The Crossing at Riverside Health and Rehabilitatio

In the surveyor’s words

From the most serious findings on record at The Crossing at Riverside Health and Rehabilitatio, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 11, 2021

  Complaint # (AR 181) and Complaint # (AR 182) was substantiated, all or in part, in these findings: Based on observation, record review, and interview, the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (Resident #1) case mix resident who eloped from the facility. This failed practice resulted in immediate jeopardy, which caused or was likely to cause serious harm, injury or death to Resident #1, who flipped over in the wheelchair in the facility yard after eloping the facility, and had the potential to cause more than minimal harm to 13 residents who were an elopement risk as identified by the Administrator on 02/10/2021 at 9:53 A.M. The Administrator was informed of the past immediate jeopardy condition on 02/10/2021 at 2:12 P.M. […]

• No harm, potential for more than minimal, widespreadF812Jun 12, 2024

  Based on observation and interview, the facility failed to ensure manufacturer instructions on food labels was followed; foods stored in the refrigerator was covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; foods were dated the day received or opened to assure first in, first out usage to prevent potential for food bone illness; and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, patternF804Jun 12, 2024

  Based on observation, record review and interview, the facility failed to ensure meals were served in a method that maintained the appearance of cold products and at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. This failed practice had the potential to affect 8 residents who received meal trays in their rooms on the 100 Hall, 6 residents who received meal trays in their room on the 200 Hall, 13 residents who received meal trays on the 300 Hall, and 5 residents who received meal trays in their room on the 400 Hall, as documented on a list provided by Dietary Manager on 06/10/2024 at 12:09 PM. The findings are: 1. On 06/09/2024 at 10:40 AM, Resident #79 stated the food is never hot. 2. […]

• No harm, potential for more than minimal, patternF695Jun 15, 2023

  Based on observation, record review, and interview, the facility failed to ensure posting of cautionary and safety signs for resident rooms indicating oxygen was in use for 2 (Residents #75 and #171) of 6 (Residents #40, #42, #75, #83, #171 and #174) sampled residents who used oxygen as documented on a list provided by the Administrator on 06/14/23 at 12:30 PM. The findings are: 1. Resident #75 had a diagnosis of Chronic Obstructive Pulmonary Disease. a. A Physicians Order dated 05/24/23 documented, Oxygen @ [at] 2L [liters] via NC [nasal Cannula] PRN [as needed] for SOB [Shortness of Breath]/Decreased Oxygen saturation. May remove for ADL's [Activities of Daily Living] and PRN per resident. […]

• No harm, potential for more than minimal, patternF805Jun 15, 2023

  Based on observation, interview, and record review, the facility failed to ensure pureed food items were blended to a smooth and pudding-like texture to promote good nutritional intake and prevent potential choking for residents who required pureed diets for 1 of 1 meal observed. The failed practice had the potential to affect 4 (Residents #13, #15, #101 and #171) sampled residents who required pureed diets according to a list provided by the Administrator on 06/15/23 at 9:10 AM. The findings are: 1. On 06/12/23 at 12:30 PM, Resident #15 received a pureed meal tray. The pureed bread product remained in the shape of the scoop with ridges on the top. When the staff member inserted the spoon, the product remained whole and came away in a solid piece. 2. […]