Riverview Nursing Center

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 8, 2022

  Based on interview and record review, facility staff failed to ensure one resident (Resident #1) remained free from sexual abuse when Resident #2 touched Resident #1 inappropriately, by placing his/her hand under Resident #1's clothing. The facility census was 37. 1. Review of the facility's Abuse Prevention Program, updated 9/2021, showed the facility will not tolerate verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, neglect, or misappropriation of resident property, by employees, family members, visitors, or other residents. Review showed abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm, pain, or mental anguish. […]

• No harm, potential for more than minimal, widespreadF812Jan 27, 2023

  Based on observation, interview and record review, the facility staff failed to store food in a manner to protect from potential contamination and out-dated use. Facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. Facility staff failed to allow sanitized dishes to air dry prior to stacking in storage and use to prevent the growth of food-borne pathogens and cross-contamination. The facility staff also failed to wear hair restraints to protect food and food contact surfaces from potential contamination. The facility census was 35. 1. Review of the facility's Food Storage (Dry, Refrigerated, and Frozen) policy dated 2016, showed: -All food items will be labeled. […]

• No harm, potential for more than minimal, patternF567May 21, 2025

  Based on interview and record review, facility staff failed to prevent the commingling of 13 residents' (Resident #10, #33, #34, #38, #42, #43, #44, #45, #46, #47, #48, #49, #50) personal funds with the facility operating funds out of 37 sampled residents. The facility census was 37. Review of the facility's policy titled Conveyance of Resident Funds, revised 05/21, showed the residents personal funds and a final accounting of funds are returned to the resident, the resident representative, or the resident's estate as applicable within 30 days from the date of the resident's discharge from the facility or death. […]

• No harm, potential for more than minimal, patternF761May 21, 2025

  Based on observation, interview, and record review, facility staff failed to store medications in a safe manner when staff failed to ensure expired insulin vials were not stored with current resident medications, and failed to ensure medications were not loose in one medication cart out of two sampled. The facility census was 37. 1. Review of the facility's policy titled Medication Labeling and Storage, dated February 2023, showed multi-dose vials that have been opened or accessed (e.g., needle punctured) are dated and discarded within 28 days unless the manufacturer specifies a shorter or longer date for the open vial. Medications and biologicals are stored in the packaging, containers or other dispensing systems in which they are received. […]

• No harm, potential for more than minimal, patternF567Jan 27, 2023

  Based on record review and interview, facility staff failed to keep eight residents (Resident #6, #11, #14, #15, #17, #38, #189 and #190) from going into a negative balance, which allowed the residents to spend another resident's money without written authorization and failed to maintain written authorization to manage funds for two residents (Resident #1 and #18). The facility census was 35. 1. Review of the facility's Management of Resident's Personal Funds policy, revised in March 2021 showed: -Should the resident elect to have the facility manage his or her personal funds, it is authorized in writing by the resident or the resident's representative, and a copy of such authorization is documented in the resident's medical record; -The resident is informed in advance of any charges… […]