Inspection Reports for
Riverside Care and Rehabilitation Center

190 EAST HWY. 136, CALHOUN, KY, 42327

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 4.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2018
2020
2025

Inspection Report

Annual Inspection
Census: 69 Deficiencies: 0 Date: Mar 13, 2025

Visit Reason
A Standard Recertification and an Abbreviated Survey were initiated on 03/11/2025 and concluded on 03/13/2025 to assess compliance with regulatory requirements.

Findings
The facility was found not to be in substantial compliance with 42 CFR 483 subpart B, with the highest scope and severity of an 'E'. No deficiencies were issued related to KY00045375 and KY00043686.

Report Facts
Survey Census: 69 Sample Size: 17 Supplemental Residents: 1

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Mar 13, 2025

Visit Reason
The inspection was conducted as an annual survey to assess compliance with resident rights, dignity, infection prevention and control, and other regulatory requirements at Riverside Care & Rehabilitation Center.

Findings
The facility failed to consistently treat residents with dignity by not announcing or knocking before entering rooms for five residents. Additionally, infection control practices were deficient, including failure to remove contaminated gloves during wound care, risking contamination of resident belongings.

Deficiencies (2)
F 0550: The facility failed to treat residents with respect and dignity by not announcing or knocking before entering the rooms of five residents. Staff interviews confirmed awareness of the requirement but inconsistent practice.
F 0880: The facility failed to implement an effective infection prevention and control program. The Assistant Director of Nursing did not remove contaminated gloves before touching resident's clothing and belongings during wound care, risking contamination.
Report Facts
Residents affected: 5 Residents affected: 1

Employees mentioned
NameTitleContext
RN1Registered NurseFailed to announce or knock before entering resident rooms during meal pass
CNA4Certified Nurse AideFailed to announce or knock before entering resident rooms during meal pass
Assistant Director of NursingAssistant Director of Nursing (ADON)Failed to remove contaminated gloves during wound care
Licensed Practical NurseLicensed Practical Nurse/Infection Preventionist/Staff Development Coordinator (LPN IP/SDC)Provided infection control training and surveillance
AdministratorAdministratorExpected staff to knock or announce before entering rooms
Director of NursingDirector of Nursing (DON)Expected staff to introduce themselves before entering resident rooms

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Jan 23, 2020

Visit Reason
The inspection was conducted as a comprehensive annual survey to assess compliance with regulatory requirements related to care planning, resident safety, and environmental hazards.

Findings
The facility failed to ensure proper revision and notification of care plans for sampled residents, including failure to update code status and notify residents of care plan meetings. Additionally, the facility did not reassess a resident's elopement risk quarterly as required by policy, resulting in potential safety hazards.

Deficiencies (2)
F 0657: The facility failed to develop and revise comprehensive care plans within 7 days of assessments and failed to notify Resident #38 of care plan meetings. Resident #314's care plan was not updated to reflect a change from full code to do not resuscitate (DNR).
F 0689: The facility failed to ensure the environment was free from accident hazards by not reassessing Resident #314's elopement risk quarterly as required by facility policy.
Report Facts
Residents sampled: 19 Residents affected: 1 Residents affected: 1 Residents affected: 1

Employees mentioned
NameTitleContext
Social Services DirectorResponsible for notifying residents of care plan meetings and updating care plans
AdministratorProvided information on care plan meeting notification practices
Director of NursingResponsible for updating care plans if SSD unavailable and overseeing elopement assessments
Licensed Practical Nurse #1Responsible for care of Resident #314 and provided statements on elopement assessment responsibilities
MDS CoordinatorProvided information on responsibility for elopement assessments

Inspection Report

Routine
Deficiencies: 10 Date: Nov 2, 2018

Visit Reason
Routine inspection of Riverside Care & Rehabilitation Center to assess compliance with regulatory requirements including resident care, safety, and facility operations.

Findings
The facility was found deficient in multiple areas including failure to issue required Medicare notices, failure to notify Ombudsman of resident transfers, failure to provide written bed hold notices, incomplete and insufficient restorative nursing care, improper catheter care, inadequate food safety practices, and insufficient staffing to meet restorative care needs.

Deficiencies (10)
F 0582: Facility failed to issue Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to residents when Medicare covered services ended for three residents.
F 0623: Facility failed to notify the Office of the State Long-Term Care Ombudsman of resident transfers for four residents.
F 0625: Facility failed to provide written notice of bed hold policy duration to residents or representatives for five residents transferred to hospital.
F 0656: Facility failed to develop and implement comprehensive person-centered care plans and provide restorative nursing services as planned for thirteen residents.
F 0676: Facility failed to ensure two residents received restorative services to maintain or improve ability to carry out eating or grooming/hygiene.
F 0688: Facility failed to provide appropriate restorative nursing services to maintain or improve range of motion and mobility for ten residents; restorative services were incomplete or delayed.
F 0689: Facility failed to ensure Resident #20's environment was free from accident hazards; resident fell due to improperly worn shoes despite care plan.
F 0690: Facility failed to provide appropriate catheter care for Resident #40; catheter tubing was improperly positioned above bladder level causing poor drainage.
F 0725: Facility failed to provide sufficient nursing staff to meet restorative nursing needs for twelve residents; restorative care was incomplete or delayed.
F 0812: Facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards; observed unsealed frozen foods, inadequate sanitation, and staff failing to wash hands before trayline.
Report Facts
Residents affected: 3 Residents affected: 4 Residents affected: 5 Residents affected: 13 Residents affected: 2 Residents affected: 10 Residents affected: 1 Residents affected: 1 Residents affected: 12 Residents receiving meals: 58

Employees mentioned
NameTitleContext
Certified Nurse Aide #1Assisted Resident #20 during fall; stated shoes appeared on correctly
Licensed Practical Nurse #3Completed fall investigation for Resident #20
Social Services DirectorResponsible for notifying Ombudsman; admitted failure to notify
AdministratorStated restorative aides directed to complete floor and restorative duties
Restorative Nurse CoordinatorReported restorative aides pulled to floor and restorative care incomplete
Dietary ManagerExpected food to be sealed and staff to wash hands before trayline
Certified Nurse Aide #3Reported improper catheter tubing placement
Certified Nurse Aide #4Received in-service on catheter tubing placement on 11/02/18
Certified Nurse Aide #5Aware of proper catheter tubing placement and risks
Director of NursingExpected proper catheter tubing placement and restorative care reporting

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