Inspection Reports for River Towne Center – Genesis

A Follow-Up Survey was conducted to verify correction of previously cited deficiencies at River Towne Center.

The facility failed to maintain the fire alarm system and smoke barrier doors. The fire alarm panel displayed a trouble alarm light due to a blown fuse that was not yet repaired. Smoke barrier doors near room 505 failed to close properly, affecting residents and staff.

A standard survey was conducted at River Towne Center from April 22, 2025, through April 24, 2025, including investigation of multiple complaint intake numbers.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies related to care planning, pain management, restorative services, communication services, medication storage, infection control, dental services, ADL support, and safety hazards.

Complaint Intake Numbers GA00254631, GA00253726, GA00254195, GA00254660, GA00254541, and GA00254699 were investigated. GA00254699 and GA00254631 were unsubstantiated. GA00254195 and GA00254660 were substantiated without deficiency. GA00253726 and GA00254541 were substantiated with deficiency.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with several life safety code requirements including enclosure of vertical openings, hazardous area protections, door closing devices, cooking facility separation, fire alarm system maintenance, sprinkler head clearance, smoke compartment doors, electrical panel clearance, fire drills, and smoking regulations.

An abbreviated/partial extended survey was conducted to investigate multiple complaints on behalf of the Georgia Department of Community Health.

Complaints #GA00250955, #GA00250854, and #GA00249681 were substantiated, while numerous other complaints were unsubstantiated. No deficiencies were cited during the survey.

Complaints #GA00250955, #GA00250854, and #GA00249681 were substantiated. Other complaints listed were unsubstantiated.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 04/01/2024 and 04/07/2024 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

The facility was reviewed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network during a seven-day period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 04/01/2024 and 04/07/2024 as required by regulation, potentially causing more than minimal harm to residents.

The document is a statement of deficiencies and plan of correction for River Towne Center, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited during a February 14, 2024 complaint survey.

All deficiencies cited as a result of the February 14, 2024 complaint survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on February 14, 2024; all cited deficiencies were corrected.

The facility was reviewed for failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 03/04/2024 and 03/10/2024 as required by CMS and CDC regulations, potentially causing more than minimal harm to residents.

The facility was reviewed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network during a seven-day period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 03/04/2024 and 03/10/2024 as required by regulation, which has the potential to cause more than minimal harm to residents.

The inspection was a State Licensure survey conducted to determine compliance with the State Long Term Care Requirements at River Towne Center.

The facility failed to implement care plan interventions and provide descriptive wound documentation for pressure ulcer treatments for several residents. There were delays in assessing pressure ulcers and initiating treatments as ordered, with missing treatment documentation for multiple residents.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaint intake numbers between February 5, 2024 and February 14, 2024.

The facility failed to implement care plan interventions and provide descriptive wound documentation for pressure ulcer treatments for several residents, resulting in delayed or undocumented treatments. Some complaints were substantiated with deficiencies, including failure to timely assess and treat pressure ulcers and venous stasis ulcers.

The investigation involved multiple complaint intake numbers. Some complaints were unsubstantiated with no deficiencies, some were substantiated with no deficiencies, and others were substantiated with deficiencies related to wound care and treatment documentation.

The inspection was conducted to review the facility's compliance with reporting requirements to the CDC's National Healthcare Safety Network (NHSN) regarding COVID-19 data during a required seven-day reporting period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 02/05/2024 and 02/11/2024 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

The facility was reviewed for compliance with reporting requirements to the CDC's National Healthcare Safety Network (NHSN) regarding COVID-19 data during a required seven-day reporting period.

The facility failed to report complete COVID-19 information to the NHSN between 02/05/2024 and 02/11/2024 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

A Follow-Up Survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags have been corrected as noted during the follow-up survey.

The document is a statement of deficiencies and plan of correction for River Towne Center, indicating a regulatory inspection was conducted.

The report contains an initial comment section but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited during the October 12, 2023 Recertification with Complaint Survey.

All deficiencies cited in the prior October 12, 2023 survey were found to be corrected during this revisit survey.

The inspection was a Life Safety Code Survey conducted to assess compliance with fire safety regulations and related NFPA standards for participation in Medicare/Medicaid.

The facility was found not in substantial compliance with multiple Life Safety Code requirements including exit signage, cooking facility hood system, fire alarm system installation, corridor doors, smoke barrier doors, fire doors, fire drills, smoking regulations, and fire door maintenance and inspection. Several deficiencies posed risks to residents and staff in the event of fire.

A State Licensure survey was conducted at River Towne Center from 10/3/2023 through 10/12/2023 to assess compliance with state licensure requirements.

The facility was found not in substantial compliance due to failures in infection prevention and control related to a COVID-19 outbreak affecting five residents and two staff, improper medication storage including expired items, and failure to provide adequate bathing care to one resident. Immediate Jeopardy was identified and removed after corrective actions.

A standard survey was conducted from 10/3/2023 through 10/12/2023, including investigation of multiple complaint intakes, to assess compliance with Medicare/Medicaid regulations and infection control related to a COVID-19 outbreak.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, including failure to implement outbreak testing and infection control measures during a COVID-19 outbreak, failure to maintain resident dignity, failure to provide choice in bathing, incomplete baseline care plans, failure to administer medications as ordered, failure to provide respiratory care as ordered, failure to discard expired medications and supplies, and failure to timely obtain and act on laboratory results. Immediate Jeopardy was identified and removed after corrective actions.

Complaint Intake Numbers GA00237629, GA00239046, GA002329697, GA00239257, GA00237422, and GA00238223 were investigated. Complaint GA00239046 was substantiated with deficiency; others were unsubstantiated.

An Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00235506, #GA00235643, #GA00235773, #GA00236886, and #GA00237324 at River Towne Care and Rehabilitation Center.

The complaints investigated were unsubstantiated and no regulatory violations were cited during the survey conducted on behalf of the Georgia Department of Community Health by Ascellon Corporation.

Complaints #GA00235506, #GA00235643, #GA00235773, #GA00236886, and #GA00237324 were unsubstantiated.

This document is a Statement of Deficiencies and Plan of Correction for River Towne Center, indicating a regulatory inspection was conducted and deficiencies were identified requiring correction.

The report contains a summary statement of deficiencies identified during the inspection; however, no specific deficiencies or severity levels are detailed in the provided page.

A revisit survey was conducted to verify correction of deficiencies cited during the March 30, 2023 Focused Infection Control/Complaints Survey.

All deficiencies cited in the prior March 30, 2023 survey were found to be corrected during this revisit survey.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints (GA00227950, GA00232296, GA00231309, GA00233743, GA00228884, GA00231353) initiated on March 27, 2023 and concluded on March 30, 2023.

The facility failed to maintain accurate records on controlled substances across six medication carts, with multiple instances of missing medication totals, incomplete shift counts, and missing signatures documented in the Controlled Drug Shift Audit Reports from January through March 2023.

The survey was initiated to investigate complaints GA00227950, GA00232296, GA00231309, GA00233743, GA00228884, and GA00231353. The findings confirmed deficiencies related to controlled substance record-keeping.

A Focused Infection Control Survey was conducted in conjunction with an Abbreviated/Partial Extended Survey investigating multiple complaints related to medication management and controlled substances.

The facility failed to ensure that one resident's narcotic pain medication was free from diversion and failed to maintain accurate records on controlled substances across six medication carts, with multiple discrepancies and missing medication counts documented.

The investigation was initiated due to complaints GA00227950, GA00232296, GA00231309, GA00233743, GA00228884, and GA00231353. The Director of Nursing reported a medication discrepancy involving a missing Tramadol pill for resident #306, leading to drug testing of nursing staff and termination of one nurse for testing positive for another drug. Multiple discrepancies in controlled drug shift audits were found across medication carts.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaint allegations identified by codes GA00229297, GA00228747, GA00227952, GA00227448, GA00226347, and GA00226074.

The investigation was conducted on behalf of the Georgia Department of Community Health by Ascellon Corporation and all complaints were found to be unsubstantiated. No deficiencies were cited.

The investigation involved multiple complaint allegations identified by codes GA00229297, GA00228747, GA00227952, GA00227448, GA00226347, and GA00226074, all of which were unsubstantiated.

An abbreviated survey was conducted to investigate complaint #GA00232026.

The complaint was found to be unsubstantiated and no deficiencies were cited during the survey.

Complaint #GA00232026 was investigated and found to be unsubstantiated with no deficiencies cited.

An Abbreviated Survey was conducted to investigate complaint #GA00230671.

No deficiencies were cited during the abbreviated survey.

Complaint #GA00230671 was investigated and found to have no deficiencies.

The facility was reviewed due to failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 12/05/2022 and 12/11/2022 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 12/05/2022 and 12/11/2022 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to all residents.

The facility was reviewed for failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 11/28/2022 and 12/04/2022 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to all residents.

The facility was reviewed for failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 11/28/2022 and 12/04/2022 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to residents.

The inspection was conducted to review the facility's compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network (NHSN) during a mandated seven-day reporting period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 11/21/2022 and 11/27/2022 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 11/21/2022 and 11/27/2022 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to residents.

The facility was surveyed due to failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 11/14/2022 and 11/20/2022 as required by CMS and CDC regulations, potentially causing more than minimal harm to all residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 11/14/2022 and 11/20/2022 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to all residents.

The facility was reviewed for failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 11/07/2022 and 11/13/2022 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 11/07/2022 and 11/13/2022 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

The facility was reviewed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network during a seven-day period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 10/31/2022 and 11/06/2022 as required by regulation, potentially causing more than minimal harm to residents.

The facility was reviewed due to failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 10/31/2022 and 11/06/2022 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 10/24/2022 and 10/30/2022 as required by CMS and CDC regulations, potentially causing more than minimal harm to all residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 10/24/2022 and 10/30/2022 as required by CMS and CDC regulations, which has the potential to cause more than minimal harm to all residents.

The facility was reviewed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network during a seven-day period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 10/17/2022 and 10/23/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The report addresses the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period.

The facility did not report complete COVID-19 data to the NHSN between 10/17/2022 and 10/23/2022 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period between 10/10/2022 and 10/16/2022, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 10/10/2022 to 10/16/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 09/12/2022 and 09/18/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 09/12/2022 to 09/18/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period between 09/05/2022 and 09/11/2022, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 09/05/2022 to 09/11/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day period between 08/29/2022 and 09/04/2022, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period between 08/29/2022 and 09/04/2022, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 08/15/2022 to 08/21/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 08/15/2022 to 08/21/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN) as required by regulation.

The facility failed to report complete information about COVID-19 infections, deaths, supplies, testing access, staffing shortages, vaccination status, and therapeutics to the NHSN during the seven-day period from 08/08/2022 to 08/14/2022, which has the potential to cause more than minimal harm to residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 08/08/2022 to 08/14/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period between 08/01/2022 and 08/07/2022, which has the potential to cause more than minimal harm to residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 08/01/2022 to 08/07/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period between 07/25/2022 and 07/31/2022, which has the potential to cause more than minimal harm to residents.

The inspection was conducted to evaluate the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period from 07/25/2022 to 07/31/2022, which has the potential to cause more than minimal harm to residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 07/04/2022 to 07/10/2022 as required by regulation, which has the potential to cause more than minimal harm to residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 07/04/2022 to 07/10/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a required seven-day reporting period from 06/27/2022 to 07/03/2022, which has the potential to cause more than minimal harm to residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 06/20/2022 and 06/26/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 06/20/2022 and 06/26/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 06/13/2022 and 06/19/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 06/13/2022 and 06/19/2022 as required by regulation, which has the potential to cause more than minimal harm to residents.

The document is a statement of deficiencies and plan of correction for River Towne Center, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A Revisit Survey was conducted from May 24 through May 25, 2022 to verify correction of deficiencies cited during the Recertification with Complaints Survey on March 17, 2022.

All deficiencies cited as a result of the Recertification with Complaints Survey on March 17, 2022 were found to be corrected during this revisit survey.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 04/25/2022 and 05/01/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 04/11/2022 and 04/17/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 04/04/2022 and 04/10/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 04/04/2022 to 04/10/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 03/21/2022 and 03/27/2022 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period between 03/21/2022 and 03/27/2022 as required by regulation, which has the potential to cause more than minimal harm to residents.

A licensure survey was conducted from 03/14/2022 through 03/17/2022, including investigation of multiple complaint intake numbers, to assess the facility's compliance with state regulations.

The facility was found not in substantial compliance due to deficiencies including failure to provide required written transfer notices to residents and the Ombudsman, unsecured medication carts accessible to unauthorized persons, inadequate oral care for a dependent resident, and incomplete and inaccurate clinical documentation of medication and treatment administration.

Multiple complaint intake numbers were investigated in conjunction with the standard survey. No deficiencies were cited for most complaints except for complaint intake number GA00216744, which resulted in citation F677 related to failure to provide required transfer notices.

A Recertification and Complaint survey was conducted from 03/14/2022 through 03/17/2022, including investigation of multiple complaint intake numbers.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies related to resident self-administration of medications, advance directives, transfer notices, bed hold notices, care plan revisions, ADL care, respiratory care, medication storage, and medical record documentation.

Complaint Intake number GA00216744 was investigated and deficiency F677 was cited.

A Life Safety Code Survey was conducted to assess compliance with fire safety regulations and emergency preparedness requirements.

The facility was found to be in substantial compliance with the requirements for participation in Medicare/Medicaid under 42 CFR Subpart 483.90(a) and the NFPA 101 Life Safety Code 2012 edition. The Emergency Preparedness Program was also reviewed and found to be in substantial compliance with 42 CFR 483.73.

The document is a statement of deficiencies and plan of correction for River Towne Center, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific findings or deficiencies in the provided page.

A revisit survey was conducted to verify correction of deficiencies cited during the complaint survey of 5/24/2021.

The revisit survey found that all deficiencies cited during the complaint survey were corrected.

The revisit survey was conducted following a complaint survey on 5/24/2021; all deficiencies from that complaint survey were corrected.

An Abbreviated/Partial Extended Survey was conducted from 4/13/2021 to 5/24/2021 to investigate multiple complaints, including GA00211820, GA00212582, GA00212694, GA00213426, GA00214236, GA00214360, and GA00214500.

The survey substantiated one complaint (GA00212694) with deficiencies including failure to perform a timely criminal background check for the Administrator, failure to implement care plan interventions for a resident's wound treatment, and failure to report an allegation of abuse in a timely manner involving a resident and a staff member.

Complaint GA00212694 was substantiated with deficiencies related to criminal background checks, care plan implementation, and abuse reporting. Other complaints investigated were unsubstantiated.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints against the facility, including GA00211820, GA00212582, GA00212694, GA00213426, GA00214236, GA00214360, and GA00214500.

The survey substantiated one complaint involving abuse of a resident by a Licensed Practical Nurse (LPN BB) and identified failures in abuse prevention policies, timely reporting of abuse allegations, criminal background checks for staff, and implementation of care plans and treatments for residents.

The survey investigated multiple complaints, with one substantiated complaint (GA00212694) involving abuse of resident R#23 by LPN BB. The abuse was confirmed through staff witness statements and investigation, resulting in termination of LPN BB.

A COVID-19 Focused Infection Control Survey was conducted in conjunction with a Complaint survey to investigate Complaint Intake number GA00211427, and a Revisit survey was also conducted.

The facility was found to be in compliance with infection control regulations and COVID-19 preparedness practices. The complaint was found to be unsubstantiated, and all previously cited deficiencies had been corrected.

Complaint Intake number GA00211427 was investigated and found to be unsubstantiated.

The document is a statement of deficiencies and plan of correction for River Towne Center, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details about deficiencies or findings.

A revisit survey was conducted in conjunction with a Focused Infection Control survey and a Complaint survey investigating complaint intake number GA00211427.

The revisit survey revealed that all previously cited deficiencies from the November 6, 2020 complaint survey had been corrected. The facility was found to be in compliance with infection control regulations and COVID-19 recommended practices. The complaint intake was found to be unsubstantiated.

Complaint intake GA00211427 was investigated and found to be unsubstantiated.

An abbreviated/partial extended survey was conducted to investigate multiple complaints numbered GA00209450, GA00209521, GA00209538, GA00209554, and GA00210480.

The complaints investigated during the survey were found to be unsubstantiated, and no deficiencies were identified.

The survey investigated complaints GA00209450, GA00209521, GA00209538, GA00209554, and GA00210480, all of which were unsubstantiated with no deficiencies.

An Abbreviated/Partial Extended survey and a COVID-19 Focused Infection Control survey were conducted, investigating twenty-five complaint intakes related to the facility's compliance with Medicare/Medicaid regulations.

The facility was found not in substantial compliance with regulations, with Immediate Jeopardy identified related to failure to monitor and assess residents after falls, failure to notify physicians and responsible parties timely, and failure to develop comprehensive person-centered care plans addressing falls and anticoagulant use. Immediate Jeopardy was removed after corrective actions including staff education, audits, and care plan reviews.

Twenty-five complaint intakes were investigated; several were unsubstantiated, some partially substantiated without deficiencies, some substantiated without deficiencies, and two substantiated with deficiencies resulting in Immediate Jeopardy. The Immediate Jeopardy related to failure in monitoring and care planning for residents at risk of falls and on anticoagulant therapy, leading to serious injury and death.

An Abbreviated/Partial Extended survey and a COVID-19 Focused Infection Control survey were conducted, including investigation of twenty-five complaint intakes related to the COVID-19 survey.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with Immediate Jeopardy related to failure to monitor a resident on anticoagulant therapy after a fall, failure to notify physician and responsible party timely after a fall resulting in fracture, and failure to develop comprehensive care plans. The Immediate Jeopardy was removed after corrective actions including staff education, audits, and policy reviews.

Twenty-five complaint intakes were investigated; several were unsubstantiated, some partially substantiated without deficiencies, some substantiated without deficiencies, and two were substantiated with deficiencies and Immediate Jeopardy.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 and 42 CFR §483.80 infection control regulations and had implemented the recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 and §483.80 infection control regulations and has implemented the recommended practices to prepare for COVID-19.

A walkthrough licensure survey was conducted for the expansion of 15 additional beds to the ventilation unit.

The 15 additional beds for the ventilation unit were found to be in compliance with State requirements. River Towne Center is approved for a 40 bed Mechanical Ventilation Unit.

A revisit survey was conducted to verify correction of deficiencies cited during the 10/10/19 Complaint Survey.

All deficiencies cited as a result of the 10/10/19 Complaint Survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on 10/10/19; all cited deficiencies were corrected.

An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints regarding the facility.

The facility was found deficient in multiple areas including failure to consistently provide and document pressure ulcer treatments and assessments for several residents, failure to provide thorough ADL assistance for one resident, failure to accommodate a resident's food allergy, and failure to maintain effective pest control resulting in insect infestations in resident areas.

The survey investigated complaints GA00198118, GA00198618, GA00199727, GA00199837 and GA00199916. Complaints GA00199727 and GA00199837 were unsubstantiated. Complaints GA00198118, GA00198618 and GA00199916 were partially substantiated with deficiencies.

The inspection was conducted due to complaints regarding inconsistent pressure ulcer treatments and assessments, and inadequate assistance with Activities of Daily Living (ADL) for residents.

The facility failed to consistently provide and document pressure ulcer treatments and assessments for four residents and failed to ensure thorough ADL assistance for one resident. Specific deficiencies included delayed or missing treatments, inadequate documentation, and failure to meet care plan interventions.

The visit was complaint-related, focusing on pressure ulcer care and ADL assistance. Substantiation status is not explicitly stated.

A revisit survey was conducted from 7/1/19 through 7/3/19 to verify correction of deficiencies cited during the Complaint survey conducted on 4/25/19. Additionally, an abbreviated/partial extended survey was conducted to investigate complaints GA00196553 and GA00196992.

All deficiencies cited in the prior Complaint survey were found to be corrected. The complaints investigated during the abbreviated/partial extended survey were found to be unsubstantiated with no deficiencies cited.

Complaints GA00196553 and GA00196992 were investigated and found to be unsubstantiated with no deficiencies cited.

An abbreviated / Partial Extended Survey was conducted investigating complaints GA00196553 and GA00196992 as well as a revisit survey.

The complaint was unsubstantiated with no deficiencies identified during the survey.

The complaint was investigated and found to be unsubstantiated with no deficiencies.

The inspection was conducted to investigate complaint #GA00194750 to determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey.

Complaint #GA00194750 was investigated and found to have no deficiencies.

A revisit survey was conducted to verify correction of deficiencies found during the annual survey conducted December 3-6, 2018.

All deficiencies resulting from the prior annual survey were found to be corrected during this revisit survey.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The survey noted that all previously cited survey tags have been corrected.

An abbreviated/partial extended survey was conducted to investigate complaints GA00194023 and GA00193965.

Complaint GA00194023 was partially substantiated but with no deficiencies, and complaint GA00193965 was unsubstantiated.

Complaint GA00194023 was partially substantiated with no deficiencies; complaint GA00193965 was unsubstantiated.

An abbreviated/partial extended survey was conducted to investigate complaint GA00193697.

The complaint was unsubstantiated and no deficiencies were found during the survey.

Complaint GA00193697 was investigated and found to be unsubstantiated with no deficiencies.

A standard annual survey was conducted from December 3 through December 6, 2018, including investigation of Complaint Intake Number GA00193934.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to promote dignity and privacy for residents, inadequate privacy during showers, failure to provide appropriate treatment to prevent contractures and maintain mobility, unsafe use and condition of mechanical lifts, failure to date and time enteral feedings, and lapses in infection control practices.

Complaint Intake Number GA00193934 was investigated in conjunction with the standard survey.

The inspection was conducted to assess compliance with nursing care and infection control regulations, focusing on treatment and services to prevent further decrease in range of motion for sampled residents and adherence to infection control protocols.

The facility failed to provide appropriate restorative nursing care to prevent contractures in three sampled residents, including lack of range of motion exercises and splint application. Additionally, staff failed to follow infection control protocols by not removing gloves and washing hands after care and during meal service for residents on contact precautions.

A Life Safety Code Survey was conducted to assess compliance with fire safety regulations and the National Fire Protection Association (NFPA) 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with life safety requirements, including failure to maintain smoke barrier walls with proper fire resistance, lack of documentation for annual fire door inspections, failure to maintain electrical cover plates, and inadequate maintenance and testing of the emergency generator.

The inspection was conducted to investigate complaint #GA00192700 and determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey.

Complaint #GA00192700 was investigated and found to have no deficiencies.

The inspection was conducted to investigate complaint #GA00192394 and determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey.

Complaint #GA00192394 was investigated and found to have no deficiencies.

A complaint survey was conducted on 10/22/18 to investigate complaint GA00192025 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiency was cited during the complaint investigation survey.

Complaint GA00192025 was investigated and no deficiency was cited.

A revisit survey was conducted on 8/23/18 to verify correction of deficiencies cited in the 7/3/18 Abbreviated/Partial Extended Survey. Additionally, complaint investigations for Intake Numbers GA00190645, GA00190891, and GA00190905 were conducted in conjunction with this revisit survey.

All deficiencies cited in the prior 7/3/18 survey were found to be corrected. The complaint investigations were unsubstantiated with no deficiencies identified.

Complaint Intake Numbers GA00190645, GA00190891, and GA00190905 were investigated and found to be unsubstantiated with no deficiencies.

A revisit survey was conducted on 8/23/18 to verify correction of deficiencies from the 7/3/18 Abbreviated/Partial Extended Survey and to investigate complaint intake numbers GA00190645, GA00190891, and GA00190905.

All deficiencies cited in the prior 7/3/18 survey were found to be corrected. The complaint investigations were unsubstantiated with no deficiencies identified.

Complaint Intake Numbers GA00190645, GA00190891, and GA00190905 were investigated and found to be unsubstantiated with no deficiencies.

A revisit survey was conducted to verify correction of deficiencies cited in the April 19, 2018 Abbreviated/Partial Extended Survey.

All deficiencies cited in the prior abbreviated/partial extended survey were found to be corrected during this revisit survey.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00188976.

The complaint was unsubstantiated and no deficiencies were identified during the investigation.

Complaint #GA00188976 was investigated and found to be unsubstantiated with no deficiencies.

An initial walk-through survey of the Mechanical Ventilation Unit at River Towne Center was conducted on 5/29/18 - 5/30/18 by two Certified Respiratory Therapists.

The facility was found to be in compliance with the policies and procedures for mechanical ventilation services.

An abbreviated/partial extended survey was conducted investigating a complaint related to unsafe hot water temperatures causing burns to a resident.

The facility was found not in substantial compliance due to failure to monitor and maintain safe hot water temperatures, resulting in a resident sustaining first and second degree burns. The facility failed to routinely monitor water temperatures and lacked a system to monitor mixing valve temperatures. Immediate Jeopardy was identified and removed after corrective actions including hourly water temperature checks, staff in-service, and plumbing repairs. The facility also failed to ensure competency of newly hired nursing staff and did not adequately report water temperature monitoring issues in QAPI meetings.

Complaint GA#00187484 was substantiated with deficiencies related to unsafe hot water temperatures causing burns to a resident.

The inspection was conducted following a complaint and investigation of unsafe hot water temperatures in resident rooms and common shower rooms, which caused a resident to suffer first and second degree burns.

The facility failed to routinely monitor and maintain safe hot water temperatures below 110 degrees Fahrenheit, resulting in unsafe water temperatures ranging from 120.5 to 126.5 degrees Fahrenheit in five bathrooms shared by nine resident rooms housing 14 residents. One resident suffered burns requiring hospitalization. The facility implemented corrective actions including hourly water temperature checks, staff in-service training, and policy revisions. Immediate Jeopardy was removed on 4/19/2018 after corrective measures were validated.

The complaint investigation was substantiated. Immediate Jeopardy was identified due to unsafe hot water temperatures causing serious injury (burns) to Resident #1. Immediate Jeopardy was removed after corrective actions were implemented and validated.

An abbreviated/partial extended survey was conducted to investigate complaint GA00185182.

The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was unsubstantiated and no deficiencies were cited.

Complaint GA00185182 was investigated and found to be unsubstantiated.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited survey tags have been corrected during the follow-up survey.

A Revisit Survey was conducted at River Towne Center on 2/5/18 and 2/5/18 in conjunction with complaint investigations GA00184677 and GA00184864.

All deficiencies cited during the standard survey on 12/22/17 were found to be corrected. The complaint investigations were unsubstantiated with no deficiencies identified.

Complaint Intake Numbers GA00184677 and GA00184864 were investigated and found unsubstantiated with no deficiencies.

A Revisit Survey was conducted at River Towne Center on 2/8/18 to investigate Complaint Intake Numbers GA00184677 and GA00184864 in conjunction with this revisit survey.

All deficiencies cited as a result of the standard survey on 12/22/17 were found to be corrected. The complaint investigation found GA00184677 and GA00184864 unsubstantiated with no deficiencies.

Complaint Intake Numbers GA00184677 and GA00184864 were investigated and found unsubstantiated with no deficiencies.

The inspection was conducted as a Life Safety Code Survey to assess compliance with fire safety and emergency preparedness regulations.

The facility was found not in substantial compliance with multiple Life Safety Code requirements including emergency preparedness plan deficiencies, exit discharge issues, inadequate illumination and signage, improper hazardous area enclosures, fire alarm system malfunction, improper fire extinguisher signage, corridor door smoke resistance failures, unmaintained smoke barriers, smoking area safety violations, emergency generator testing documentation deficiencies, improperly mounted power strips, and missing oxygen storage signage.

The inspection was conducted to investigate complaint #GA00175327 to determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey.

Complaint #GA00175327 was investigated and found to have no deficiencies.

A follow-up visit was conducted on 4/17/17 to verify correction of deficiencies identified during the complaint survey conducted on 2/24/17.

The deficiencies identified in the prior complaint survey were corrected as of the follow-up visit.

The follow-up was related to a complaint survey conducted on 2/24/17; deficiencies were corrected.

The inspection was conducted to investigate complaint #GA00167641 and to determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey conducted from 01/03/17 through 01/04/17.

Complaint #GA00167641 was investigated and found to have no deficiencies.