Deficiency Records for Riverbend Heights Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Riverbend Heights Health 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-02 | 2023-11-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-02 | 2023-11-20 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-11-02 | 2023-11-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-11 | 2023-11-20 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-09-11 | 2023-11-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-17 | 2023-01-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-23 | 2022-11-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-23 | 2022-11-04 | 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 | 2022-09-23 | 2022-10-28 | 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 | 2022-09-23 | 2022-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-23 | 2022-10-25 | 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 | 2022-09-23 | 2022-10-24 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-23 | 2022-10-24 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-09-23 | 2022-10-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-23 | 2022-10-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-23 | 2022-10-18 | 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 | 2022-09-23 | 2022-10-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-23 | 2022-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-17 | 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 | 2022-09-23 | 2022-10-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-09-23 | 2022-10-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-09-23 | 2022-10-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-09-23 | 2022-10-14 | N |
| Develop a communication plan. | Fire Safety | 2022-09-23 | 2022-10-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-23 | 2022-10-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-09-23 | 2022-10-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-23 | 2022-10-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-23 | 2022-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-23 | 2022-10-11 | N |
| 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 | 2022-09-23 | 2022-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-23 | 2022-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-23 | 2022-10-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-23 | 2022-10-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-23 | 2022-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-23 | 2022-09-30 | 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 | 2022-09-23 | 2022-09-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-23 | 2022-09-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-23 | 2022-09-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-23 | 2022-09-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-31 | 2022-07-01 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-28 | 2022-03-02 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2021-12-21 | 2022-03-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-05 | 2022-02-15 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-01-05 | 2022-02-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-05 | 2022-02-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-05 | 2022-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-21 | 2021-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-21 | 2021-12-21 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-09-10 | 2021-10-25 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-09-10 | 2021-10-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-23 | 2021-06-23 | Y |
| Have policies on smoking. | Health | 2021-06-15 | 2021-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-12 | 2021-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-12 | 2021-06-10 | 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 | 2021-05-12 | 2021-06-10 | 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 | 2021-05-12 | 2021-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-12 | 2021-06-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-12 | 2021-06-10 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-15 | 2021-05-23 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-09 | 2020-02-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-09 | 2020-02-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-21 | 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 | 2020-01-09 | 2020-02-21 | 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 | 2020-01-09 | 2020-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-09 | 2020-02-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-09 | 2020-02-21 | 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 | 2020-01-09 | 2020-02-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-09 | 2020-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-09 | 2020-02-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-10-03 | 2018-11-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-10-03 | 2018-11-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-03 | 2018-11-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-03 | 2018-11-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-03 | 2018-11-09 | 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 | 2018-10-03 | 2018-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-03 | 2018-11-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-03 | 2018-11-09 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-03 | 2018-11-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-03 | 2018-11-09 | 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 | 2018-10-03 | 2018-11-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-03 | 2018-11-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-03 | 2018-11-09 | 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 | 2018-10-03 | 2018-11-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-03 | 2018-11-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-10-03 | 2018-11-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-10-03 | 2018-11-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-10-03 | 2018-11-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-10-03 | 2018-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-10-03 | 2018-11-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-03 | 2018-11-09 | 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 | 2018-10-03 | 2018-11-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-03 | 2018-11-09 | N |
