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Deficiency Records for Riveridge Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Riveridge Rehabilitation and Healthcare Center. 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 Riveridge Rehabilitation and Healthcare Center. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-13 | 2024-10-18 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-09-13 | 2024-10-18 | 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 | 2024-09-13 | 2024-10-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-13 | 2024-10-18 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-13 | 2024-10-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-13 | 2024-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-13 | 2024-10-18 | N |
| Provide activities to meet all resident's needs. | Health | 2024-09-13 | 2024-10-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-13 | 2024-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-10-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-09-13 | 2024-10-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-09-13 | 2024-10-18 | 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 | 2024-09-13 | 2024-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-13 | 2024-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-13 | 2024-10-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-09-13 | 2024-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-09-13 | 2024-10-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-13 | 2024-10-18 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-13 | 2024-10-18 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-09-13 | 2024-10-18 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-09-13 | 2024-10-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-11 | 2024-10-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-16 | 2024-08-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-26 | 2024-07-13 | 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 | 2024-06-26 | 2024-07-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-26 | 2024-07-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-26 | 2024-07-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-26 | 2024-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-26 | 2024-07-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-26 | 2024-07-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-07 | 2024-05-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-07 | 2024-05-18 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-21 | 2024-05-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-21 | 2024-05-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-21 | 2024-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-04-16 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-07 | 2024-04-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-21 | 2024-04-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-02-21 | 2024-04-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-21 | 2024-04-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-21 | 2024-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-21 | 2024-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-21 | 2024-04-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-21 | 2024-04-01 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-02-21 | 2024-04-01 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-02-21 | 2024-04-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-19 | 2023-08-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-07-19 | 2023-08-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-19 | 2023-08-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-19 | 2023-08-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-19 | 2023-08-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-19 | 2023-08-17 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-07-19 | 2023-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-19 | 2023-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-19 | 2023-08-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-19 | 2023-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-19 | 2023-08-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-19 | 2023-08-17 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-19 | 2023-08-17 | 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 | 2023-07-19 | 2023-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-19 | 2023-08-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-19 | 2023-08-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-19 | 2023-08-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-08 | 2022-12-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-08 | 2022-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-06-03 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-04-07 | 2022-05-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-07 | 2022-05-04 | 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 | 2022-04-07 | 2022-05-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-07 | 2022-05-04 | 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 | 2022-04-07 | 2022-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-07 | 2022-05-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-07 | 2022-05-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-07 | 2022-05-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-04-07 | 2022-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-05-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-07 | 2022-05-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-07 | 2022-05-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-07 | 2022-05-04 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-06 | 2022-05-04 | N |
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