A list of the most recent deficiencies for Riverside Healthcare Center. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-21 | 2024-01-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-21 | 2024-01-17 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-12-21 | 2024-01-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-21 | 2024-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-21 | 2024-01-17 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-21 | 2024-01-17 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-29 | 2023-05-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-31 | 2023-05-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-31 | 2023-05-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-31 | 2023-05-03 | Y |
| 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 | 2023-03-31 | 2023-05-03 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-31 | 2023-05-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-31 | 2023-05-03 | 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 | 2023-03-31 | 2023-05-03 | 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 | 2023-03-31 | 2023-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-31 | 2023-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-05-03 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-03-31 | 2023-05-03 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-31 | 2023-05-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-31 | 2023-05-03 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-04-18 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-03-29 | 2023-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-29 | 2023-04-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-29 | 2023-04-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-29 | 2023-04-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-29 | 2023-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 2023-04-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-29 | 2023-04-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-29 | 2023-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-29 | 2023-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-29 | 2023-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-25 | 2022-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-25 | 2022-12-14 | 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 | 2022-07-25 | 2022-09-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-25 | 2022-09-22 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-07 | 2022-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-04-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-10 | 2022-04-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-10 | 2022-03-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-10 | 2022-03-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-02-10 | 2022-03-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-10 | 2022-03-22 | N |
| 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 | 2022-02-10 | 2022-03-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-10 | 2022-03-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-10 | 2022-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-10 | 2022-03-22 | 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 | 2022-02-10 | 2022-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-10 | 2022-03-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-10 | 2022-03-22 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-02-10 | 2022-03-22 | 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 | 2022-02-10 | 2022-03-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-02-10 | 2022-03-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-02-10 | 2022-03-22 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-02-10 | 2022-03-22 | N |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2022-02-10 | 2022-03-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-10 | 2022-03-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-10 | 2022-03-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-10 | 2022-03-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-10 | 2022-03-22 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-10 | 2022-03-22 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-10 | 2022-03-22 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-10 | 2022-03-22 | N |
| 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 | 2022-02-10 | 2022-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-10 | 2022-03-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-10 | 2022-03-22 | 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 | 2022-02-10 | 2022-03-22 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-02-10 | 2022-03-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-10 | 2022-03-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-10 | 2022-03-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-24 | 2022-03-22 | 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 | 2022-01-24 | 2022-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-24 | 2022-03-22 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-11-10 | 2021-12-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-10 | 2021-12-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-10 | 2021-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-10 | 2021-12-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-10 | 2021-12-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-10 | 2021-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-15 | 2021-05-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-15 | 2021-05-11 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-15 | 2021-05-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-15 | 2021-05-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-12 | 2020-05-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-12 | 2020-05-18 | 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 | 2020-02-12 | 2020-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-12 | 2020-05-18 | N |
| 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 | 2020-02-12 | 2020-05-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-12 | 2020-05-18 | 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 | 2020-02-12 | 2020-05-18 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-02-12 | 2020-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-12 | 2020-05-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-12 | 2020-05-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-10 | 2020-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-10 | 2020-03-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-10 | 2020-03-17 | 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 | 2020-02-10 | 2020-03-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-02-10 | 2020-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-10 | 2020-03-17 | 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 | 2020-02-10 | 2020-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-10 | 2020-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-10 | 2020-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-10 | 2020-03-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-10 | 2020-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-10 | 2020-03-17 | N |
