Deficiency Records for Adira at Riverside Rehabilitation and Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Adira at Riverside Rehabilitation and Nursing. 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 | 2022-11-09 | 2022-12-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-14 | 2022-10-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-24 | 2022-03-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-24 | 2022-03-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-18 | 2021-10-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-18 | 2021-10-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-10-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-18 | 2021-10-08 | Y |
| 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 | 2021-08-18 | 2021-10-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-18 | 2021-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-18 | 2021-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-18 | 2021-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-18 | 2021-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-18 | 2021-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-18 | 2021-10-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-08-30 | 2019-10-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-30 | 2019-10-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-30 | 2019-10-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-08-30 | 2019-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-30 | 2019-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-10-16 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Develop a communication plan. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-06 | 2018-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-06 | 2018-02-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2017-12-06 | 2018-02-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-06 | 2018-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-06 | 2018-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-06 | 2018-02-02 | 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 | 2017-12-06 | 2018-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-06 | 2018-02-02 | N |
