Deficiency Records for Envive of River City
Updated as of November 01, 2020
This is not the most recent data for Envive of River City. For the most recent information, click here.
A list of the most recent deficiencies for Envive of River City. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-24 | 2019-08-23 | 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 | 2019-07-24 | 2019-08-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Be properly staffed | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-07-24 | 2019-08-23 | 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 | 2019-06-13 | 2019-07-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-06-13 | 2019-07-12 | N |
| Post nurse staffing information every day. | Health | 2019-06-13 | 2019-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-13 | 2019-07-12 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2019-04-16 | 2019-05-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-26 | 2018-08-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-06-26 | 2018-08-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-26 | 2018-08-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-26 | 2018-08-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-26 | 2018-08-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-03 | 2018-06-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-03 | 2018-06-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-03 | 2018-06-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-05-03 | 2018-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-03 | 2018-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-03 | 2018-06-01 | N |
| Post nurse staffing information every day. | Health | 2018-05-03 | 2018-06-01 | 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 | 2018-05-03 | 2018-06-01 | 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 | 2018-05-03 | 2018-06-01 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-16 | 2017-05-13 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-16 | 2017-05-13 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-16 | 2017-05-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-16 | 2017-05-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-16 | 2017-05-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-04-17 | 2017-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-17 | 2017-05-08 | N |
