Riviere de Soleil Community Care Center

In the surveyor’s words

From the most serious findings on record at Riviere de Soleil Community Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Aug 20, 2026

  Based on observation, interview, and record review, the facility failed to ensure nursing staff immediately notified the medical provider of a significant change in condition for 1 (Resident #107) of 3 closed record reviewed. The facility failed to report Resident #107's dark, tarry stools to the medical provider.This deficient practice resulted in an Immediate Jeopardy situation beginning on 07/24/2026 at 4:35 p.m., when S5LPN observed Resident #107, who was ordered anticoagulant and antiplatelet medication daily, was having dark, tarry, foul smelling stools and failed to notify the resident's provider. On 07/25/2026 at 4:00 a.m., S4LPN documented that Resident #107 had black, tarry stool and failed to notify the medical provider. […]

• Immediate jeopardy, isolatedF689Sep 21, 2023

  Based on record review and interview, the facility failed to supervise Resident # 1, identified as a high elopement risk, to prevent elopement on [DATE] and [DATE], and the facility failed to adequately supervise Resident #3, identified as a high fall risk to prevent an accident that resulted in a major injury, for 2 of 11 sampled residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident#5, #R1, #R2, #R3, #R4, #R5, and #R6). I. Elopement This deficient practice resulted in an immediate jeopardy situation on [DATE] at 6:06 p.m. […]

• Immediate jeopardy, isolatedF835Sep 21, 2023

  Based on observation, interview and record review the facility failed to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 (#1) of 11 residents (#1, #2, #3, #4, #5, #R1, #R2, #R3, #R4, #R5 and #R6) identified as at risk for elopement. The facility's administration failed to: 1. Ensure increase supervision of Resident #1 who eloped from the facility on 07/01/2023 and 08/18/2023; 2. Ensure an effective system of adequate supervision of the remaining 10 residents who were identified by the facility to be at risk for elopement (Residents #2, #3, #4, #5, #R1, #R2, #R3, #R4, #R5, and #R6). This deficient practice resulted in an immediate jeopardy situation on 07/01/2023 at 6:06 p.m. […]

• Actual harm, patternF600Jul 26, 2021

  Based on observation, interview, and record review, the facility failed to ensure residents were free from physical, verbal, and mental abuse for 2 (#1 and #5) residents out of a total sample of 5 residents reviewed for abuse (#1, #2, #3, #4 and #5). This deficient practice resulted in actual harm beginning on 6/26/2021, when a facility staff observed S1 TNA taunting, badgering, teasing, and mimicking involuntary mouth movements of Resident #1, a severely cognitively impaired resident. S1 TNA made whimpering noises that sounded like the resident, causing the resident to cry. S1 TNA was also observed by another facility staff on several occasions, jumping in front of Resident #1 hollering boo to scare her, causing the resident to be nervous. […]

• Actual harm, patternF609Jul 26, 2021

  Based on interview and record review, the facility failed to report incidents of verbal, mental, and physical abuse for 2 (#1 and #5) of 5 (#1 - #5) residents reviewed for abuse, immediately to the Administrator so that the incidents could be reported no later than 2 hours after the abuse occurred to the State Survey Agency and law enforcement in accordance with state law. This deficient practice resulted in actual harm beginning on 6/26/2021, when a facility staff observed S1 TNA taunting, badgering, teasing, and mimicking involuntary mouth movements of Resident #1, a severely cognitively impaired resident. S1 TNA made whimpering noises that sounded like the resident, causing the resident to cry. […]