Riverview Post Acute

In the surveyor’s words

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

• Actual harm, isolatedF688Oct 25, 2021

  Based on observation, record review, interview and review of the facility policy titled Restorative Nursing Guidelines the facility failed to ensure Resident #17 received the appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion. Actual Harm occurred when Resident #17, who was cognitively impaired and required extensive assistance/dependence on staff for activities of daily living was identified to have a decline in range of motion of her neck and left wrist with new onset contractures resulting in the resident's neck being bent to the left side with her head touching her shoulder and her left hand being in a bent downward position from her wrist. […]

• Actual harm, isolatedF758Oct 25, 2021

  Based on record review and interview the facility failed to adequately monitor and assess Resident #44 for adverse consequences following the initiation of the psychoactive medication, [MEDICATION(S)]. The facility also failed to provide an appropriate diagnosis for the use of the antipsychotic medication, [MEDICATION(S)] for Resident #46. Actual harm occurred on 07/23/21 when Resident #44 sustained a fall resulting in a fractured arm (humerus) related to possible side effects of the new [MEDICATION(S)] medication being prescribed for the resident without proper monitoring and notification of the physician of the presence of adverse side effects prior to the resident's fall/fracture. […]

• Actual harm, isolatedF689Mar 11, 2021

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review and interview, the facility failed to provide a resident with the necessary assistance during personal care resulting in the resident rolling out of bed and falling to the floor. Actual Harm occurred to Resident #6 when the resident received assistance from one staff person instead of the necessary two staff resulting in an avoidable fall with injuries including an unspecified [MEDICAL CONDITION] end of right femur, unspecified [MEDICAL CONDITION] end of the right tibia, other [MEDICAL CONDITION] and lower end of the right fibula and non displaced [MEDICAL CONDITION] and second metatarsal bones of the right foot. […]

• No harm, potential for more than minimal, widespreadF727Aug 10, 2023

  Based on observation, interview, record review, and facility policy review the facility failed to ensure a Registered Nurse (RN) was providing services to the residents eight consecutive hours, seven days per week. This had the potential to affect all the residents residing in the facility. The facility census was 91. Findings include: Observation of the daily staff postings on 07/31/23 and 08/08/23 revealed no scheduled RN was working. Review of the staffing schedules and daily postings from 07/07/23 through 08/07/23 revealed 16 days without RN working hours: 07/08/23, 07/09/23, 07/10/23, 07/14/23, 07/16/23, 07/17/23, 07/18/23, 07/21/23, 07/22/23, 07/23/23, 07/25/23,07/30/23, 07/31/23, 08/04/23, 08/05/23 and 08/06/23. Interview on 08/07/23 at 1:56 P.M. […]

• No harm, potential for more than minimal, widespreadF880Oct 25, 2021

  Based on observation, record review, review of the Centers for Disease Control (CDC) guidelines, interview and facility policy and procedure review the facility failed to maintain acceptable infection control practices, including the proper use of personal protective equipment (PPE), proper isolation procedures and during blood glucose monitoring to prevent the spread of infection inlcuding COVID 19. This affected eight residents (#62, #25, #329, #70, #61, #14, #28 and #75) and had the potential to affect all 87 residents residing in the facility. Findings include: 1. Review of the medical record for Resident #14 revealed a physician's order on 08/16/21 to perform a finger stick blood sugar test before meals and at bedtime. On 10/19/21 at 11:00 A.M. […]