A list of the most recent deficiencies for Riverbend Post Acute 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Develop a communication plan. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-04 | 2023-05-05 | 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 | 2023-04-04 | 2023-05-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-04 | 2023-05-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-30 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-28 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-30 | 2023-04-28 | N |
| Post nurse staffing information every day. | Health | 2023-03-30 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-30 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-30 | 2023-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-04-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-30 | 2023-04-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-26 | 2022-11-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-26 | 2022-11-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-10-26 | 2022-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-08 | 2022-06-11 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-06-08 | 2022-06-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-02 | 2022-06-05 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-02 | 2022-06-05 | Y |
| 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 | 2022-06-02 | 2022-06-05 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-18 | 2022-03-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-13 | 2022-01-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-05 | 2021-11-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-05 | 2021-11-09 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-05 | 2021-11-09 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-05 | 2021-11-09 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-05 | 2021-11-09 | Y |
| 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 | 2021-08-05 | 2021-11-09 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-05 | 2021-11-09 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-08 | 2021-10-08 | 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 | 2021-09-08 | 2021-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-08 | 2021-10-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-08-05 | 2021-09-03 | 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 | 2021-08-05 | 2021-09-03 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-08-05 | 2021-09-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-05 | 2021-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-05 | 2021-09-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-05 | 2021-09-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-05 | 2021-09-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-05 | 2021-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-05 | 2021-09-03 | Y |
| Post nurse staffing information every day. | Health | 2021-08-05 | 2021-09-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-08-05 | 2021-09-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-05 | 2021-09-03 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-05 | 2021-09-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-08-05 | 2021-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-05 | 2021-09-03 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-08-05 | 2021-09-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-09 | 2020-01-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-09 | 2020-01-24 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-09 | 2020-01-24 | 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 | 2020-01-09 | 2020-01-24 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-09 | 2020-01-24 | 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 | 2020-01-09 | 2020-01-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-09 | 2020-01-24 | 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 | 2020-01-09 | 2020-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-01-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-10 | 2019-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-10 | 2019-11-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-10 | 2019-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-10 | 2019-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-10 | 2019-11-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-21 | Not Fixed | N |
