A list of the most recent deficiencies for Riverways Manor. 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? |
|---|---|---|---|---|
| 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 | 2023-06-28 | 2023-08-12 | 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 | 2023-04-06 | 2023-05-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-06 | 2023-05-21 | 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 | 2023-04-06 | 2023-05-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-06 | 2023-05-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-06 | 2023-05-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-06 | 2023-05-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-06 | 2023-05-21 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-06 | 2023-05-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-06 | 2023-05-21 | 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 | 2023-04-06 | 2023-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-05-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-04-06 | 2023-05-21 | 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 | 2023-04-06 | 2023-05-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-06 | 2023-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-05-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-14 | 2021-06-30 | 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 | 2021-05-14 | 2021-06-30 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2020-09-25 | 2020-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-25 | 2020-11-15 | 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 | 2020-09-25 | 2020-11-15 | N |
| Post nurse staffing information every day. | Health | 2020-09-25 | 2020-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-25 | 2020-09-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-29 | 2019-05-01 | 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 | 2019-03-29 | 2019-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-29 | 2019-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-29 | 2019-05-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-29 | 2019-05-01 | 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 | 2019-03-29 | 2019-05-01 | 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 | 2019-03-29 | 2019-05-01 | 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 | 2019-03-29 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-05-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-29 | 2019-05-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-03-29 | 2019-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-29 | 2019-05-01 | N |
