A list of the most recent deficiencies for Northern Riverview Health Care, Inc. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-04 | 2023-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-04 | 2023-06-12 | 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 | 2023-04-04 | 2023-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-28 | 2022-03-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-23 | 2020-12-22 | N |
| Respond appropriately to all alleged violations. | Health | 2020-10-26 | 2020-12-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-10-26 | 2020-12-15 | 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 | 2020-10-26 | 2020-12-15 | 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 | 2020-10-26 | 2020-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-26 | 2020-12-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-13 | 2018-12-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-13 | 2018-12-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-09-13 | 2018-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-12-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-13 | 2018-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-13 | 2018-12-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-09-13 | 2018-12-04 | 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 | 2018-09-13 | 2018-12-04 | 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 | 2018-09-13 | 2018-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-12-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-13 | 2018-11-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-13 | 2018-11-05 | 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 | 2017-02-03 | 2017-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-03 | 2017-03-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-02-03 | 2017-03-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-02-03 | 2017-03-03 | N |
