Riviera Palms Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Riviera Palms Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 5, 2025

  Based on interviews and record review the facility failed to protect the resident's right to be free from neglect for one resident (#59) out of two residents sampled for abuse/neglect. The facility neglected to properly report, assess, document, and intervene in a timely manner for Resident #59 related to an unwitnessed fall with major injury that occurred on [DATE]. This lack of intervention resulted in physical pain and suffering for the resident until his death on [DATE]. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #59 and resulted in the determination of Immediate Jeopardy on [DATE]. […]

• Immediate jeopardy, isolatedF726Jun 5, 2025

  Based on observations, interviews, and record review, the facility failed to ensure licensed nursing staff were knowledgeable and competent to provide care and services for four residents (#59, #74, #29, and #35) out of forty residents sampled related to: 1) failure to recognize and provide treatment for an unwitnessed fall; 2) failure to follow physician orders for laboratory testing; 3) failure to provide a safe hazard free environment; and 4) failure to complete resident identification prior to administration of medications. This failure created a situation that resulted in a worsened condition and the likelihood for serious injury and or death to Resident #59 and resulted in the determination of Immediate Jeopardy on 6/04/2025. […]

• Immediate jeopardy, isolatedF689Apr 2, 2021

  Based on interviews, record reviews, and review of facility policy, the facility failed to provide appropriate interventions to prevent further falls for one (Resident #2) of three residents sampled for falls and did not ensure proper supervision and assessment of neurological checks were completed following unwitnessed falls for two (Resident #1 and Resident #2) of three residents sampled for falls. Findings included: 1. A review of Resident #1's medical record revealed an Admission Record with an admitted [DATE] with diagnoses of [CONDITION(S)] of left and right lower limbs, hypertension, muscle weakness, and difficulty walking. Resident #1 expired in the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF657Jan 26, 2023

  Based on observation, medical record review and interview, the facility failed to ensure care plans were revised to reflect the current care status for two residents (#66 and #3) of forty-two sampled residents, related to Activities of Daily Living (ADLs) for eating assistance (#66), and impaired mobility and contracture management (#3). Findings included: 1. On 1/23/2023 at 12:30 p.m. Resident #66 was observed in her room and lying on her side on top of the bed eating her lunch meal. Her lunch meal tray was on the bedside table which was positioned slightly above head level and she was observed feeding herself with no problems. She appeared slow to eat but comfortable and able to feed herself. No staff were present in the room from 12:30 p.m. to 1:08 p.m. […]

• No harm, potential for more than minimal, patternF698Jan 26, 2023

  Based on interviews and record review the facility failed to ensure communication between the facility and dialysis centers consistent with professional standards of practice for ensuring ongoing assessment and oversight of the resident before, during, and after dialysis treatments for three residents (#6, #97, and #90) out of three sampled residents. Findings included: 1. Interview was conducted with Resident #90 on 01/23/2023 at 11:31 a.m. She confirmed she received hemodialysis treatment at a community provider three days per week. She stated she was not aware of any communication forms sent between the facility and the provider. On 01/25/2023 at 2:32 p.m. […]