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Deficiency Records for Riverwood Healthcare
A list of the most recent deficiencies for Riverwood Healthcare. 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 Riverwood Healthcare. 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2024-05-10 | 2024-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-25 | 2024-05-09 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-29 | 2024-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-29 | 2024-03-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-14 | 2023-12-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-14 | 2023-12-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-14 | 2023-12-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-14 | 2023-12-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-17 | 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 | 2023-09-14 | 2023-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-14 | 2023-10-08 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-09-14 | 2023-10-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-10 | 2023-04-20 | 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 | 2023-03-10 | 2023-04-20 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-02 | 2023-02-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-02 | 2023-02-05 | 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 | 2023-01-02 | 2023-02-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-02 | 2023-02-05 | N |
| 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 | 2023-01-02 | 2023-02-05 | 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 | 2023-01-02 | 2023-02-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-02 | 2023-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-02 | 2023-02-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-02 | 2023-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-02 | 2023-02-05 | 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 | 2023-01-02 | 2023-02-05 | 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 | 2022-11-18 | 2022-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-11 | 2022-12-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-07-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-19 | 2022-05-27 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-10-07 | 2021-11-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-07 | 2021-11-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-07 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-07 | 2021-11-30 | 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 | 2021-10-07 | 2021-11-30 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-07 | 2021-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-07 | 2021-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-11-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-07 | 2021-11-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-18 | 2021-11-30 | N |
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