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Deficiency Records for Riverside Point Healthcare and Wellness Centre
A list of the most recent deficiencies for Riverside Point Healthcare and Wellness Centre. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Riverside Point Healthcare and Wellness Centre. 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-28 | 2024-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-28 | 2024-08-16 | N |
| Keep all essential equipment working safely. | Health | 2024-05-28 | 2024-08-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-22 | 2024-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-22 | 2024-08-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-22 | 2024-08-02 | Y |
| Keep all essential equipment working safely. | Health | 2024-07-22 | 2024-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-22 | 2024-07-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Develop a communication plan. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Use approved construction type or materials. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-04 | 2024-06-28 | 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 | 2024-06-04 | 2024-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-04 | 2024-06-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-05-28 | 2024-06-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-28 | 2024-06-21 | 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 | 2024-05-28 | 2024-06-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-28 | 2024-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-28 | 2024-06-21 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-05-28 | 2024-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-28 | 2024-06-21 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-28 | 2024-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-28 | 2024-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-28 | 2024-06-21 | 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 | 2024-05-28 | 2024-06-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-28 | 2024-06-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-28 | 2024-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-28 | 2024-06-21 | 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 | 2024-05-28 | 2024-06-21 | 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 | 2024-05-28 | 2024-06-21 | 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 | 2024-05-28 | 2024-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-28 | 2024-06-21 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-28 | 2024-06-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-28 | 2024-06-21 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-05-28 | 2024-06-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-28 | 2024-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-28 | 2024-06-21 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-20 | 2024-05-21 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-07 | 2024-05-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-07 | 2024-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-23 | 2024-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-19 | 2024-04-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-05 | 2024-02-15 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-03 | 2024-01-16 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-30 | 2023-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-10-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-10-31 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-28 | 2023-10-20 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-09-28 | 2023-10-19 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-09-20 | 2023-10-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-28 | 2023-10-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-28 | 2023-10-13 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-31 | 2023-09-18 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-08-31 | 2023-09-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-10 | 2023-08-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-10 | 2023-08-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-10 | 2023-08-28 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-10 | 2023-08-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-08 | 2023-08-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-08 | 2023-08-18 | Y |
| 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 | 2023-07-10 | 2023-08-03 | 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 | 2023-06-26 | 2023-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-26 | 2023-07-25 | 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 | 2023-06-26 | 2023-07-25 | 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 | 2023-06-26 | 2023-07-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-26 | 2023-07-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-27 | 2023-07-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-31 | 2023-06-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-31 | 2023-06-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-31 | 2023-06-13 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-31 | 2023-06-13 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-31 | 2023-06-13 | Y |
| 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 | 2023-05-31 | 2023-06-13 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-05-31 | 2023-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-25 | 2023-06-09 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-27 | 2023-05-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-27 | 2023-05-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-27 | 2023-05-15 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-27 | 2023-05-15 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-04-27 | 2023-05-15 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-04-27 | 2023-05-15 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-04-27 | 2023-05-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-24 | 2023-04-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-24 | 2023-04-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-24 | 2023-04-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-24 | 2023-04-14 | Y |
| 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 | 2023-03-24 | 2023-04-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-08-04 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-28 | 2022-07-21 | Y |
| 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 | 2022-04-28 | 2022-07-21 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-04-28 | 2022-07-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-28 | 2022-07-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-28 | 2022-07-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-28 | 2022-07-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-28 | 2022-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-07-21 | 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 | 2022-04-28 | 2022-07-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-07-21 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-28 | 2022-07-21 | 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 | 2022-04-28 | 2022-07-21 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-04-28 | 2022-07-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-28 | 2022-07-21 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-04-28 | 2022-07-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-28 | 2022-07-21 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-04-28 | 2022-07-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-28 | 2022-07-21 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-04-28 | 2022-07-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-28 | 2022-07-21 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-28 | 2022-07-21 | Y |
| Keep all essential equipment working safely. | Health | 2022-04-28 | 2022-07-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-28 | 2022-07-21 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-28 | 2022-07-21 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-29 | 2022-05-13 | 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 | 2022-04-29 | 2022-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-29 | 2022-05-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-29 | 2022-05-13 | 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 | 2022-03-30 | 2022-04-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-01 | 2022-03-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-10 | 2022-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-10 | 2022-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | 2022-01-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-24 | 2022-01-18 | Y |
| 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 | 2021-11-04 | 2021-11-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-11-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-04 | 2021-11-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-12-02 | 2019-12-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-14 | 2019-12-06 | 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 | 2019-11-14 | 2019-12-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-14 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-14 | 2019-12-06 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-14 | 2019-12-06 | N |
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