Inspection Reports for
River Bluffs Memory Care

The complaint was investigated by Licensing Program Analyst Katie Brown. The allegation was found to be unfounded after interviews with staff and the resident, and no citations were issued.

The investigation found no evidence of physical abuse; interviews with staff and the resident indicated no reports or observations of abuse or skin markings. The allegation was determined to be unfounded and dismissed.

The complaint alleged that facility staff did not seek timely medical attention for a resident who ingested incorrect medication, staff were inadequately trained, unable to communicate with residents, and the facility was inadequately staffed for resident toileting needs. The allegations were investigated and found unsubstantiated or unfounded with no citations issued.

The investigation found the allegations unsubstantiated or unfounded. There was no evidence of medication errors or emergency medical needs, staff training records were complete, communication challenges were attributed to resident hearing loss and staff accents, and staffing was adequate to meet resident toileting needs. No citations were issued.

The complaint included allegations of staff yelling at residents, racism, failure to change residents' clothing, aggressive handling of a resident, and unmet resident needs. The investigation concluded these allegations were unsubstantiated.

The investigation found residents dressed in clean clothes with no odors, clean bedding, and staff interviews denied the allegations. Resident interviews were limited due to dementia. Record reviews showed proper care of ostomy and catheter bags. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint involved multiple allegations: 1) Facility staff did not seek timely medical attention for a resident who ingested incorrect medication (unsubstantiated). 2) Licensee does not ensure staff are adequately trained (unfounded). 3) Facility staff are unable to communicate with residents (unfounded). 4) Licensee does not ensure facility is adequately staffed to meet resident's toileting needs (unfounded).

The investigation found the allegation of failure to seek timely medical attention unsubstantiated due to lack of evidence. Allegations regarding inadequate staff training and communication were substantiated as unfounded after record reviews and interviews. The allegation of insufficient staffing to meet toileting needs was also found unfounded after observations and schedule reviews. No citations were issued.

The complaint included allegations of staff yelling at residents, racism, failure to change residents' clothing, aggressive behavior during care, and unmet resident needs. The investigation concluded these allegations were unsubstantiated.

The investigation found residents dressed in clean clothes with no odors, clean bedding, and staff interviews denied the allegations. Resident interviews were limited due to dementia. Record reviews showed proper care for ostomy and catheter bags. The allegations were unsubstantiated due to lack of evidence.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Katie Brown. Allegations included staff blocking exits, inappropriate staff speech towards a resident, fire alarm malfunction, and locking a resident in their room. All allegations were found unsubstantiated or unfounded with no citations issued.

The investigation found the allegations unsubstantiated or unfounded based on observations, interviews, and record reviews. Exits were not blocked, staff did not speak inappropriately to residents, fire alarms were operational despite some detectors being removed for maintenance, and resident rooms could not be locked from the inside. No citations were issued.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Katie Brown. Allegations included staff blocking exits and speaking inappropriately to a resident, as well as concerns about fire alarms and locking a resident in their room. The allegations were found unsubstantiated or unfounded with no citations issued.

The investigation found the allegations unsubstantiated or unfounded based on observations, interviews, and record reviews. No citations were issued and the facility was found to have unobstructed exits and no evidence of inappropriate staff conduct or locked resident rooms.

The complaint investigation was unsubstantiated. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation was unable to substantiate the allegations of facility disrepair and staff neglect related to soiled clothing. Observations, record reviews, and interviews did not provide sufficient evidence to confirm the complaints. No citations were issued.

The complaint was unsubstantiated. Although the allegations may have happened or be valid, there was not a preponderance of evidence to prove the alleged violations occurred.

The investigation included a facility tour, staff interviews, and record reviews. The Department was unable to substantiate the allegations of facility disrepair and staff leaving a resident in soiled clothing. No citations were issued.

The visit was related to a complaint investigation under Complaint Control Number 24-AS-20211040612101. No substantiation status is provided.

The report documents the delivery of the amended complaint investigation report and the exit interview with the administrator. No specific deficiencies or findings are detailed in this document.

The complaint alleged that the facility was unable to conduct a timely assessment for a resident to be discharged from the hospital. The allegation was found to be unsubstantiated after investigation.

The investigation found conflicting information from multiple interviews and record reviews. The hospital was in communication with the facility administration and the resident's responsible party multiple times to plan the discharge. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The inspection found that infection control procedures were properly followed, including symptom screenings, testing, visitation requirements, quarantine/isolation procedures, staffing, PPE use, and daily infection control. No deficiencies were cited during the visit.

Complaint Control Number 24-AS-20211040612101 was the basis for this visit; the report delivered was an amended complaint investigation report.

The Licensing Program Analyst delivered the amended complaint investigation report and conducted an exit interview with the facility administrator. No specific findings or deficiencies are detailed in this report.

The complaint alleged the facility was unable to conduct a timely assessment for a resident's hospital discharge. The allegation was investigated and found unsubstantiated.

The investigation found conflicting information from multiple interviews and record reviews. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence proving the violation occurred.

The complaint investigation addressed multiple allegations: resident's call light was not reachable, resident sustained pressure injury, resident suffered numerous wounds, and staff handled resident roughly causing injury. After interviews with the resident, family, home health agency personnel, and facility staff, as well as review of medical records, all allegations were found unsubstantiated.

The investigation found insufficient evidence to substantiate any of the allegations. Interviews and record reviews indicated that while some issues may have occurred, there was no preponderance of evidence to prove violations. All allegations were determined to be unsubstantiated.

The complaint investigation involved allegations that a resident's call light was not reachable, the resident sustained pressure injuries and numerous wounds while in care, and that staff handled the resident roughly causing injury. After interviews with the resident, family, home health personnel, and facility staff, as well as records review, the allegations were found unsubstantiated due to insufficient evidence.

The investigation found that although the allegations regarding unreachable call lights, pressure injuries, numerous wounds, and rough handling of a resident may have occurred or be valid, there was not a preponderance of evidence to substantiate any violations. All allegations were determined to be unsubstantiated.

No deficiencies were cited during the visit. The Licensing Program Analyst met with the resident and interviewed the administrator, and an exit interview was conducted.

No deficiencies were cited during the visit. The Licensing Program Analyst met with the Administrator and Resident (R1) and conducted an exit interview.

The facility was found to be in compliance with required infection control practices, including symptom screenings, visitation policies, quarantine procedures, PPE use, and staff training. No deficiencies were cited during the inspection.

The facility was found to be in compliance with infection control practices including symptom screenings, visitation policies, quarantine procedures, PPE use, and staff training. No deficiencies were cited during the inspection.

The complaint was unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred.

The investigation found that a resident was transferred to a hospital for COVID-19 treatment and was diagnosed with a mildly displaced left femoral neck fracture. The facility had no records of a fall and prior x-rays did not show fractures. There was insufficient evidence to prove the allegation, so it was unsubstantiated and no deficiencies were cited.

Allegation that a resident sustained a fracture while in care was investigated and found unsubstantiated due to lack of preponderance of evidence.

The investigation found that a resident was transferred to a hospital with a mildly displaced left femoral neck fracture, but the facility had no records of a fall and prior x-rays showed no fractures. There was insufficient evidence to prove the alleged violation, so the complaint was unsubstantiated and no deficiencies were cited.

The Licensing Program Analyst toured the facility with the Administrator and removed a resident's file to make a copy at the CCLD office, with the file to be returned within 3 business days. No deficiencies or violations were explicitly stated in the report.

The Licensing Program Analyst toured the facility with the Administrator and removed a resident's file for copying at the CCLD office, with no deficiencies or violations explicitly stated in the report.

The complaint alleged that the facility illegally evicted a resident and that a resident eloped from the facility on multiple occasions. The complaint was found to be unfounded and dismissed.

The investigation found the allegations to be unfounded. It was confirmed that no eviction took place and the resident was relocated by the family. The resident did elope but not due to facility neglect or lack of supervision. The complaint was dismissed.

The complaint alleged that staff unlawfully evicted a resident while in care. The investigation found the allegation to be unfounded as the resident was never evicted.

The Licensing Program Analyst contacted the facility via telephone due to COVID-19 precautions, interviewed the administrator, and reviewed the resident's file. It was confirmed that the resident was never evicted and still resides at the facility. The allegation was found to be unfounded.