A list of the most recent deficiencies for Legacy Riverview.. 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-04 | 2023-12-22 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-12-04 | 2023-12-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-04 | 2023-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-04 | 2023-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-04 | 2023-12-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-04 | 2023-12-22 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-04 | 2023-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-30 | 2023-12-22 | N |
| 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 | 2023-08-10 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2023-01-06 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-12-05 | 2023-01-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-02 | 2022-04-01 | Y |
| 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 | 2022-03-02 | 2022-04-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-25 | 2021-11-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-25 | 2021-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-25 | 2021-11-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-25 | 2021-11-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-25 | 2021-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-25 | 2021-11-18 | 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 | 2021-10-25 | 2021-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-25 | 2021-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-25 | 2021-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-25 | 2021-11-18 | 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 | 2021-10-25 | 2021-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-25 | 2021-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-25 | 2021-11-18 | 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 | 2021-10-25 | 2021-11-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-25 | 2021-11-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-25 | 2021-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-11-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-25 | 2021-11-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-19 | 2021-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-19 | 2021-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-03 | 2019-07-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-03 | 2019-07-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-03 | 2019-07-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-03 | 2019-07-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-03 | 2019-07-03 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-03 | 2019-07-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-03 | 2019-07-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-03 | 2019-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-03 | 2019-07-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-03 | 2019-07-03 | 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 | 2019-05-03 | 2019-07-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-03 | 2019-07-03 | N |
| 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 | 2019-05-03 | 2019-07-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-03 | 2019-07-03 | 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 | 2019-05-03 | 2019-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-03 | 2019-07-03 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-05-03 | 2019-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-03 | 2019-07-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-29 | 2019-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-29 | 2019-07-03 | N |
