Riverview Health & Rehab Center

In the surveyor’s words

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

• Actual harm, isolatedF686Jun 29, 2021

  This citation pertains to intake: MI 776. Based on interviews and record reviews the facility failed to conduct weekly skin assessments, obtain a timely initial wound care consult, or administer pressure ulcers treatments as prescribed for one (R709) of four residents reviewed for pressure ulcers, resulting in R709 developing a stage four ( full loss of skin and muscle, exposing bone) on his sacral/coccyx area while at the facility. Findings include: On 6/22/21 at 4:30 PM, R709's family member said the resident developed a Stage 4 pressure ulcer while at the facility. According to R709' face sheet he admitted to the facility on [DATE] with multiple diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812May 17, 2024

  Based on observation, interview, and record review the facility failed to maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting the facility's total census of 138 residents who receive meal services. Findings include: 1. On [DATE] at 9:46 AM, Cook, staff B, was observed rinsing out a cloth towel at the three compartment sink and then wiping off a stainless steel countertop. Upon observation the surveyor inquired with staff B on the purpose of the cloth towel to which they replied, it's our sanitizer. On [DATE] at 9:54 AM, the surveyor asked the Certified Dietary Manager, staff A, how the facility cleans and sanitizes work surfaces to which they stated, we have our red and green buckets. […]

• No harm, potential for more than minimal, widespreadF814May 17, 2024

  Based on observation, interview, and record review the facility failed to maintain an effective pest control program to ensure that the facility is free of pests, resulting in an increased potential for contamination of food, both food and non-food contact surfaces, and foodborne illness potentially affecting staff, visitors and all 138 residents. Findings include: On 5/14/24 at 9:23 AM, two live flies were observed in the basement hallway. On 5/14/24 at 9:42 AM, four live flies were observed in the kitchen's dishwashing area. On 5/14/24 at 10:07 AM, three live flies were observed near the kitchen's walk-in cooler. Upon observation the surveyor inquired with Certified Dietary Manager, staff A on the current state of the insects in this area to which they responded, it used to be worse. […]

• No harm, potential for more than minimal, widespreadF921May 17, 2024

  Based on observation and interview the facility failed to provide a safe, functional, and sanitary environment for the facilities census of 138 residents and its staff resulting in an increased potential for harm. Findings include: On 5/15/24 between 1:02 PM, and 2:28 PM, during an environmental tour of the facility with Environmental Services Manager, Staff C, the following observations were made: Both dryers in the laundry room were observed with a variety of melted/baked on debris varying in color and texture on the interior drums of the units. Upon observation the surveyor inquired with Staff C on the current state of the interior of the dryers to which they stated, all clothes should be checked when they are being sorted for anything in pockets. […]

• No harm, potential for more than minimal, widespreadF921Mar 2, 2023

  Based on observation, interview, and record review, the facility failed to effectively clean and maintain the physical plant effecting 131 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, decreased illumination, and reduced indoor air quality. Findings include: On 02/28/23 at 02:40 P.M., A common area environmental tour was conducted with Director of Environmental Services C. The following items were noted: 3rd Floor (South) Soiled Utility Room: Nine 12-inch-wide by 12-inch-long vinyl flooring tiles were observed etched, scored, and missing. Small Television Lounge: The wallpaper was observed loose-to-mount, adjacent to the staff telephone. The wallpaper adjacent to the sofa loveseat was also observed etched, scored, and particulate. […]