Inspection Reports for
River Falls Senior Living
400 Columbia St, Fall River, MA 02721, MA, 02721
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% better than Massachusetts average
Massachusetts average: 7.3 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 12, 2026
Visit Reason
Annual inspection survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Nov 18, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding failure to provide appropriate care for residents with limited range of motion, incomplete medical record documentation after a fall, and infection prevention and control deficiencies.
Complaint Details
The investigation was complaint-driven, focusing on care deficiencies related to mobility device use, medical record documentation after a fall, and infection control practices. The complaints were substantiated with findings of minimal harm.
Findings
The facility failed to implement an Occupational Therapy recommendation for an assistive device for one resident, maintain complete neurological assessment documentation after a resident's fall, and adhere to infection control practices including hand hygiene and use of protective equipment during care of residents with urinary catheters. Additionally, the facility lacked a Water Management Program to reduce Legionella risk.
Deficiencies (3)
F 0688: The facility failed to implement an Occupational Therapy recommendation for a carrot device for Resident #14 to prevent further loss of range of motion and skin breakdown.
F 0842: The facility failed to maintain complete and accurate neurological assessment documentation after Resident #34 sustained a fall with head injury, missing required neuro checks on the Neurological Assessment Flowsheet.
F 0880: The facility failed to develop and implement a Water Management Program, adhere to infection control practices during medication administration, and ensure staff used Enhanced Barrier Precautions during care of Resident #7's urinary catheter.
Report Facts
Residents in sample: 12
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #1 | Observed failing to perform hand hygiene and proper PPE use during medication administration and urinary catheter care | |
| Certified Nurses Aide #1 | CNA | Interviewed regarding Resident #14's care and use of carrot device |
| Occupational Therapist | OT | Interviewed about carrot device use for Resident #14 |
| Corporate Nurse | Interviewed about carrot device documentation for Resident #14 | |
| Assistant Director of Nursing | ADON | Interviewed about neurological assessment documentation for Resident #34 |
| Unit Manager | UM | Interviewed about expected glove use during urinary catheter care |
| Infection Control Preventionist | ICP | Interviewed about infection control practices and hand hygiene |
| Maintenance Director | Interviewed about Water Management Program and facility water source |
Inspection Report
Routine
Deficiencies: 5
Date: Aug 3, 2023
Visit Reason
Routine inspection to assess compliance with healthcare regulations and standards at Loomis Lakeside at Reeds Landing nursing home.
Findings
The facility failed to develop and implement comprehensive care plans for residents at high risk of falls and skin breakdown, failed to follow physician orders for urologic evaluation, failed to maintain food safety and sanitation in the kitchen, failed to implement infection prevention protocols, and failed to provide pneumococcal vaccination education and offers as required.
Deficiencies (5)
F 0656: The facility failed to develop and implement a complete care plan for four residents, including fall prevention and skin assessment interventions.
F 0690: The facility failed to follow physician's orders for urologic evaluation and management for one resident.
F 0812: The facility failed to maintain a clean and sanitary kitchen environment, including improper food labeling, expired food, unclean equipment, and lack of proper hair restraints.
F 0880: The facility failed to implement infection prevention and control measures, including improper handling of linens, improper catheter bag placement, and failure to use PPE for residents on Enhanced Barrier Precautions.
F 0883: The facility failed to provide education, assess eligibility, and offer pneumococcal vaccinations per CDC recommendations for two residents.
Report Facts
Resident sample size: 12
Fall Risk Assessment score: 14
Dates of falls: 3
Dates of skin assessments: 2
Dates of wound care recommendations: 16
Date of most recent UTI: 2023
Date survey completed: 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding skin assessments, wound care, infection control, and vaccination deficiencies |
| Unit Manager | Unit Manager (UM) | Interviewed regarding fall assessments and urology referral |
| Director of Maintenance | Director of Maintenance | Interviewed regarding wheelchair maintenance and anti-rollback mechanism |
| Food Service Director | Food Service Director (FSD) | Interviewed regarding kitchen sanitation and food safety deficiencies |
| Dietary Staff #1 | Dietary Staff | Observed and interviewed regarding food labeling and storage |
| Certified Nursing Assistant #1 | Certified Nursing Assistant (CNA) | Observed handling linens improperly during infection control survey |
| Therapist #1 | Therapist | Observed not wearing PPE while providing care to resident on Enhanced Barrier Precautions |
| MDS Nurse | MDS Nurse | Interviewed regarding wound care orders and implementation |
Viewing
Loading inspection reports...
