South River Rehabilitation and Wellness Center

In the surveyor’s words

From the most serious findings on record at South River Rehabilitation and Wellness Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Mar 13, 2026

  Based on observations and facility staff interviews it was determined that the facility failed to maintain a safe clean comfortable homelike environment for Residents. This finding was found to be evident in review of Resident rooms on station 2 nursing unit of the facility during the annual recertification survey.The findings include:On 3/9/2026 at 8:30 AM during the initial tour of station 2 nursing unit several Resident rooms were observed with walls, doors, door frames, and sink counters in disrepair and in need of maintenance and repair. […]

• No harm, potential for more than minimal, patternF641Mar 13, 2026

  Based on record review and interview, it was determined that the facility failed to perform accurate Minimum Data Set (MDS) assessments. This was found to be evident for 3 (#3, #45, and #107) of 18 residents observed for coding accuracy of MDS assessments.The findings include:The MDS, is a federally mandated assessment tool, that helps nursing home staff members gather information on each resident's strengths and needs. The information collected drives resident care planning decisions. Accurate MDS assessments ensure each resident receives necessary care. 1) On 3/9/2026 at 11:30 AM the surveyor observed Resident #45 who was sitting in wheelchair in Resident room with left arm in a sling. […]

• No harm, potential for more than minimal, patternF812Mar 13, 2026

  Based on observations, staff interviews and surveyor record review it was determined that the facility failed to maintain sanitation practices in the kitchen and in the nursing unit nourishment refrigerator. This finding was found to be evident in review of the kitchen, service area and the nourishment refrigerator on the nursing unit. The findings include: On the initial tour of the kitchen and service area at 7:45 AM on 3/9/2026 with the Food Services Director (FSD) and District Manager the following were observed: in the dry storage room was a pair of shoes in a plastic recycle bag and 4 boxes of disposable gloves in a cardboard box under the storage rack in the corner on the floor in the walk-in freezer was a personal bag of lunch including a frozen entrée in the corner on the top… […]

• No harm, potential for more than minimal, patternF880Mar 13, 2026

  Based on observation and interviews, it was determined that the staff failed to perform consistent hand hygiene in between resident interactions. This was evident for 2 (Staff #19 and #20) out of 2 staff observed during the medication administration task. The findings include: On 03/11/2026 at 7:25 AM, the surveyor observed LPN #19 administering medications to Rooms 121, 122 and 129. The surveyor noted that Staff #19 only performed hand hygiene after leaving room [ROOM NUMBER]. On 03/11/26 at 7:36 AM, the surveyor observed LPN #20 administering medications to rooms [ROOM NUMBERS]. The surveyor noted that Staff #20 only performed hand hygiene after leaving rooms [ROOM NUMBERS]. On 03/13/26 at 9:55 AM, [NAME] President of Infection Preventionist acknowledged the concerns.

• No harm, potential for more than minimal, patternF880Mar 9, 2021

  Based on administrative reviews and staff interview, it was determined that the facility failed to screen staff members for COVID-19 before allowing the staff members to enter the building and work. This was evident for 5 out of 5 staff members, a total of 34 out of 51 opportunities, reviewed for screening compliance during an infection control survey. The findings include: A review of the preventative measures the facility implemented revealed a screening tool that is utilized at the front door. The facility designated a single entrance into the facility. The screening tool is used for every person who wants to enter the building, and includes all staff and vendors. […]