Inspection Reports for
Riverdell Care Center
1121 11TH ST, BOONVILLE, MO, 65233-1419
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
77% occupied
Based on a December 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 46
Deficiencies: 6
Date: Dec 13, 2024
Visit Reason
The inspection was conducted as a regulatory annual survey to assess compliance with health and safety standards in the nursing home.
Findings
The facility was found to have multiple deficiencies including failure to maintain a homelike environment, unsafe wheelchair and mechanical lift use, improper medication storage with expired drugs, inadequate dishwashing machine operation, incomplete Legionella water management plan, and improper infection control related to indwelling catheter positioning.
Deficiencies (6)
Failure to maintain walls, ceilings, and floors resulting in an unsafe and uncomfortable environment for residents.
Failure to use wheelchair footrests and improper mechanical lift transfers compromising resident safety.
Failure to store medications safely, including presence of expired medications in storage room.
Dishwasher machine operated below manufacturer's recommended temperature, risking cross contamination.
Incomplete Legionella water management plan and failure to implement required water system maintenance procedures.
Failure to keep indwelling catheters off the floor, increasing risk of infection.
Report Facts
Facility census: 46
Expired medications: 6
Dish machine temperature: 98
Dish machine temperature: 109
Water heaters observed: 3
Water heaters indicated in plan: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Medication Technician A | Certified Medication Technician | Interviewed regarding medication storage and expired medications |
| Licensed Practical Nurse B | Licensed Practical Nurse | Interviewed regarding medication storage responsibilities |
| Dietary Dish Aide M | Dietary Dish Aide | Observed and interviewed regarding dishwasher operation and temperature monitoring |
| Dietary Manager | Dietary Manager | Observed and interviewed regarding dishwasher operation and food preparation |
| Maintenance Director | Maintenance Director | Interviewed regarding facility maintenance, Legionella control, and dishwasher temperature |
| Administrator | Facility Administrator | Interviewed regarding facility operations, safety, and compliance oversight |
| Certified Nurse Aid E | Certified Nurse Aid | Observed and interviewed regarding wheelchair safety |
| Licensed Practical Nurse C | Licensed Practical Nurse | Observed and interviewed regarding mechanical lift transfers |
| Certified Nursing Assistant G | Certified Nursing Assistant | Interviewed regarding catheter care and infection control |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding catheter care and infection control |
| Infection Preventionist | Infection Preventionist | Interviewed regarding infection control practices |
| Director of Nursing | Director of Nursing | Interviewed regarding medication storage, mechanical lift training, and catheter care |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Dec 21, 2023
Visit Reason
Annual survey inspection of Riverdell Care Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 49
Deficiencies: 5
Date: Aug 12, 2022
Visit Reason
The inspection was conducted to evaluate the facility's compliance with regulatory requirements related to resident care, safety, infection control, and documentation, including review of care plans, advance directives, wound care, and environmental safety.
Findings
The facility failed to develop comprehensive person-centered care plans for multiple residents, did not consistently document advance directives or physician orders for dialysis and oxygen, failed to provide adequate assistance with activities of daily living including hygiene and grooming, did not ensure environmental safety by securing hazardous items and properly using wheelchair foot pedals, and failed to follow infection control practices including hand hygiene and wound care.
Deficiencies (5)
Failure to develop and implement complete, person-centered care plans addressing residents' medical, nursing, and safety needs including use of bed rails, facial hair preferences, medication management, smoking, wandering, falls, diet, and dialysis.
Failure to provide consistent documentation and obtain physician orders for advance directives, dialysis, oxygen use, and diet changes.
Failure to provide appropriate care and assistance with activities of daily living including personal hygiene, nail care, shaving, oral care, and grooming for residents requiring extensive assistance.
Failure to maintain a safe environment by leaving hazardous chemicals and razors unsecured in shower rooms and improper wheelchair propulsion without foot pedals, risking resident safety.
Failure to perform hand hygiene appropriately and provide perineal and wound care in a manner to reduce risk of infection, including use of soiled gloves and reusing wipes and gauze pads.
Report Facts
Residents affected: 11
Facility census: 49
Observation dates: 8
Number of residents with care plan deficiencies: 11
Number of residents with advance directive documentation issues: 4
Number of residents with dialysis order issues: 2
Number of residents with oxygen order issues: 1
Number of residents with diet order discrepancies: 1
Number of residents with ADL care deficiencies: 4
Number of residents improperly propelled in wheelchairs: 7
Number of residents with infection control deficiencies: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide C | CNA | Interviewed regarding care plan access, resident care, and wheelchair propulsion |
| Assistant Director of Nursing | ADON | Interviewed regarding care plan expectations, resident care, and staff responsibilities |
| Director of Nursing | DON | Interviewed regarding care plan oversight, infection control, and resident safety |
| Licensed Practical Nurse E | LPN | Interviewed regarding care plan knowledge, resident care, and infection control |
| Certified Nurse Aide I | CNA | Interviewed regarding care plan use and wheelchair safety |
| Certified Nurse Aide F | CNA | Observed and interviewed regarding perineal care and hand hygiene |
| Licensed Practical Nurse A | LPN | Observed propelling resident in wheelchair without foot pedals |
| Administrator | Interviewed regarding environmental safety and staff responsibilities |
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