Riverview Health Services

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF726Jan 27, 2026

  Based on record review and interview, the facility did not ensure nursing staff had the appropriate competencies and skills sets to provide nursing and related services to ensure resident safety for 3 of 30 residents (R1, R4, and R8). Licensed Practical Nurses (LPNs) assessed R1 after a fall, without contacting a Registered Nurse (RN), the Director of Nursing (DON), or R1's provider prior to moving R1 for 5 of 8 falls. No documentation to support that the LPN contacted an RN prior to moving R8 after a fall.LPN did not report a change of condition in R4 to an RN.Per the Wisconsin LPNs Standard of Practice (N 6.04), -LPNs must work under the general supervision of an RN or direction of a provider. -LPNs provide basic nursing care, including collecting data and recording it. […]

• No harm, potential for more than minimal, widespreadF803Nov 6, 2024

  Based on interview and record review, the facility did not ensure menus were followed to meet the nutritional needs of each resident. This practice had the potential to affect all 38 residents residing in the facility. Meals were not provided as listed on the menu. The facility did not consult with the Registered Dietitian when changes were made to the menu to ensure nutritional adequacy. Findings: According to The Academy of Nutrition and Dietetics, The menu must meet the Recommended Dietary Allowances, but the actual amount of food served to an individual resident should meet her/ his needs, not exceed them. […]

• No harm, potential for more than minimal, widespreadF812Nov 6, 2024

  Based on observation, interview and record review, the facility did not ensure proper sanitization and food handling practices to prevent the outbreak of foodborne illness for all 38 residents (R). The facility did not measure the internal temperature of the dishwasher. Dietary staff did not wear appropriate hair restraints. Findings: DISHWASHER The Food and Drug Administration (FDA) Food Code requires that commercial dishwashers achieve a utensil surface temperature of 71 C (160 F) as measured by an irreversible registering temperature indicator. On 11/04/24 at 1:23 PM, Surveyor observed Dietary Aide (DA) E washing dishes using a commercial dishwasher. DA E stated the dishwasher was a high temperature dishwasher. […]

• No harm, potential for more than minimal, widespreadF812Sep 27, 2023

  Based on observation, interview and record review, the facility did not prepare and store foods in a sanitary manner. The facility practices had the potential to affect all 50 residents. The facility does not have a system in place to verify the internal hot water temperature of the hot water sanitizing dishwasher. During the initial tour of the kitchen, Dietary Manager (DM) G and Dietary Aide (DA) H were observed with facial hair at sides and below surgical mask that were being worn. DM G did not perform hand hygiene after contaminating his hands with dirt and grime. […]

• No harm, potential for more than minimal, widespreadF727Jul 22, 2021

  Based on interview and record review, the facility did not provide at least 8 hours of Registered Nurse Coverage during a 24 hour period. This has the potential to affect all residents. The facility did not provide Registered Nurse (RN) coverage for at least 8 hours each day on 33 days since 01/01/21. This is evidenced by: The surveyor reviewed the nurse schedules for Licensed Practical Nurses (LPN) and Registered Nurses (RN) from 01/01/21 to present. The schedule is done by day (24 hours) and shifts of am, pm, and nights. The following days did not have 8 hours of RN coverage during the 24 hour period. […]