R64, R67, and R81). The findings include: Review of the facility's policy titled, Resident Rights, undated, revealed residents had a right to a safe, clean, comfortable and homelike environment. Review of the facility's policy for housekeeping titled, Housekeeping Daily Duties, dated 12/2001, revealed a schedule of what housekeeping staff were to do on each day of the week. Further review revealed the policy stated, All corners and along all baseboards must be dust mopped to prevent buildup. 1. […]

• No harm, potential for more than minimal, isolatedF755Feb 20, 2026

  Based on observation, interview, record review and review of facility policy, the facility failed to maintain an effective system for documenting the receipt, storage, disposition, and reconciliation of controlled medications in sufficient detail to allow accurate reconciliation for 1 of 25 sampled residents (Resident (R)11).The findings include: Review of facility policy titled, Clinical Medication Controlled Medication, dated [DATE], revealed controlled medications was to remain in the facility after the order had been discontinued or due to residents being discharged . Per review, the controlled medication was retained in the facility in a securely locked area with restricted access until destroyed by two nurse leaders and/or one nurse leader and a consultant pharmacist. […]