Deficiency Records for River Bend Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for River Bend Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-02 | 2023-12-07 | Y |
| Post nurse staffing information every day. | Health | 2023-09-11 | 2023-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-11 | 2023-12-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-11 | 2023-11-02 | 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 | 2023-09-11 | 2023-11-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-11 | 2023-11-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-11 | 2023-11-02 | 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 | 2023-09-11 | 2023-11-02 | 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 | 2023-09-11 | 2023-11-02 | 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 | 2023-09-11 | 2023-11-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-11 | 2023-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-11 | 2023-11-02 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-11 | 2023-11-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-11 | 2023-11-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Meet other general requirements. | Fire Safety | 2023-10-05 | 2023-11-02 | 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 | 2023-10-05 | 2023-11-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-05 | 2023-11-02 | 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 | 2023-10-05 | 2023-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-05 | 2023-11-02 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-14 | 2023-05-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-16 | 2022-07-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-16 | 2022-07-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-16 | 2022-07-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-16 | 2022-07-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-16 | 2022-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-16 | 2022-07-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-14 | 2022-03-31 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-03-14 | 2022-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Develop a communication plan. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-23 | 2021-11-30 | 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 | 2021-09-23 | 2021-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-09-23 | 2021-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-24 | 2021-09-25 | 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 | 2021-08-24 | 2021-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-24 | 2021-09-25 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2021-08-24 | 2021-09-25 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-08-24 | 2021-09-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-24 | 2021-09-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-24 | 2021-09-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-24 | 2021-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-09-25 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-10 | 2020-01-16 | 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 | 2019-12-10 | 2020-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-12-10 | 2020-01-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-30 | 2019-11-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-30 | 2019-11-29 | 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 | 2019-10-30 | 2019-11-29 | 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 | 2019-10-30 | 2019-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-30 | 2019-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-30 | 2019-11-29 | N |
