Inspection Reports for Riverside Health and Rehabilitation Center

A desk audit was conducted to monitor compliance with previously cited deficiencies related to 42 CFR Part 483 requirements for Long Term Care Facilities.

One violation was identified and corrected as of 2025-11-25. No new non-compliance was found, and the facility is in compliance with all regulations.

A desk audit was conducted to review the implementation of the Plan of Correction for violations previously identified in the violation letter dated August 22, 2025.

Violations #1 and #2 were identified as corrected as of September 25, 2025. The facility administrator was notified of the corrections on September 26, 2025.

The inspection was conducted as a Desk Audit on 6/5/25 to review compliance and licensing status of the facility.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

The inspection visit was conducted as a complaint investigation related to complaint numbers #43339, #43702, #43784, and #43940.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

Complaint investigation related to complaints #43339, #43702, #43784, and #43940. Violations were identified during the inspection.

The inspection was a Desk Audit conducted on 3/19/25 to review compliance with regulations.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

The inspection was conducted as a complaint investigation related to complaint numbers #34349, #37241, and #43229.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as referenced in an attached violation letter dated 3/28/25.

Complaint investigation related to complaints #34349, #37241, and #43229. Violations were substantiated as violations were identified.

Unannounced visits were made to Riverside Health & Rehabilitation on March 10 and 11, 2025, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations related to complaints #37241 and #43229.

Violations of Connecticut State Agencies regulations and statutes were identified during the visits, including a medication transcription error involving Resident #2, where the medication administration time was incorrectly transcribed, leading to potential medication errors. The facility was found to have policy gaps in double-checking medication orders prior to transcription.

The investigation was complaint-driven, related to complaints #37241 and #43229. The report does not explicitly state substantiation status.

The inspection visit was conducted as a complaint investigation related to complaint numbers #42720 and #42538.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified during this inspection, as referenced in an attached violation letter dated 2025-02-14.

Complaint investigation related to complaint numbers #42720 and #42538. Violations were substantiated as violations were identified during the inspection.

Unannounced visits were made to Riverside Health & Rehabilitation on January 21 and 22, 2025, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations.

Violations of the Regulations of Connecticut State Agencies and/or General Statutes were noted during the visits, including issues related to timely notification of physicians and families, neglect in toileting assistance, and failure to ensure timely interventions for residents with low blood sugar. The facility submitted plans of correction addressing these violations with specific corrective actions and monitoring plans.

Complaints #42538 and #42720 triggered the investigations.

The inspection visit was conducted as a complaint investigation related to Complaint Investigation #37351.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were not identified at the time of this inspection.

Complaint Investigation #37351 was the reason for the visit. No violations were identified during the inspection.

The inspection was conducted as a renewal licensing inspection of the Riverside Health & Rehab Center.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection. A full-time Infection Prevention and Control Specialist was noted.

The inspection was conducted as a Desk Audit on 12/28/23 to review compliance and certification files.

The facility was found to be in compliance with the regulations surveyed, with no violations identified at the time of this inspection.

An unannounced visit was made to Riverside Health & Rehabilitation on November 14, 2023, by a representative of the Facility Licensing and Investigations Section for the purpose of conducting a complaint investigation (#36450).

Violations of Connecticut State regulations were identified during the inspection, including inappropriate language used by a nurse aide towards a resident and failure to maintain staffing levels according to minimum requirements. The facility was required to submit a plan of correction.

Complaint investigation #36450 was substantiated with findings including inappropriate language used by a nurse aide and staffing deficiencies. The nurse aide involved was terminated for poor customer service.

An unannounced visit was made to Riverside Health & Rehabilitation on 02/09/2023 for the purpose of conducting a complaint investigation related to alleged abuse.

Violations of Connecticut State regulations were identified involving failure to protect residents from alleged sexual abuse and failure to notify the State Agency timely of abuse allegations. Deficiencies were found related to supervision, investigation, and reporting of abuse incidents involving multiple residents.

Complaint Investigation #33851 was conducted. The investigation found deficiencies related to abuse allegations involving Residents #1, #2, #3, and #4. The facility failed to protect residents from abuse, failed to notify the State Agency timely, and failed to investigate allegations thoroughly. The facility was required to submit a plan of correction by March 9, 2023.

An unannounced visit was made to Riverside Health & Rehabilitation to conduct an investigation with additional information received through June 22, 2022, related to Complaint 32400.

The investigation focused on a potential resident-to-resident sexual abuse incident involving Residents #1 and #2. The facility was unable to substantiate abuse as no physical contact was observed, but identified deficiencies in staff response and resident safety monitoring. A plan of correction was submitted addressing safety measures and staff education.

Complaint 32400 triggered the investigation. The complaint involved an alleged resident-to-resident sexual abuse incident. The facility could not substantiate abuse but identified concerns with staff actions and resident safety. The complaint was investigated with interviews, video review, and policy review.

An unannounced visit was made to Riverside Health & Rehabilitation for the purpose of conducting a complaint investigation related to allegations of mistreatment of a resident.

The facility failed to report an allegation of mistreatment in a timely manner and failed to initiate and thoroughly investigate the allegation of mistreatment involving Resident #10. Documentation was lacking to reflect statements obtained from the resident's caregivers as part of the investigation.

Complaint #31314 was investigated. The facility was found noncompliant with regulations related to abuse and mistreatment of Resident #10. The complaint was substantiated based on review of clinical records, interviews, and facility documentation.

A complaint investigation was conducted at Riverside Health and Rehabilitation to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities, triggered by an allegation of mistreatment of Resident #10.

The facility failed to report an allegation of mistreatment in a timely manner and failed to initiate and thoroughly investigate the allegation. Resident #10 alleged being struck on the back of the head and pushed into side rails by a nurse aide. The facility did not obtain a statement from the resident as part of the investigation and was unaware of a police call related to the resident's safety concerns.

The complaint investigation was substantiated with findings that the facility failed to timely report and properly investigate an allegation of abuse involving Resident #10. The resident reported being struck and pushed by a nurse aide, and the facility failed to obtain a resident statement and was unaware of a police report related to the incident.

The inspection was conducted as a complaint investigation following allegations identified in complaint investigations CT31206 and CT31251.

Violations of Connecticut State regulations were identified related to failure to notify responsible parties about pressure ulcers and failure to implement interventions to prevent pressure ulcer development. The facility was found deficient in documentation and notification practices concerning a resident with a pressure ulcer.

The visit was complaint-related, investigating complaints CT31206 and CT31251. Violations were substantiated as noted in the attached violation letter dated 12/27/21.

The inspection was conducted as a licensing renewal inspection for Riverside Health & Rehabilitation Center.

The facility was found to be in compliance with visitation requirements and no violations were identified at the time of this renewal inspection.

An unannounced visit was made to Riverside Health & Rehabilitation on August 27, 2021, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a licensure and certification inspection.

The report details multiple violations of Connecticut state regulations related to resident care, facility cleanliness, grievance processes, smoking policies, respiratory care, medication management, dietary services, and infection control. The facility was found deficient in ensuring resident safety, proper equipment maintenance, grievance handling, medication expiration management, and staff compliance with infection control policies.

A recertification survey and licensure inspection were conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

Multiple deficiencies were identified including failure to ensure call bells were within reach, inadequate cleaning of feeding tube equipment, failure to follow grievance procedures, unsafe smoking supervision, improper oxygen tubing changes, expired medications and improper medication storage, undated and unlabeled food items, improper use of PPE in food preparation, and failure to perform hand hygiene during meal delivery.

The inspection was conducted as a licensing renewal inspection for Riverside Health & Rehab.

Violations of the General Statutes of Connecticut and/or regulations were identified during the inspection, as referenced in an attached violation letter dated 9/2/21. The facility was found to be in compliance with visitation requirements.

The inspection was conducted as a licensing renewal inspection for the facility.

The facility was found to be in compliance with visitation requirements and no violations of the General Statutes or regulations were identified at the time of this inspection.

An unannounced visit was made to Riverside Health & Rehabilitation on February 3, 2021, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting an investigation.

The facility failed to report and document an investigation for one resident who displayed a danger to self, including failure to complete a reportable event form and notify the State agency. Additionally, the clinical record for a resident was incomplete, lacking specific details of the incident and required notifications. The facility's policies on accident and incident reporting were found insufficient in some areas.

The investigation was complaint-related, focusing on the failure to report and document an incident involving a resident who displayed a danger to self. The complaint was substantiated based on the findings.

The inspection was conducted due to a complaint investigation regarding the facility's failure to notify responsible parties of changes in resident condition, failure to conduct wound assessments, and failure to adhere to infection control practices.

The facility failed to notify the responsible party when a change in condition was identified and new treatment was initiated for Resident #1. The facility also failed to ensure a wound assessment was conducted when a new skin condition was identified, resulting in an unstageable pressure ulcer and hospital transfer for sepsis. Additionally, the facility failed to adhere to infection control practices by allowing clean linen carts into residents' rooms, risking contamination.

The investigation was complaint-related, focusing on Resident #1's change in condition, wound care, and infection control practices. The complaint was substantiated by findings including failure to notify responsible parties, incomplete wound assessments, and infection control breaches.

A COVID-19 Focused Infection Control Survey and investigation was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including infection prevention and control practices to prevent COVID-19 transmission.

Deficiencies were identified related to failure to notify responsible parties of changes in resident condition and new treatments, failure to conduct wound assessments for new skin conditions, and failure to adhere to infection control practices regarding clean linen handling.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to adhere to its Communal Dining Plan and CDC social distancing guidelines during a pandemic, as residents were observed seated less than six feet apart and sharing food in the dining room. Nursing staff acknowledged social distancing was an oversight during the meal, and the facility's communal dining policy was not followed.

An unannounced visit was conducted to Riverside Health & Rehabilitation to perform a Focused Infection Control Survey with additional information received through November 4, 2020.

The facility failed to adhere to the Communal Dining Plan and CDC social distancing guidelines during a pandemic, with residents seated less than six feet apart in the dining room. Interviews with staff confirmed the lack of designated seating arrangements and oversight of social distancing.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The facility failed to adhere to infection control practices and CDC guidelines while handling a contaminated surgical mask, specifically involving improper glove use and mask handling by a nurse aide.

An unannounced visit was conducted on September 22, 2020, by the Department of Public Health for the purpose of conducting an Infection Control Focused Survey with additional information received through September 22, 2020.

The facility failed to adhere to infection control practices and CDC guidelines while handling a contaminated surgical mask, specifically involving improper handling and contamination by a Nursing Assistant. The facility was cited for violations related to infection control and Director of Nurses responsibilities.

Unannounced visits were made to Riverside Health & Rehabilitation for the purpose of conducting an investigation and a COVID-19 Federal Focused Survey with additional information received through August 26, 2020.

The facility failed to timely report a reportable event involving Resident #1 becoming unresponsive and subsequent death. The event was reported 22 days after occurrence, and the Director of Nursing acknowledged a delay in reporting.

Complaint CT#28320 was investigated, focusing on the delay in reporting a reportable event. The complaint was substantiated by findings.

A COVID-19 Focused Survey and investigation were conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

Although federal deficiencies were not cited as a result of this survey, a state public health code violation was identified.

An unannounced visit was made to Riverside Health & Rehabilitation to conduct an investigation and a focused COVID-19 Infection Control survey based on a complaint.

The facility failed to discharge a resident in a timely manner due to inadequate follow-up on the discharge plan involving the resident's family and outside agencies, resulting in a delay of discharge. Documentation and communication deficiencies were noted regarding the discharge process.

Complaint #27907 triggered the investigation. The complaint was substantiated based on review of records, interviews, and documentation showing delays and lack of communication in discharge planning.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR §483.80 Infection Control regulations for Long Term Care Facilities.

The facility implemented CMS and CDC recommended practices related to COVID-19. No deficiencies were cited as a result of this survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices. Additionally, the investigation was triggered by allegations of abuse, neglect, exploitation, or mistreatment related to an injury of unknown origin for one resident.

The facility failed to complete a full investigation according to standards of practice for an injury of unknown origin involving Resident #1. The investigation lacked interviews from key nursing assistants and was not reported to the state agency as potential abuse. The Director of Nursing could not locate investigative interviews, indicating the investigation was not comprehensive. No deficiencies were cited related to infection control.

The investigation was in response to allegations of abuse, neglect, exploitation, or mistreatment related to an injury of unknown origin for Resident #1. The facility did not thoroughly investigate the alleged violation, failed to interview involved nursing assistants, and did not report the injury as potential abuse to the state agency. The deficiency was substantiated as the investigation was incomplete.

An unannounced visit was made to Riverside Health & Rehabilitation on June 4, 2020, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a COVID-19 Focused Survey and an investigation based on additional information received through June 4, 2020.

The facility failed to complete a full investigation for injury of unknown origin for one resident, Resident #1, who had dependent edema and swelling. The investigation lacked interviews with key staff and was deemed not comprehensive. The Director of Nursing did not consider the injury to be of unknown origin and did not report it as potential abuse to the state agency.

Complaint #27681 triggered the investigation. The complaint involved failure to properly investigate an injury of unknown origin for one resident. The investigation was found not comprehensive and the injury was not reported as potential abuse.

A COVID-19 Focused Infection Control Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the transmission of COVID-19.

The facility failed to ensure proper personal protective equipment (PPE) was utilized according to CDC guidelines by staff on COVID-19 positive units, including improper use and lack of fit testing for N95 masks. The facility had adequate PPE supplies and initiated re-education and audits to address the deficiencies.

An unannounced visit was made to Riverside Health & Rehabilitation on May 25, 2020, by a representative of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting a COVID-19 Infection Control survey.

The facility failed to ensure proper personal protective equipment (PPE) was utilized according to CDC guidelines, with multiple staff members observed wearing masks incorrectly or not wearing N95 masks when required. The facility had adequate PPE supplies and planned re-education and fit testing for staff to correct deficiencies.

The visit was conducted for the purpose of conducting a COVID-19 infection control survey.

No violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

No deficiencies were cited as a result of this COVID-19 focused survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

No deficiencies were cited as a result of this COVID-19 focused survey.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The COVID-19 Focused Survey found no deficiencies as a result of this inspection.

A COVID-19 Focused Survey was conducted to determine compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, including proper infection prevention and control practices to prevent the development and transmission of COVID-19.

The survey found the facility in compliance with no deficiencies cited related to infection prevention and control practices for COVID-19.

Unannounced visits were made to Riverside Health & Rehabilitation to conduct an investigation for noncompliance with Connecticut General Statutes and Regulations of Connecticut State Agencies.

The facility failed to notify the state agency of a newly identified fracture in a resident, which was initially misclassified as a Class E event but later reclassified as a Class D event and reported. The facility submitted a plan of correction addressing the reporting requirements and monitoring procedures.

The inspection was conducted as a complaint investigation related to alleged violations of Connecticut General Statutes and regulations at Riverside Health & Rehabilitation Center.

Violations were identified during the complaint investigation, including failure to notify the state agency of a newly identified fracture, misclassification of incident reports, and deficiencies in resident care and facility policies. The facility submitted plans of correction for the identified violations.

The complaint investigation was substantiated with violations identified, including failure to notify the state agency of a newly identified fracture and misclassification of incident reports as Class E instead of Class D.

The inspection was conducted to assess the accuracy of resident assessments, specifically reviewing the Minimum Data Set (MDS) for compliance with regulatory requirements.

The facility failed to ensure the accuracy and consistency of the MDS assessments for Resident #316, particularly regarding hospice care status and prognosis documentation. The coding errors were acknowledged by staff, and the facility did not meet the requirement for accurate resident assessment documentation.

Unannounced visits were made to the facility on April 29 and 30 and May 1 and 2, 2019 by representatives of the Facility Licensing & Investigations Section for the purpose of conducting a licensure inspection, certification survey, and multiple investigations.

The facility was found deficient in quality of care related to timely RN assessments and pressure ulcer care for two residents, failure to provide adequate supervision to a resident with a history of elopement and smoking policy violations, and food safety issues including inadequate monitoring of dishwasher sanitizing solution and improper storage of juices prior to serving.

Unannounced visits were made to Riverside Health & Rehabilitation on May 2, 2019, by representatives of the Facility Licensing and Investigations Section of the Department of Public Health for the purpose of conducting multiple investigations and a licensure renewal inspection.

The report identifies multiple violations of Connecticut General Statutes and Regulations related to clinical record accuracy, timely nursing assessments, resident supervision, smoking policy compliance, and food service sanitation. The facility failed to ensure accurate Minimum Data Set assessments, timely care for pressure ulcers, adequate supervision of residents with a history of non-compliance, and proper sanitizing solution levels for dishwashers.

The inspection was conducted as a licensing renewal inspection and included complaint investigations for CT#24996, CT#25296, and CT#25345.

The report indicates that violations of the General Statutes of Connecticut and/or regulations were identified during the inspection, as referenced by attached violation letters and complaint investigations.

Complaint investigations were conducted for CT#24996, CT#25296, and CT#25345; substantiation status is not stated.

The inspection was conducted as a complaint investigation related to complaint numbers 22495, 22331, 21734, and 22797, and also included a renewal licensure inspection.

Violations of the General Statutes of Connecticut and/or regulations of Connecticut State Agencies were identified at the time of this inspection, as noted in an attached violation letter dated 6/24/18.

Complaint investigation numbers 22495, 22331, 21734, and 22797 were reviewed; violations were substantiated as indicated by the attached violation letter.