Inspection Reports for Riverside Rest Home
276 COUNTY FARM ROAD, DOVER, NH, 03820
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
44% better than New Hampshire average
New Hampshire average: 4.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 4
Date: Feb 12, 2025
Visit Reason
The inspection was conducted to assess compliance with professional standards of quality in medication administration, drug storage, laboratory services, and infection prevention and control in the nursing facility.
Findings
The facility was found deficient in multiple areas including failure to follow professional standards for medication administration, failure to remove expired medications from stock, failure to follow physician orders for timely laboratory services, and failure to implement infection control policies for contact precautions during a suspected Norovirus outbreak.
Deficiencies (4)
Failed to follow professional standard for medication administration by leaving medications unattended with a resident with severe cognitive impairment.
Failed to ensure expired medications were removed from stock in medication rooms.
Failed to follow physician orders for timely laboratory services for a resident on psychotropic medication.
Failed to implement infection control policies for contact precautions for residents during a Norovirus outbreak.
Report Facts
Residents observed for medication administration: 7
Medication rooms observed: 3
Residents reviewed for psychotropic medication side effects: 31
Residents reviewed for transmission based precautions: 31
BIMS score: 2
Medication doses: 15
Medication doses: 17
Medication doses: 75
Medication doses: 650
Discard date of expired medication: Feb 7, 2025
Physician order date: Feb 5, 2025
Lab test date: Feb 6, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse | Staff D observed preparing and administering medication improperly to Resident #84 | |
| Registered Nurse | Staff A confirmed expired medication found in Unit 4 medication room | |
| Licensed Practical Nurse | Staff H confirmed physician orders for Resident #143's labs | |
| Assistant Director of Nursing | Staff O confirmed labs for Resident #143 had not been obtained | |
| Unit Aide | Staff E failed to follow contact precautions for Resident #113 | |
| Registered Nurse | Staff A confirmed contact precautions for Resident #113 | |
| Licensed Nursing Assistant | Staff K delivered food to Resident #113 without wearing gown | |
| Licensed Nursing Assistant | Staff L and Staff M failed to wear appropriate PPE for Resident #113 | |
| Licensed Nursing Assistant | Staff B unaware of gown requirement for contact precautions for Resident #13 | |
| Infection Preventionist | Staff I confirmed outbreak and infection control practices |
Inspection Report
Deficiencies: 2
Date: Jan 11, 2024
Visit Reason
The inspection was conducted to assess compliance with medication labeling and storage regulations in the facility.
Findings
The facility failed to ensure accurate labeling of resident medications in one of four medication carts and failed to discard expired medications in one of three medication rooms observed. Specific issues included prepoured medications without identifiers and a Tuberculin Purified Protein Derivative vial kept beyond the recommended usage period.
Deficiencies (2)
Medications in one medication cart were prepoured without resident and medication identifiers.
Expired Tuberculin Purified Protein Derivative vial was not discarded after the 30-day usage period.
Report Facts
Medication carts observed: 4
Medication rooms observed: 3
Residents affected: 2
Inspection Report
Deficiencies: 1
Date: Dec 16, 2022
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in the nursing facility, specifically regarding adherence to physician's orders for medication administration via tube feeding.
Findings
The facility failed to follow physician's orders for one resident during tube feeding medication administration by not administering the required 200 ml water flush before and after the feeding as ordered.
Deficiencies (1)
Failure to follow physician's orders for tube feeding medication administration by not administering the 200 ml water flush before and after each bolus feed via gastrostomy tube.
Report Facts
Residents affected: 1
Water flush volume: 200
Feeding times: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Staff A who administered feeding without water flush and confirmed findings |
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