Inspection Reports for Riverside Health Care Center
5100 WEST ST NW, COVINGTON, GA, 30014
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 3, 2025, found no deficiencies and confirmed correction of prior issues, with a related complaint investigation determined to be unsubstantiated. Earlier inspections from April and May 2025 cited deficiencies primarily related to medication management, including illegible medication labels and failure to dispose of expired medications, along with inadequate staff training and inconsistent medication storage audits. Prior reports also noted care planning issues, incomplete assessments for medication self-administration, and fingerprint background check lapses for employees. Complaint investigations were mostly unsubstantiated, with one substantiated complaint in 2025 linked to deficiencies that were later corrected. The facility appears to have addressed recent medication management concerns, showing improvement in the most current inspection.
Deficiencies (last 8 years)
Deficiencies (over 8 years)
9.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
86% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
154 residents
Based on a May 2025 inspection.
Census over time
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
A revisit survey was conducted on July 3, 2025, to verify correction of deficiencies cited in the April 3, 2025 Recertification Survey and to investigate Complaint Intake Number GA00255297.
Complaint Details
Complaint Intake Number GA00255297 was investigated and found to be unsubstantiated.
Findings
All deficiencies cited in the April 3, 2025 Recertification Survey were found to be corrected. The complaint investigation for GA00255297 was unsubstantiated.
Report Facts
Complaint Intake Number: GA00255297 investigated during revisit survey
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
A revisit survey was conducted on July 3, 2025, to verify correction of deficiencies cited in the April 3, 2025 Recertification Survey and to investigate Complaint Intake Number GA00255297.
Complaint Details
Complaint Intake Number GA00255297 was investigated and found to be unsubstantiated.
Findings
All deficiencies cited in the April 3, 2025 Recertification Survey were found to be corrected. The complaint investigation for GA00255297 was unsubstantiated.
Report Facts
Complaint Intake Number: GA00255297
Inspection Report
Re-Inspection
Census: 154
Deficiencies: 1
Date: May 13, 2025
Visit Reason
A revisit survey was conducted due to noncompliance related to the standard survey combined with complaints survey to verify correction of previous deficiencies.
Complaint Details
The revisit survey was related to complaints survey combined with the standard survey, confirming ongoing noncompliance.
Findings
The facility failed to ensure medication labels were legible and expired medications were properly disposed of on medication carts and in medication storage rooms. Multiple observations revealed illegible or missing expiration dates on various medications, including expired vaccines and insulin without expiration labels. Staff interviews indicated inadequate training and inconsistent medication storage audits.
Deficiencies (1)
Medication labels were illegible and expired medications were not disposed of on six medication carts and in two medication storage rooms.
Report Facts
Census: 154
Medication carts with issues: 6
Medication storage rooms with issues: 2
Expired pneumococcal vaccine: 1
Audit frequency increase: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| BBB | Licensed Practical Nurse (LPN) | Verified presence of medications with illegible expiration dates and confirmed she did not administer medications |
| CCC | MedTech | New staff member who was unfamiliar with medication cart contents and expiration dates |
| DDD | MedTech | Performed random expiration date checks but missed expired medications |
| EEE | MedTech | Observed medications with illegible or missing expiration dates |
| FFF | MedTech | Confirmed unclear expiration date on calcium supplement |
| GGG | MedTech | Observed insulin without expiration date labeling |
| Director of Nursing (DON) | Director of Nursing | Conducted observations, confirmed expired vaccine disposal, and discussed audit and training deficiencies |
| Administrator | Administrator | Provided education on expired medications, reviewed audits, and planned increased audit frequency |
| BB | Unit Manager, Licensed Practical Nurse (LPN) | Confirmed lack of observation of expired insulin and committed to further investigation and staff education |
Inspection Report
Re-Inspection
Deficiencies: 2
Date: May 13, 2025
Visit Reason
A State Licensure revisit survey was conducted from March 31, 2025 through April 3, 2025 to determine compliance with the State Long Term Care Requirements.
Findings
The facility failed to ensure medication labels were legible and that expired medications were disposed of after expiration date on six of six medication carts and in two of three medication storage rooms. Multiple medications had illegible or missing expiration dates, and expired vaccines were found and discarded. Staff training and audit processes were noted as inadequate.
Deficiencies (2)
Medication labels were illegible or missing expiration dates on multiple medication carts and storage rooms.
Expired pneumococcal 13-valent conjugate vaccine found in medication storage refrigerator.
Report Facts
Medication carts with issues: 6
Medication storage rooms with issues: 2
Expired vaccine date: 2024.12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| BBB | Licensed Practical Nurse (LPN) | Verified presence of expired medications on Unit 1/100 Hall medication cart. |
| CCC | MedTech | Observed medication cart with illegible expiration dates and unfamiliar with items. |
| DDD | MedTech | Observed medication cart with illegible expiration dates and performed random checks. |
| EEE | MedTech | Observed medication cart with illegible expiration dates and missing expiration labels. |
| FFF | MedTech | Observed medication cart with illegible expiration dates. |
| GGG | MedTech | Observed medication cart with missing expiration date labeling. |
| DON | Director of Nursing | Confirmed expired medications in storage rooms and discussed audit and training issues. |
| BB | Unit Manager, Licensed Practical Nurse (LPN) | Confirmed lack of observation of expired insulin and committed to investigate further. |
| Administrator | Confirmed prior education on expired medications and plans to increase audit frequency. |
Inspection Report
Re-Inspection
Census: 154
Deficiencies: 1
Date: May 13, 2025
Visit Reason
A revisit survey was conducted to assess the facility's compliance with Medicare/Medicaid regulations following a prior standard survey combined with a complaints survey.
Complaint Details
The deficiencies resulted from the facility's noncompliance related to the standard survey with the complaints survey.
Findings
The facility failed to ensure medication labels were legible and expired medications were properly disposed of on multiple medication carts and storage rooms. Several medications had illegible or missing expiration dates, and expired vaccines were found and discarded. Staff training and audit processes were noted as inadequate.
Deficiencies (1)
Medication labels were illegible and expired medications were not disposed of on six medication carts and in two medication storage rooms.
Report Facts
Census: 154
Medication carts with issues: 6
Medication storage rooms with issues: 2
Expiration date of expired vaccine: 2024.12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| BBB | Licensed Practical Nurse (LPN) | Verified presence of medications with illegible expiration dates on medication carts |
| CCC | MedTech | Observed with illegible medication expiration dates on cart and reported being new |
| DDD | MedTech | Reported performing random expiration date checks but missed expired medications |
| EEE | MedTech | Observed medications with illegible or missing expiration dates |
| FFF | MedTech | Observed calcium supplement with illegible expiration date |
| GGG | MedTech | Observed insulin without expiration date labeling |
| Director of Nursing (DON) | Director of Nursing | Confirmed expired vaccine and insulin without expiration dates; discussed audit and training deficiencies |
| LPN BB | Unit Manager | Confirmed lack of observation of expired insulin and committed to further investigation and staff education |
| Administrator | Administrator | Confirmed prior education on expired medications and planned increased audit frequency |
Inspection Report
Re-Inspection
Deficiencies: 1
Date: May 13, 2025
Visit Reason
A State Licensure revisit survey was conducted from March 31, 2025 through April 3, 2025 to determine compliance with State Long Term Care Requirements following prior deficiencies.
Findings
The facility failed to ensure medication labels were legible and expired medications were properly disposed of on six medication carts and in two medication storage rooms. Multiple observations revealed illegible or missing expiration dates on various medications, including acetaminophen, naproxen, Humalog insulin, and expired vaccines. Staff interviews indicated inadequate training and inconsistent medication audits.
Deficiencies (1)
Medication labels were illegible and expired medications were not disposed of on six medication carts and in two medication storage rooms.
Report Facts
Medication carts with issues: 6
Medication storage rooms with issues: 2
Expired pneumococcal vaccine: 1
Observation times: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| BBB | Licensed Practical Nurse (LPN) | Verified presence of expired medications on Unit 1/100 Hall medication cart |
| CCC | MedTech | Observed medication cart (2C) with illegible expiration dates |
| DDD | MedTech | Observed medication cart (2B) with illegible expiration dates |
| EEE | MedTech | Observed medication cart (2A) with illegible expiration dates |
| FFF | MedTech | Observed medication cart (4A) with illegible expiration dates |
| GGG | MedTech | Observed medication cart (4B) with unlabeled Humalog insulin |
| Director of Nursing (DON) | Director of Nursing | Confirmed expired medications in storage rooms and discussed audit and training issues |
| BB | Unit Manager, Licensed Practical Nurse (LPN) | Confirmed investigation of expired insulin and plans to inform MedTech staff |
| Administrator | Administrator | Provided education on expired medications and planned increased audit frequency |
Inspection Report
Re-Inspection
Census: 154
Deficiencies: 1
Date: May 13, 2025
Visit Reason
A revisit survey was conducted due to the facility's noncompliance related to the standard survey combined with complaints survey.
Complaint Details
The revisit survey was related to complaints as indicated by the combination of standard survey with complaints survey.
Findings
The facility failed to ensure medication labels were legible and expired medications were properly disposed of on medication carts and in medication storage rooms. Multiple observations revealed illegible or missing expiration dates on various medications, including expired vaccines and insulin without expiration labels. Staff interviews indicated inadequate training and inconsistent medication storage audits.
Deficiencies (1)
Medication labels were illegible or missing expiration dates on six medication carts and two medication storage rooms.
Report Facts
Census: 154
Expired vaccine: 1
Medication carts inspected: 6
Medication storage rooms inspected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| BBB | Licensed Practical Nurse (LPN) | Verified presence of medications with illegible expiration dates on Unit 1/100 Hall |
| CCC | MedTech | Observed with illegible expiration dates on medications on cart 2C |
| DDD | MedTech | Observed illegible expiration dates and confirmed random checks for expiration dates on cart 2B |
| EEE | MedTech | Observed illegible or missing expiration dates on medications on cart 2A |
| FFF | MedTech | Observed illegible expiration date on calcium supplement on cart 4A |
| GGG | MedTech | Observed insulin without expiration date labeling on cart 4B |
| Director of Nursing (DON) | Director of Nursing | Conducted observations, confirmed expired medications, and discussed audit and training issues |
| LPN BB | Unit Manager | Confirmed lack of observation of expired insulin and committed to further investigation and staff notification |
| Administrator | Administrator | Confirmed prior education on expired medications, audit reviews, and plans to increase audit frequency |
Inspection Report
Follow-Up
Deficiencies: 0
Date: May 13, 2025
Visit Reason
A follow-up survey was conducted to verify correction of previously cited deficiencies.
Findings
The follow-up survey noted that all previously cited tags have been corrected.
Inspection Report
Re-Inspection
Deficiencies: 1
Date: May 13, 2025
Visit Reason
A State Licensure revisit survey was conducted from March 31, 2025 through April 3, 2025 to determine compliance with State Long Term Care Requirements following prior deficiencies.
Findings
The facility failed to ensure medication labels were legible and expired medications were properly disposed of on six medication carts and in two medication storage rooms. Multiple observations and interviews confirmed the presence of expired or illegibly labeled medications, including acetaminophen, naproxen, aspirin, Humalog insulin, and a pneumococcal vaccine. The Director of Nursing and Administrator acknowledged issues with medication storage audits and staff training.
Deficiencies (1)
Medication labels were illegible and expired medications were not disposed of on six medication carts and in two medication storage rooms.
Report Facts
Medication carts with issues: 6
Medication storage rooms with issues: 2
Expired pneumococcal vaccine: 1
Audit frequency increase: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| BBB | Licensed Practical Nurse (LPN) | Verified presence of expired medications on medication carts |
| CCC | MedTech | Observed with expired or illegibly labeled medications on cart 2C |
| DDD | MedTech | Observed with expired or illegibly labeled medications on cart 2B |
| EEE | MedTech | Observed with expired or illegibly labeled medications on cart 2A |
| FFF | MedTech | Observed with expired or illegibly labeled medications on cart 4A |
| GGG | MedTech | Observed with expired or illegibly labeled medications on cart 4B |
| BB | Unit Manager, Licensed Practical Nurse (LPN) | Confirmed lack of observation of expired insulin and committed to investigate further |
| Director of Nursing (DON) | Director of Nursing | Confirmed expired medications and issues with medication storage audits and staff training |
| Administrator | Administrator | Provided education on expired medications, reviewed audits, and increased audit frequency |
Inspection Report
Life Safety
Census: 155
Capacity: 158
Deficiencies: 1
Date: Apr 16, 2025
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found not in substantial compliance due to failure to properly seal penetrations in the mechanical room ceiling with approved fire caulk, affecting one of six smoke compartments. This deficiency was confirmed by staff during the inspection.
Deficiencies (1)
Penetrations in the mechanical room ceiling were not properly sealed with approved fire caulk, compromising smoke barrier construction.
Report Facts
Census: 155
Total Capacity: 158
Smoke Compartments Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings of unsealed penetrations in mechanical room ceiling |
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Apr 3, 2025
Visit Reason
The inspection was a State Licensure Survey conducted from March 31, 2025 through April 3, 2025, to determine compliance with State Long Term Care Requirements.
Findings
The facility was found deficient in multiple areas including medication management with expired and illegible medication labels, failure to assess a resident for self-administration of medications before leaving medications at bedside, incomplete care plans for residents with indwelling urinary catheters and oxygen therapy, and failure to conduct fingerprint criminal background checks for certain employees.
Deficiencies (4)
Failed to ensure all medication labels were legible and expired medications were disposed of on medication carts and storage rooms.
Failed to assess one resident for self-administration of medications prior to leaving medications at bedside.
Failed to develop comprehensive person-centered care plans for residents with indwelling urinary catheter and oxygen therapy.
Failed to ensure fingerprint criminal background checks were conducted for three employees.
Report Facts
Medication carts with expired medications: 1
Medication storage rooms with expired medications: 2
Sampled residents: 56
Residents with indwelling urinary catheter: 1
Residents receiving oxygen: 1
Employees without fingerprint background check: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| GG | Certified Medication Aide (CMA) | Observed medication administration and confirmed expired glucagon injections on medication cart. |
| FF | Licensed Practical Nurse (LPN) | Interviewed regarding expired medications in medication storage room on hall 100. |
| AA | Licensed Practical Nurse (LPN) | Interviewed regarding expired medications and unreadable medication labels in medication storage room on hall 300. |
| II | Licensed Practical Nurse (LPN) Unit Manager | Interviewed about responsibility for auditing medication rooms for expired drugs. |
| DON | Director of Nursing | Provided information on medication expiration checks, self-administration policies, and care plan responsibilities. |
| HH | Certified Nursing Assistant (CNA) | Interviewed about resident R150's medicated inhalers at bedside. |
| BB | Licensed Practical Nurse (LPN) | Verified no care plan for oxygen administration for resident R147. |
| MDS Coordinator | Interviewed about updating care plans and inclusion of indwelling catheters. | |
| HRD | Human Resources Director | Interviewed about fingerprint criminal background checks for employees. |
| Administrator | Interviewed about staff expectations for completing required tasks daily. |
Inspection Report
Annual Inspection
Census: 155
Deficiencies: 5
Date: Apr 3, 2025
Visit Reason
A recertification survey was conducted at Riverside Health Care Center from March 31, 2025, through April 3, 2025, including investigation of multiple complaint intake numbers.
Complaint Details
Multiple complaint intake numbers were investigated; several were unsubstantiated, some substantiated without deficiency, and one substantiated with deficiencies cited.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to assess resident for self-administration of medication, incomplete comprehensive care plans for residents with indwelling catheters and oxygen therapy, failure to update care plans for pressure injuries and discontinued oxygen therapy, oxygen administration not matching physician orders, and medication storage issues including expired and unlabeled medications.
Deficiencies (5)
Failed to ensure one of 56 sampled residents was assessed for self-administration of medications prior to leaving medications at bedside.
Failed to develop a comprehensive person-centered care plan for residents with indwelling urinary catheter and oxygen therapy.
Failed to revise comprehensive care plan to include new sacral pressure injury and update care plan for discontinued oxygen treatment.
Failed to ensure physician's order for oxygen administration was obtained and oxygen was administered as ordered for multiple residents.
Failed to ensure all medication labels were legible and expired medications were disposed of in medication carts and storage rooms.
Report Facts
Residents sampled for self-administration assessment: 56
Residents with indwelling urinary catheter reviewed: 12
Residents receiving oxygen reviewed: 26
Residents reviewed with pressure ulcers: 3
Medication carts inspected: 5
Medication storage rooms inspected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| HH | Certified Nursing Assistant (CNA) | Mentioned in relation to awareness of resident medication at bedside. |
| II | Licensed Practical Nurse (LPN) | Mentioned regarding medication orders and bedside medication exceptions. |
| DON | Director of Nursing | Provided statements on medication self-administration, care plan expectations, and medication storage policies. |
| LL | MDS Coordinator / Licensed Practical Nurse | Responsible for updating care plans and confirmed care plan deficiencies. |
| AA | Licensed Practical Nurse (LPN) | Confirmed oxygen administration settings and physician orders. |
| BB | Licensed Practical Nurse (LPN) Unit Manager | Verified lack of physician order for oxygen for resident. |
| GG | Certified Medication Aide (CMA) | Observed with expired medications on medication cart. |
| FF | Licensed Practical Nurse (LPN) | Observed expired medications in storage and discussed medication storage procedures. |
| WW | Licensed Practical Nurse (LPN) | Confirmed oxygen settings and physician orders. |
| EE | Licensed Practical Nurse (LPN) Treatment Nurse | Discussed care plan updates for pressure ulcers. |
Inspection Report
Annual Inspection
Census: 148
Deficiencies: 1
Date: Jan 24, 2024
Visit Reason
A State Licensure survey was initiated at Riverside Health Care Center on January 5, 2024 and concluded on January 24, 2024 to assess compliance with state health regulations.
Findings
The survey revealed deficiencies related to failure to conduct Georgia Criminal History Check System fingerprint checks for two Certified Nursing Assistants out of ten employee files reviewed.
Deficiencies (1)
Failure to ensure that a Georgia Criminal History Check System (GCHEXS) fingerprint check was conducted for two Certified Nursing Assistants (CNA BB and CNA CC).
Report Facts
Residents present: 148
Employee files reviewed: 10
Employees without fingerprint check: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA BB | Certified Nursing Assistant | Named in deficiency for missing fingerprint check |
| CNA CC | Certified Nursing Assistant | Named in deficiency for missing fingerprint check |
Inspection Report
Abbreviated Survey
Census: 148
Deficiencies: 1
Date: Jan 24, 2024
Visit Reason
A COVID-19 Focused Infection Control Survey in conjunction with an Abbreviated/Partial Extended Survey was conducted from January 5, 2024 to January 24, 2024. Additionally, three complaint intake numbers were investigated during this period.
Complaint Details
Complaint Intake Numbers GA00231917, GA00240150, and GA00242362 were investigated. GA00231917 was substantiated with no deficiencies, GA00240150 was unsubstantiated, and GA00242362 was substantiated with deficiencies.
Findings
The facility was found to be in compliance with COVID-19 emergency preparedness and infection control regulations. However, deficiencies were identified related to failure to conduct required fingerprint background checks for two Certified Nursing Assistants (CNA BB and CNA CC).
Deficiencies (1)
Failure to ensure that a Georgia Criminal History Check System (GCHEXS) fingerprint check was conducted for two Certified Nursing Assistants (CNA BB and CNA CC).
Report Facts
Facility census: 148
Complaint Intake Numbers investigated: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA BB | Certified Nursing Assistant | Named in deficiency for missing fingerprint check |
| CNA CC | Certified Nursing Assistant | Named in deficiency for missing fingerprint check |
Inspection Report
Deficiencies: 0
Date: Apr 5, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Riverside Health Care Center, indicating a regulatory inspection was conducted.
Findings
The report contains initial comments but does not specify any deficiencies or findings.
Inspection Report
Re-Inspection
Census: 140
Deficiencies: 0
Date: Apr 5, 2023
Visit Reason
A Revisit Survey was conducted from April 4, 2023 through April 5, 2023 at Riverside Health Care Center to verify correction of deficiencies cited in the Standard/Complaint Survey concluded on January 19, 2023.
Findings
All deficiencies cited as a result of the Standard/Complaint Survey concluded on January 19, 2023 were found to be corrected.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Mar 24, 2023
Visit Reason
A Follow-Up Survey was conducted to verify correction of previously cited deficiencies.
Findings
All previously cited survey tags have been corrected as noted by the surveyor.
Inspection Report
Life Safety
Census: 140
Capacity: 159
Deficiencies: 1
Date: Jan 30, 2023
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with fire safety regulations and related construction, repair, and improvement operations at Riverside Health Care Center.
Findings
The facility was found not in substantial compliance due to construction and repair operations related to a busted sprinkler pipe causing water damage and multiple openings in ceilings that were not properly sealed. This condition posed a risk of smoke spread to approximately 70 residents, and the facility was under continuous fire watch.
Deficiencies (1)
Openings into the attic caused by water damage from a busted sprinkler pipe were not drywalled and sealed, compromising fire safety.
Report Facts
Residents at risk: 70
Census: 140
Certified Beds: 159
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff M | Confirmed findings during facility tour regarding ceiling openings and water damage |
Inspection Report
Renewal
Deficiencies: 9
Date: Jan 19, 2023
Visit Reason
The inspection was a Licensure Survey conducted from January 16, 2023 through January 19, 2023 to assess compliance with state and federal regulations for facility licensure renewal.
Findings
The facility was found deficient in multiple areas including misappropriation of resident property, medication management failures, lack of dental services, infection control deficiencies including COVID-19 signage and glove use during wound care, incomplete care plans for behaviors and bladder training, and malfunctioning call light system for a resident.
Deficiencies (9)
Failed to ensure one resident was free from misappropriation of personal property.
Failed to ensure prescribed medications were available for administration for one resident.
Failed to ensure one resident did not receive antipsychotic medication without clinical indication.
Failed to dispose of loose medications found in medication carts.
Failed to obtain dental services for two residents.
Failed to implement effective infection control program including posting COVID-19 outbreak signage and changing gloves between wound care sites.
Failed to develop person-centered comprehensive care plan related to behaviors for one resident.
Failed to assess one resident for a bladder training program to restore or maintain continence.
Failed to ensure call light communication system was functioning adequately for one resident.
Report Facts
Residents reviewed for dental services: 33
Residents reviewed for infection control: 10
Residents reviewed for call light system: 33
Residents reviewed for bladder training: 33
Residents sampled for personal property misappropriation: 33
Employees mentioned
| Name | Title | Context |
|---|---|---|
| KK | Licensed Practical Nurse (LPN) | Observed preparing medications and interviewed regarding medication availability for resident #112 |
| HH | Licensed Practical Nurse (LPN) | Interviewed regarding resident behaviors and medication administration for resident #58 and infection control practices |
| GG | Licensed Practical Nurse (LPN) | Interviewed regarding administration of Haldol and behavioral interventions for resident #58 |
| JJ | Registered Nurse (RN) | Observed medication carts and interviewed regarding medication cart cleaning |
| NN | Licensed Practical Nurse (LPN) | Observed wound care and interviewed regarding glove use |
| AA | Licensed Practical Nurse (LPN) | Observed wound care and interviewed regarding glove use |
| MDS Coordinator | Interviewed regarding care plan interventions for resident #58 | |
| Maintenance Director | Interviewed regarding call light repair requests and maintenance log | |
| Administrator | Interviewed regarding COVID-19 signage, call light expectations, and dental care expectations | |
| Social Service Director (SSD) | Interviewed regarding dental services and resident needs |
Inspection Report
Routine
Census: 134
Deficiencies: 15
Date: Jan 19, 2023
Visit Reason
A standard survey was conducted at Riverside Health Care Center from 1/16/2023 through 1/19/2023, including investigation of three complaint intake numbers which were unsubstantiated.
Complaint Details
Complaint Intake Numbers GA00228902, GA00228505, and GA00227329 were investigated in conjunction with this standard survey and were unsubstantiated.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to treat residents with dignity, inadequate water temperatures, misappropriation of resident property, incomplete care plans for behaviors, failure to assess for bladder training, unsanitary oxygen equipment, lack of RN coverage for required hours, medication availability issues, inappropriate use of antipsychotic medication, medication administration errors, failure to obtain dental services, lack of COVID-19 outbreak signage, malfunctioning call light system, and ineffective pest control.
Deficiencies (15)
Staff failed to sit while feeding resident #60 and served resident #101 meals on Styrofoam plates with plastic silverware.
Facility failed to provide comfortable water temperatures in 11 of 38 rooms and had one broken shower head.
Facility failed to ensure resident #125 was free from misappropriation of personal property.
Facility failed to develop a person-centered care plan related to behaviors for resident #58.
Facility failed to assess resident #102 for a bladder training program to restore or maintain continence.
Facility failed to ensure clean oxygen concentrator filters and oxygen tubing and breathing treatment mask were stored in a sanitary manner for residents #68, #28, and #116.
Facility failed to ensure a Registered Nurse was on duty for eight consecutive hours on 7/3/2022 and 8/21/2022.
Facility failed to ensure prescribed medication Xiidra Solution 5% was available for resident #112.
Facility failed to ensure resident #58 did not receive antipsychotic medication without clinical indication and failed to document non-pharmacological interventions.
Facility medication error rate was 21.43% due to wrong dosage and medication administration errors for residents #32 and #112.
Facility failed to obtain dental services for residents #132 and #73 despite complaints and documented need.
Facility failed to implement effective infection control program by not posting COVID-19 outbreak signage and failing to change gloves between wound care on resident #60.
Facility failed to follow antibiotic stewardship program by prescribing antibiotic to resident #24 without meeting criteria.
Facility failed to ensure call light system was functioning for resident #102; call light outlet was missing and wires exposed.
Facility failed to maintain effective pest control; live roaches observed in multiple resident rooms despite monthly exterminator visits.
Report Facts
Resident census: 134
Medication error rate: 21.43
Weight gain: 33.2
Medication doses: 2
Medication doses: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN AA | Licensed Practical Nurse | Named in dignity deficiency for not sitting while feeding resident #60 and wound care glove issue |
| LPN KK | Licensed Practical Nurse | Named in medication administration errors for residents #112 and #32 |
| LPN NN | Licensed Practical Nurse | Named in wound care glove issue and medication administration errors |
| Director of Nursing | Director of Nursing | Provided multiple interviews regarding policies, deficiencies, and staffing |
| Medical Director | Medical Director | Interviewed regarding antibiotic stewardship and weight gain |
| Assistant Director of Nursing/Infection Preventionist | ADON/IP | Interviewed regarding antibiotic stewardship |
| Maintenance Director | Maintenance Director | Interviewed regarding call light repair and pest control |
| LPN HH | Licensed Practical Nurse | Interviewed regarding call light and resident behaviors |
| LPN GG | Licensed Practical Nurse | Interviewed regarding administration of antipsychotic medication |
| LPN MM | Licensed Practical Nurse | Interviewed regarding antibiotic use and call light system |
| CNA FF | Certified Nurse Assistant | Interviewed regarding oxygen equipment and call light system |
| CNA CC | Certified Nurse Assistant | Interviewed regarding water temperature issues and resident complaints |
| Social Service Director | Social Service Director | Interviewed regarding dental services |
| Registered Nurse JJ | Registered Nurse | Interviewed regarding medication cart cleanliness and resident care |
Inspection Report
Deficiencies: 0
Date: Dec 9, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction for Riverside Health Care Center following a regulatory survey.
Findings
The report contains initial comments and a summary statement of deficiencies identified during the survey, but no specific deficiencies or severity levels are detailed in the provided page.
Inspection Report
Re-Inspection
Census: 126
Deficiencies: 0
Date: Dec 9, 2021
Visit Reason
A revisit survey was conducted from 12/8/21 through 12/9/21 to verify correction of deficiencies cited in the 10/23/21 Complaint Survey and to investigate Complaint Intake Number GA00219342.
Complaint Details
Complaint Intake Number GA00219342 was investigated and found to be unsubstantiated.
Findings
All deficiencies cited in the prior complaint survey were found to be corrected. The complaint investigation found Complaint Intake Number GA00219342 to be unsubstantiated.
Report Facts
Census: 126
Inspection Report
Re-Inspection
Census: 126
Deficiencies: 0
Date: Dec 9, 2021
Visit Reason
A revisit survey was conducted from 12/8/21 through 12/9/21 to verify correction of deficiencies cited in the 10/23/21 Complaint Survey. Additionally, Complaint Intake Number GA00219342 was investigated in conjunction with this revisit survey.
Complaint Details
Complaint Intake Number GA00219342 was investigated and found to be unsubstantiated.
Findings
All deficiencies cited as a result of the 10/23/21 Complaint Survey were found to be corrected. The complaint investigation found Complaint Intake Number GA00219342 to be unsubstantiated.
Report Facts
Census: 126
Inspection Report
Original Licensing
Deficiencies: 1
Date: Oct 23, 2021
Visit Reason
A Licensure Survey was conducted from 9/17/21 through 10/23/21 to assess compliance with safety regulations and licensure requirements at Riverside Health Care Center.
Findings
The facility failed to ensure a safe environment for one resident with a history of wrapping call lights, sheets, and curtains around her body, resulting in the resident's accidental death by hanging. The facility did not remove blind cords and failed to provide adequate supervision despite known risks.
Deficiencies (1)
Failure to remove a blind cord from the resident's room and failure to adequately supervise a resident with a known history of wrapping call lights, sheets, and curtains around her body.
Report Facts
Number of sampled residents: 16
Frequency of resident checks: 15
Date range of licensure survey: Survey conducted from 2021-09-17 through 2021-10-23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| GG | Licensed Practical Nurse (LPN) | Reported behavior of resident wrapping body in curtains and call light cord; assisted in removing blind cords after incident |
| YY | Certified Nursing Assistant (CNA) | Reported resident should be checked every 15 minutes if not seen walking |
| TT | Licensed Practical Nurse (LPN) | Reported residents on memory care unit should be checked every 15 minutes |
| AAA | Certified Nursing Assistant (CNA) | Reported resident should be checked every 15 minutes |
| AA | Registered Nurse (RN) | Reported resident required constant supervision and discussed one-to-one supervision with Administrator and Medical Director |
Inspection Report
Abbreviated Survey
Census: 123
Deficiencies: 4
Date: Oct 23, 2021
Visit Reason
An abbreviated/partial extended survey was conducted investigating complaint intake #GA00217689 and #GA00218386, including review of behavioral health and safety concerns for a resident with worsening behaviors and a history of wrapping call lights, sheets, and curtains around her body.
Complaint Details
Complaint intake #GA00217689 was substantiated with deficiencies related to the resident's death due to a window blind cord. Complaint intake #GA00218386 was substantiated without deficiencies.
Findings
The facility was found to be out of compliance with multiple regulatory requirements related to PASARR screening, comprehensive care planning, accident hazards and supervision, and behavioral health services. A resident was found deceased with a window blind cord wrapped around her neck, which was linked to inadequate supervision and failure to remove accident hazards. The facility implemented corrective actions including staff education, audits, and replacement of window blinds with cordless versions.
Deficiencies (4)
Failure to follow through with recommendations for Level II PASARR for evaluation and determination for specialized psychiatric services for a resident with worsening behaviors.
Failure to implement a comprehensive care plan with interventions to monitor safety related to a resident's known behavior of wrapping call lights, linen, and curtains around her body.
Failure to ensure a safe environment by not removing a blind cord from the resident's room and inadequate supervision of a resident with a history of wrapping cords and curtains around her body, resulting in death.
Failure to provide necessary behavioral health services to a resident with significant worsening behaviors and safety concerns, including failure to follow psychiatric recommendations and pursue alternate placement.
Report Facts
Resident census: 123
Staff in-service counts: 108
Residents reviewed for PASARR audit: 40
Window blinds replaced: 124
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Director | Interviewed regarding awareness of resident's worsening behaviors and PASARR screening | |
| Psychiatric Nurse Practitioner | Interviewed regarding psychiatric recommendations and PASARR Level II screening request | |
| Medical Director | Interviewed regarding awareness of resident's death and review of policies and corrective actions | |
| Director of Nursing (DON) | Interviewed regarding care plan audits, staff education, and incident response | |
| Administrator | Interviewed regarding incident awareness, QAPI meetings, and corrective actions | |
| Licensed Practical Nurse (LPN) | Interviewed regarding resident supervision and incident response | |
| Certified Nursing Assistant (CNA) | Interviewed regarding resident supervision and incident response |
Inspection Report
Abbreviated Survey
Census: 125
Deficiencies: 0
Date: Aug 5, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey in conjunction with an Abbreviated/Partial Extended Survey was conducted to investigate complaints #GA00214722, #GA00215339, and #GA00216090.
Complaint Details
Complaints #GA00214722, #GA00215339, and #GA00216090 were investigated and found to be unsubstantiated with no regulatory violations cited.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and CMS/CDC recommended practices for COVID-19. The complaints were unsubstantiated with no regulatory violations cited.
Report Facts
Total census: 125
Inspection Report
Abbreviated Survey
Census: 111
Deficiencies: 0
Date: Mar 25, 2021
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate cases GA00212427 and GA00212768.
Findings
Both investigations GA00212427 and GA00212768 were unsubstantiated with no deficiencies found during the survey.
Inspection Report
Re-Inspection
Census: 111
Deficiencies: 0
Date: Mar 4, 2021
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the December 17, 2020 Complaint and COVID-19 Infection Control Focus Survey.
Findings
All deficiencies cited in the prior complaint and COVID-19 infection control survey were found to be corrected during this revisit survey.
Inspection Report
Abbreviated Survey
Census: 97
Deficiencies: 1
Date: Dec 17, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted from 12/14/2020 to 12/17/2020 investigating multiple complaint cases and a COVID-19 Focused Infection Control Survey was also conducted during this period.
Complaint Details
The survey investigated complaints GA00208496, GA00207649, GA00207232, and GA00207103. GA00207649 was substantiated with no deficiencies, while GA00208496, GA00207232, and GA00207103 were substantiated with deficiencies.
Findings
The facility was found not in compliance with infection control regulations related to COVID-19. Specifically, the facility failed to assign one resident who tested positive for COVID-19 to the designated COVID-19 unit until the resident met criteria for discontinuation of precautions, resulting in improper cohorting and potential infection control risk.
Deficiencies (1)
Failure to assign a resident with a positive COVID-19 test to the designated COVID-19 unit until criteria for discontinuation of precautions were met.
Report Facts
Total census: 97
Residents observed on PUI unit: 14
COVID-19 rapid tests positive staff: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Reviewed clinical paperwork and was aware of resident's COVID-19 diagnosis and placement |
| Infection Preventionist Registered Nurse | Infection Preventionist RN | Interviewed regarding resident placement and infection control procedures |
| Admission Coordinator | Admission Coordinator | Alerted nursing department about resident's secondary diagnosis and attempted to obtain hospital paperwork |
Inspection Report
Re-Inspection
Deficiencies: 0
Date: Nov 16, 2020
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the 8/20/2020 Focused COVID-19 Infection Control Survey.
Findings
All deficiencies cited as a result of the 8/20/2020 Focused COVID-19 Infection Control Survey were found to be corrected.
Inspection Report
Re-Inspection
Census: 103
Deficiencies: 6
Date: Sep 2, 2020
Visit Reason
Revisit to validate the Immediate Jeopardy Removal Plan related to COVID-19 infection control deficiencies at Riverside Health Care Center.
Findings
The facility failed to implement an effective infection prevention and control program including timely COVID-19 testing, proper screening of staff and visitors, adequate hand hygiene supplies, proper PPE use, and appropriate cohorting of residents. Immediate Jeopardy was identified due to these failures resulting in a COVID-19 outbreak with 101 residents and 40 staff testing positive and 27 resident deaths. The facility implemented corrective actions including staff education, screening protocols, PPE training, and cohorting guidance. The revisit validated removal of Immediate Jeopardy but the facility remains out of compliance and continues systematic changes.
Deficiencies (6)
Failure to ensure timely and accurate COVID-19 testing for residents, resulting in unknown COVID-19 status and increased risk of virus spread.
Failure to designate a single entrance for proper screening of staff and visitors.
Infection control and PPE concerns on COVID-19 unit including staff not wearing required PPE such as hair and shoe covers.
Resident unnecessarily exposed to COVID-19 due to staff failing to change PPE after treating COVID-19 positive residents.
Lack of soap and hand hygiene supplies with most soap dispensers empty.
Failure to cohort and properly isolate newly admitted residents considered Persons Under Investigation (PUI).
Report Facts
Resident census: 103
COVID-19 positive residents: 101
COVID-19 positive staff: 40
Resident deaths: 27
Residents retested: 18
Staff educated on PPE and infection control: 110
Staff trained on screening: 111
Staff trained on housekeeping and hand hygiene: 16
Staff trained on specimen collection competency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Informed of Immediate Jeopardy and involved in corrective action plan | |
| Interim Director of Nursing (IDON) | Informed of Immediate Jeopardy and involved in corrective action plan | |
| Acting Administrator/Regional Director of Clinical Services | Informed of Immediate Jeopardy and involved in corrective action plan | |
| Vice President of Clinical Operations | Informed of Immediate Jeopardy and involved in corrective action plan | |
| Infection Control Preventionist (ICP) | Responsible for infection control program and staff education | |
| Director of Nursing (DON) | Responsible for infection control program, specimen collection training, and oversight | |
| Housekeeping Supervisor | Responsible for housekeeping audits and staff education | |
| Regional Director of Clinical Operations | Provided education and oversight of infection control and corrective actions | |
| Medical Director | Provided clinical oversight and confirmed improvements in PPE and testing |
Inspection Report
Life Safety
Deficiencies: 0
Date: Aug 26, 2020
Visit Reason
A desk review was conducted by the Fire Safety Supervisor to verify correction of a previous citation.
Findings
The review of documentation showed that the previously cited fire safety citation had been corrected.
Inspection Report
Life Safety
Deficiencies: 0
Date: Aug 26, 2020
Visit Reason
A desk review was conducted by the Fire Safety Supervisor to verify correction of a previous citation.
Findings
Review of documentation showed that the previously cited fire safety citation had been corrected.
Inspection Report
Abbreviated Survey
Census: 103
Deficiencies: 7
Date: Aug 20, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted due to concerns about the facility's compliance with infection control regulations and COVID-19 preparedness.
Findings
The facility failed to timely retest rejected COVID-19 specimens, designate a single entrance for screening, maintain adequate hand hygiene supplies, ensure proper PPE use on the COVID-19 unit, and properly cohort and isolate newly admitted residents as Persons Under Investigation (PUIs). Additionally, the facility failed to notify residents and families timely about COVID-19 cases.
Deficiencies (7)
Failure to timely retest rejected COVID-19 specimens and follow physician orders for testing.
Failure to designate a single entrance/exit for proper screening of staff and visitors.
Infection control/PPE concerns on the COVID-19 unit including staff not wearing required hair and shoe covers.
Resident unnecessarily exposed to COVID-19 due to staff failing to change PPE between residents.
Lack of adequate soap/hand hygiene supplies for staff and residents.
Failure to cohort and properly isolate newly admitted residents considered PUIs, exposing COVID-negative residents to risk.
Failure to notify residents, their representatives, and families timely and consistently about COVID-19 cases and outbreaks.
Report Facts
COVID-19 positive residents: 101
COVID-19 positive staff: 47
Rejected COVID-19 tests: 19
Resident deaths from COVID-19: 27
Soap dispensers empty: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN AA | Licensed Practical Nurse | Named in infection control deficiency for not wearing full PPE and failing to change PPE between residents. |
| RN II | Registered Nurse | Reported being instructed to collect oral specimens instead of nasopharyngeal specimens. |
| Administrator | Informed of Immediate Jeopardy and involved in decisions about specimen collection and infection control. | |
| Interim Director of Nursing | Informed of Immediate Jeopardy and involved in infection control issues. | |
| Regional Director of Clinical Services | Informed of Immediate Jeopardy concerns. | |
| Vice President of Clinical Operations | Informed of Immediate Jeopardy concerns and confirmed facility awareness of rejected specimens. | |
| Medical Director | Expressed concerns about facility not following physician orders for testing. | |
| Social Services Director | Responsible for notifying families of residents who tested positive for COVID-19. | |
| Infection Preventionist | Registered Nurse | Confirmed infection control deficiencies and risks related to PPE and cohorting. |
Inspection Report
Abbreviated Survey
Census: 113
Deficiencies: 0
Date: Jul 30, 2020
Visit Reason
An Abbreviated/Partial Extended Survey was conducted to investigate multiple complaints and to perform a Revisit survey for the Recertification survey of February 13, 2020.
Complaint Details
Multiple complaints were investigated; most were unsubstantiated except one which was substantiated but with no deficiencies cited.
Findings
Complaints GA00205022, GA00206612, GA00206720, GA00206892, and GA00206925 were unsubstantiated. Complaint GA00206749 was substantiated with no deficiencies cited. All deficiencies from the prior Recertification survey were found to be corrected.
Report Facts
Complaints investigated: 6
Facility census: 113
Inspection Report
Deficiencies: 0
Date: Jul 29, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for Riverside Health Care Center following a state inspection.
Findings
The report contains initial comments but does not provide specific details on deficiencies or findings.
Inspection Report
Re-Inspection
Census: 113
Deficiencies: 0
Date: Jul 29, 2020
Visit Reason
A revisit survey was conducted to verify correction of deficiencies cited in the February 13, 2020 Recertification Survey.
Findings
All deficiencies cited in the prior February 13, 2020 Recertification Survey were found to be corrected during this revisit survey.
Inspection Report
Routine
Census: 118
Deficiencies: 0
Date: Jul 22, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 and 42 CFR §483.80 infection control regulations and has implemented recommended practices to prepare for COVID-19.
Inspection Report
Routine
Census: 114
Deficiencies: 0
Date: Jun 18, 2020
Visit Reason
A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with federal regulations and recommended practices related to COVID-19 preparedness and infection control.
Findings
The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing CMS and CDC recommended practices for COVID-19.
Inspection Report
Life Safety
Census: 137
Capacity: 158
Deficiencies: 2
Date: Mar 4, 2020
Visit Reason
An unannounced Emergency Preparedness survey was conducted on 3/4/20 following a State Agency Annual Emergency Preparedness Survey conducted on 2/11/20. Additionally, a Life Safety Code Federal Monitoring Survey was conducted on 3/4/20 following a survey by the Georgia Department of Community Health on 2/11/20.
Findings
The facility was found not in substantial compliance with Life Safety Code requirements, specifically failing to protect hazardous areas with proper fire barriers and automatic closing doors, and failing to install smoke detectors in areas open to corridors without separation.
Deficiencies (2)
Mattresses and supplies in cardboard boxes were stored in the 400 hall storage room which was not protected by a self-closing or automatic closing door as required.
The facility failed to install smoke detectors in the 400 hall dining room which was not separated from the corridor.
Report Facts
Census: 137
Total Capacity: 158
Room size: 96
Inspection time: 930
Inspection time: 945
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Present when deficiencies were identified |
Inspection Report
Original Licensing
Deficiencies: 2
Date: Feb 13, 2020
Visit Reason
The inspection was conducted as a Licensure Survey from February 3, 2020 through February 13, 2020 to assess compliance with state and federal regulations.
Findings
The facility was found deficient in pharmacy management due to failure to label insulin medications with open and expiration dates on two of seven medication carts. Additionally, the facility failed to provide rehabilitation equipment in a timely manner to one resident, resulting in delayed delivery of a prescribed foam cervical collar.
Deficiencies (2)
Failure to ensure insulin medications are labeled with open and/or expiration dates on two of seven medication carts.
Failure to provide rehabilitation equipment (foam cervical collar) in a timely manner to one resident.
Report Facts
Medication carts with unlabeled insulin: 2
Sampled residents: 43
Resident BIMS score: 15
Self-care assessment score: 30
Dates of insulin vial openings: Humulin R vial opened 12/12/19; Novolog vial opened 12/3/19 without expiration dates.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| HH | Licensed Practical Nurse (LPN) | Provided information about insulin medication labeling and expiration. |
| DON | Director of Nursing | Interviewed regarding insulin labeling requirements and Pharmacy Consultant report. |
| FF | Certified Occupational Therapy Assistant (COTA) | Reported on resident #96's therapy and equipment needs. |
| GG | Certified Nursing Assistant (CNA) | Responsible for placing orders and following up on foam cervical collar delivery. |
| DOR | Director of Rehabilitation | Responsible for ordering and following up on rehabilitation equipment for residents. |
| Administrator | Interviewed about ordering process and awareness of missing equipment. |
Inspection Report
Complaint Investigation
Census: 143
Deficiencies: 5
Date: Feb 13, 2020
Visit Reason
A standard survey was conducted from February 10 through February 13, 2020, including investigation of multiple complaint intake numbers, two of which were substantiated with deficiencies.
Complaint Details
Complaint Intake Numbers GA00202022 and GA00197604 were substantiated with deficiencies related to the standard survey.
Findings
The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including unsafe and unclean environment due to dirty air filters in resident rooms, failure to involve a resident in care plan development, failure to provide timely rehabilitation equipment, improper labeling and storage of insulin medications, and multiple food safety violations including improper labeling, temperature control, and sanitation.
Deficiencies (5)
Facility failed to maintain a safe, clean, comfortable, and homelike environment due to dirty air filters and vents in seven resident rooms.
Facility failed to invite resident #140 to participate in the development of her plan of care.
Facility failed to provide rehabilitation equipment (foam cervical collar) in a timely manner to resident #96.
Facility failed to ensure insulin medications were labeled with open and expiration dates on two medication carts.
Facility failed to properly label food products, maintain appropriate food temperatures, properly air dry dome lids, maintain clean food processor and microwave, maintain ice machine lid in good condition, and ensure waste receptacle next to hand wash station had a lid.
Report Facts
Resident census: 143
Number of resident rooms with dirty air filters: 7
Number of sampled residents: 43
Number of residents receiving puree diet: 23
Temperature of pureed green bean salad: 69
Temperature of pureed green bean salad: 38
Shelf life of Humulin R insulin: 31
Shelf life of Novolog insulin: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA GG | Certified Nursing Assistant | Named in relation to ordering and follow-up of foam cervical collar |
| COTA FF | Certified Occupational Therapy Assistant | Reported on resident #96 therapy and equipment needs |
| LPN HH | Licensed Practical Nurse | Provided insulin drug chart and medication cart observations |
| DM | Dietary Manager | Interviewed regarding food safety and labeling deficiencies |
| Cook AA | Cook | Interviewed regarding puree diet preparation and food safety |
| Administrator | Interviewed regarding care plan process and food safety expectations | |
| Director of Nursing | DON | Interviewed regarding insulin labeling and pharmacy consultant report |
| Director of Rehabilitation | DOR | Interviewed regarding equipment ordering and resident screening |
Inspection Report
Life Safety
Census: 142
Capacity: 145
Deficiencies: 1
Date: Feb 11, 2020
Visit Reason
The visit was a Life Safety Code Survey conducted to assess compliance with 42 CFR Subpart 483.70(a) and the NFPA 101 Life Safety Code 2012 edition requirements for participation in Medicare/Medicaid.
Findings
The facility was found not in substantial compliance due to failure to maintain multiple emergency lights at the 200 and 400 exterior and interior egress paths, which could place 30 residents and several staff at risk during a fire incident.
Deficiencies (1)
Facility failed to maintain multiple emergency lights at the 200, 400 exterior and interior corridors.
Report Facts
Census: 142
Total Capacity: 145
Residents at risk: 30
Inspection Report
Complaint Investigation
Census: 147
Deficiencies: 0
Date: Mar 7, 2019
Visit Reason
An abbreviated/partial extended survey was conducted to investigate complaint GA00194335.
Complaint Details
Complaint GA00194335 was substantiated with no deficiencies cited.
Findings
The complaint GA00194335 was substantiated with no deficiencies cited during the investigation.
Report Facts
Facility census: 147
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 18, 2019
Visit Reason
A complaint survey was conducted to investigate complaint GA00192963 by a Registered Nurse Surveyor to determine compliance with Federal and State Long Term Care Requirements.
Complaint Details
Complaint GA00192963 was investigated and found to have no deficiencies.
Findings
No deficiencies were cited during the complaint survey.
Inspection Report
Re-Inspection
Census: 143
Deficiencies: 0
Date: Oct 11, 2018
Visit Reason
A revisit survey was conducted to verify correction of deficiencies found during the Recertification survey of 8/16/18.
Findings
The revisit survey revealed that the facility was not in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B. The facility had a census of 143 at the time of the revisit.
Report Facts
Facility census: 143
Inspection Report
Life Safety
Census: 147
Capacity: 158
Deficiencies: 0
Date: Aug 13, 2018
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.
Findings
The facility was found to be in substantial compliance with the Life Safety Code requirements and the Emergency Preparedness Plan was also reviewed and found to be in substantial compliance.
Inspection Report
Complaint Investigation
Census: 145
Deficiencies: 0
Date: Mar 6, 2018
Visit Reason
An unannounced Complaint Survey was conducted to investigate complaint # GA 00185573 at Riverside HealthCare Center.
Complaint Details
Investigation of complaint # GA 00185573; facility found in substantial compliance.
Findings
The complaint survey revealed the facility was in substantial compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483 for Long Term Care Facilities.
Inspection Report
Life Safety
Census: 147
Capacity: 158
Deficiencies: 0
Date: Aug 15, 2017
Visit Reason
A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the National Fire Protection Association (NFPA) Life Safety Code 2012 Edition.
Findings
Riverside Health Care Center was found in substantial compliance with the Life Safety Code requirements during the survey.
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