Riverview Pointe Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 18, 2025

  Based on kitchen observation, staff interview, review of cleaning schedules and policy review, the facility failed to maintain a clean and sanitary kitchen area and failed to ensure appropriate storage of food. This had the potential to affect all residents residing in the facility. The facility did not identify any residents with a nothing by mouth (NPO) diet order. The facility census was 115. Findings include:Observation of the facility kitchen on 09/15/25 at 8:15 A.M. revealed inside the walk-in freezer there was a box of brown rice and a stack of boxes on top of a box of potato pancakes on the floor. There was also a box of chicken tenders left open to air. […]

• No harm, potential for more than minimal, patternF880Sep 18, 2025

  Based on observation, staff interview and review of the facility policy, the facility failed to maintain infection control practices during meal service. This affected five (Residents #28, #32, #67, #03 and #15) had the potential to affect 13 additional (Residents #08, #14, #37, #48, #51, #66, #68, #78, #84, #98, #102, #119 and #130) who received meals from the [NAME] Gardens Hall (KGH) kitchenette. The facility census was 115. Findings include:Observation on 09/15/25 at 12:12 P.M. revealed Certified Nursing Assistant (CNA) #825 entered Resident #28's room with a lunch meal tray. CNA #825 moved things on the bedside table to make room for the meal tray. She used Resident #28's facility phone to make an outside call for Resident #28. […]

• No harm, potential for more than minimal, isolatedF688Sep 18, 2025

  Based on medical record review, observation and interview, the facility failed to ensure orders for splints were obtained for Resident #107, who was known to have impairments of range of motion (ROM) to bilateral upper extremities. This affected one (Resident #107) of two residents reviewed for positioning and mobility. The facility census was 115. Findings include:Review of the medical record for Resident #107 revealed an admission date of 04/28/24 with diagnoses including Multiple Sclerosis (MS), contracture of unspecified joint, and restless legs syndrome. Review of the care plan dated 01/02/25 revealed Resident #107 may require assistance with activities of daily living (ADL) related to disease process and condition including MS. […]

• No harm, potential for more than minimal, isolatedF755Nov 21, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of a facility self-reported incident (SRI), review of facility investigation, review of pharmacy packing slips, review of electronic medication storage (Cubex) sign in logs, staff interview, review of the policy, and review of corrective action, the facility failed to ensure controlled substances (narcotics) received in the facility were accurately recorded and stored according to policy. This had the potential to affect 20 of 20 residents who receive narcotics. The facility census was 118. […]

• No harm, potential for more than minimal, isolatedF604Sep 6, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, medical record review, witness statements, policy review and interview, the facility failed to assure a physical restraint was used for treatment of a medical symptoms rather than staff convenience for Resident #65. This affected one (Resident #65) of three residents reviewed for restraints. The census was 121. Findings include: Review of the medical record for Resident #65 revealed an admitted [DATE] with diagnoses of dementia with anxiety, anxiety disorder, depression, aphasia, and hemiplegia and hemiparesis following cerebral infarction affecting the right side. […]