A list of the most recent deficiencies for River Pointe Post-Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-20 | 2023-12-20 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-12 | 2023-10-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-12 | 2023-10-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-10-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-12 | 2023-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-13 | 2023-08-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-13 | 2023-08-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-14 | 2023-03-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-18 | 2023-02-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-18 | 2023-02-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-27 | 2022-10-13 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-09-02 | 2022-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-28 | 2022-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-02 | 2022-06-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-02 | 2022-06-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-11 | 2022-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-06 | 2022-05-09 | Y |
| Provide appropriate foot care. | Health | 2022-04-06 | 2022-05-09 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-04-06 | 2022-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-06 | 2022-05-09 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-23 | 2022-03-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-03-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-10 | 2022-03-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-18 | 2022-03-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-04 | 2022-02-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-04 | 2022-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-11-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-15 | 2021-10-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-07 | 2021-08-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-04 | 2021-07-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-30 | 2021-06-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-30 | 2021-06-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-21 | 2021-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-15 | 2021-05-31 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-04-15 | 2021-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-15 | 2021-05-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-15 | 2021-05-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-15 | 2021-05-31 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-04-15 | 2021-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-05-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-09 | 2021-05-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-03 | 2021-05-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-03 | 2021-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-03 | 2021-05-19 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-21 | 2021-05-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-11 | 2019-09-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-11 | 2019-09-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-11 | 2019-09-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-11 | 2019-09-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-07-11 | 2019-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-09-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-22 | 2019-09-04 | N |
