A list of the most recent deficiencies for Riverwalk Post Acute. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 2024-02-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-02-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-26 | 2023-11-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-02 | 2023-10-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-15 | 2023-09-25 | 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 | 2023-08-10 | 2023-08-20 | Y |
| 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 | 2023-08-09 | 2023-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-05-16 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-04-28 | 2023-05-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-08 | 2023-03-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-08 | 2023-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-03 | 2023-02-17 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-07 | 2022-02-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-01-07 | 2022-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | 2022-02-16 | 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 | 2022-01-07 | 2022-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-07 | 2022-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-07 | 2022-02-16 | 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 | 2022-01-07 | 2022-02-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-07 | 2022-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-07 | 2022-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-02-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Use approved construction type or materials. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-01-12 | 2022-02-01 | 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 | 2022-01-12 | 2022-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-12 | 2022-02-01 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-12-27 | 2022-01-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-02 | 2021-12-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-01 | 2021-12-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-11-01 | 2021-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-26 | 2021-09-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-26 | 2021-09-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-18 | 2021-09-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-18 | 2021-09-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-19 | 2021-07-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-17 | 2021-07-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-10 | 2019-07-19 | N |
| 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 | 2019-05-10 | 2019-07-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-10 | 2019-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-10 | 2019-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-10 | 2019-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-10 | 2019-07-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-10 | 2019-07-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-10 | 2019-07-19 | 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 | 2019-05-10 | 2019-07-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-05-10 | 2019-07-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-05-10 | 2019-07-19 | 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 | 2019-05-10 | 2019-07-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-10 | 2019-07-19 | N |
| 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 | 2019-05-10 | 2019-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-10 | 2019-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-10 | 2019-07-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-26 | 2019-07-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-13 | 2018-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-13 | 2018-10-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-13 | 2018-10-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-13 | 2018-10-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-05-24 | 2018-07-06 | N |
| 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 | 2018-05-24 | 2018-07-06 | 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 | 2018-05-24 | 2018-07-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-24 | 2018-07-06 | 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 | 2018-05-24 | 2018-07-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-24 | 2018-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-07-06 | 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 | 2018-05-24 | 2018-07-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-07-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-24 | 2018-07-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-24 | 2018-07-06 | 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 | 2018-05-24 | 2018-07-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-24 | 2018-07-06 | 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 | 2018-05-24 | 2018-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-07-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-05-24 | 2018-07-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-05-24 | 2018-07-06 | N |
