Inspection Reports for Riverton Enhanced Senior Living

PA, 18109

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 13.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

194% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2022
2023
2024
2025

Census

Latest occupancy rate 77% occupied

Based on a July 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

20 40 60 80 100 May 2022 Jan 2023 Jul 2023 Jan 2024 May 2024 Aug 2024 Jul 2025
Inspection Report Routine Deficiencies: 5 Dec 5, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to quality of care, nursing services, nutritional services, food safety, and other health and safety standards at Riverton Rehabilitation and Healthcare Center.
Findings
The facility was found deficient in multiple areas including failure to implement physician orders for weighing residents, failure to provide appropriate pressure ulcer care, failure to provide physician-ordered nutritional supplements, failure to serve preferred food items and menu items, and failure to store and label food properly in the kitchen. All deficiencies were cited with minimal harm or potential for actual harm and affected a few to many residents.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 5
Deficiencies (5)
DescriptionSeverity
Failed to implement physicians' orders for weighing residents 7 and 109 as ordered and failed to notify physician of significant weight changes.Level of Harm - Minimal harm or potential for actual harm
Failed to implement intervention to promote wound healing for resident 120 by not applying heel boot as ordered.Level of Harm - Minimal harm or potential for actual harm
Failed to provide physician ordered nutritional supplements for residents 19, 64, and 86 as ordered.Level of Harm - Minimal harm or potential for actual harm
Failed to ensure residents 19, 79, and 86 were served preferred food items and failed to serve a food item listed on the menu for one meal on two nursing units.Level of Harm - Minimal harm or potential for actual harm
Failed to store, prepare, and serve foods in a sanitary manner in the food service department, including unlabeled and undated food items and soiled equipment.Level of Harm - Minimal harm or potential for actual harm
Report Facts
Residents sampled: 21 Residents affected: 2 Residents affected: 1 Residents affected: 3 Residents affected: 3 Weight gain: 7.6 Weight gain: 6.6
Employees Mentioned
NameTitleContext
Director of NursingDirector of NursingConfirmed no documented evidence that residents 7 and 109 were weighed and physician notified as ordered; confirmed residents with orders for nutritional supplements should receive them.
Assistant Director of NursingAssistant Director of NursingStated that the heel boot should have been applied as ordered for resident 120.
Food Service DirectorFood Service DirectorStated that all food items were to be labeled and dated in the dietary department.
Inspection Report Deficiencies: 1 Aug 6, 2025
Visit Reason
The inspection was conducted to review compliance with physician's orders and ensure appropriate treatment and care according to orders, resident preferences, and goals.
Findings
The facility failed to ensure that physician's orders were implemented for one of five sampled residents. Specifically, a medication not ordered by the physician was administered to Resident 1.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
DescriptionSeverity
Failed to ensure that physician's orders were implemented for one of five sampled residents; a medication (atorvastatin) not ordered by the physician was administered instead of the ordered medication (simvastatin).Level of Harm - Minimal harm or potential for actual harm
Employees Mentioned
NameTitleContext
Assistant Director of NursingConfirmed that the medication administered was not ordered by the physician.
Inspection Report Complaint Investigation Census: 69 Capacity: 90 Deficiencies: 2 Jul 30, 2025
Visit Reason
The inspection was conducted as a complaint investigation with a partial, unannounced visit to review compliance and address reported issues.
Findings
The inspection found medication administration errors where prescribed medications were not administered as ordered. A plan of correction was submitted and accepted, with ongoing audits and education implemented to ensure compliance.
Complaint Details
The visit was complaint-related, with a medication error cited as a reportable event during the complaint survey. The plan of correction was accepted and implemented.
Deficiencies (2)
Description
Resident was prescribed multiple medications but was not administered these medications as ordered.
Resident was prescribed a medication to be held under certain conditions but was not administered accordingly.
Report Facts
License Capacity: 90 Residents Served: 69 Staffing Hours - Total Daily Staff: 85 Staffing Hours - Waking Staff: 64 Current Hospice Residents: 2 Residents Age 60 or Older: 47 Residents with Mobility Need: 16
Inspection Report Complaint Investigation Deficiencies: 1 Dec 30, 2024
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to ensure timely response to call bells for residents.
Findings
The facility failed to ensure that a call bell was answered in a timely manner for one of ten sampled residents (Resident 6). Observations and interviews confirmed that staff did not respond promptly to the resident's call for assistance.
Complaint Details
The complaint investigation found that call bells were often answered slowly, as stated by Resident 6 and confirmed by observation and staff interviews.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
DescriptionSeverity
Failure to ensure that a call bell was answered in a timely manner for one of ten sampled residents (Resident 6).Level of Harm - Minimal harm or potential for actual harm
Employees Mentioned
NameTitleContext
Nursing Home AdministratorStated that call lights were expected to be answered promptly.
Director of NursingStated that call lights were expected to be answered promptly.
Inspection Report Annual Inspection Deficiencies: 0 Dec 19, 2024
Visit Reason
The document is an annual inspection report for Riverton Rehabilitation and Healthcare Center, summarizing the findings of the survey completed on 12/19/2024.
Findings
No health deficiencies were found during the inspection. The level of harm and residents affected are unknown.
Inspection Report Complaint Investigation Census: 36 Capacity: 90 Deficiencies: 0 Aug 15, 2024
Visit Reason
The inspection was conducted as a complaint investigation at Riverton Enhanced Senior Living on 08/15/2024.
Findings
No regulatory citations or deficiencies were identified during this unannounced partial inspection.
Complaint Details
The inspection was triggered by a complaint, but no deficiencies or citations were found, indicating no substantiated issues.
Report Facts
License Capacity: 90 Residents Served: 36 Current Residents in Hospice: 4 Resident Support Staff: 50 Waking Staff: 38 Residents Age 60 or Older: 36 Residents with Mobility Need: 14 Residents with Physical Disability: 1 Residents Receiving Supplemental Security Income: 0 Residents Diagnosed with Mental Illness: 0 Residents Diagnosed with Intellectual Disability: 0
Inspection Report Census: 67 Capacity: 90 Deficiencies: 0 Jul 1, 2024
Visit Reason
The inspection was conducted as a partial, unannounced visit due to an incident at the facility on 07/01/2024.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Report Facts
Total Daily Staff: 74 Waking Staff: 56 Residents Served: 67 License Capacity: 90 Residents with Mobility Need: 7 Residents with Physical Disability: 2 Residents 60 Years of Age or Older: 67
Inspection Report Follow-Up Census: 36 Capacity: 90 Deficiencies: 5 May 29, 2024
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident, to review the submitted plan of correction and verify compliance.
Findings
The facility was found to have multiple deficiencies including verbal mistreatment of a resident by staff, inadequate staffing during a fire evacuation, failure to evacuate a resident to a designated meeting place during a fire drill, smoking policy violations, and incomplete documentation in a resident's support plan. The submitted plans of correction were accepted and fully implemented by August 1, 2024.
Deficiencies (5)
Description
Resident #1 was verbally mistreated by staff, including yelling and not treating the resident with dignity and respect.
Inadequate staffing to meet residents' needs during a fire evacuation, including no assistance for a resident requiring two-person transfer.
Resident #3 refused to evacuate to a designated meeting place during a fire incident.
Smoking area guidelines were violated with marijuana odor detected and resident smoking on balcony contrary to policy.
Resident #3's support plan did not document behaviors related to smoking or how staff should address them.
Report Facts
License Capacity: 90 Residents Served: 36 Staffing: 47 Waking Staff: 35 Residents requiring 1 person assist: 10 Residents requiring 2 person assist: 1 Fire evacuation time: 600 Random audits: 5 Smoking audits: 3
Inspection Report Renewal Census: 37 Capacity: 90 Deficiencies: 14 Feb 8, 2024
Visit Reason
The inspection was conducted for renewal and complaint reasons as indicated in the inspection information section.
Findings
The inspection identified multiple deficiencies including failure to conduct monthly quality management meetings, direct care staff lacking required qualifications and training, sanitary issues such as mold in a shower and insect infestation, fire safety inspection overdue, and medication administration errors. Plans of correction were accepted and many were implemented by the report date.
Deficiencies (14)
Description
The home did not conduct monthly quality management meetings in October 2023 through January 2024.
Direct care staff person A lacks a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Direct care staff person B's file does not contain the Department-approved direct care training certificate.
Black and green mold-like substance found on the floor of the shower in the bathroom of the home's Conference Room.
Excess of 20 box elder bugs found on the window sill of the 2nd floor stairwell.
Lint found in dryers on Westminster hallway on floors 2, 4, and 5 during initial walkthrough.
The most recent fire safety inspection was completed on 6/19/23, overdue for annual inspection.
Resident #1’s medical evaluation was updated after being signed by an authorized medical professional without documentation of approval.
Staff Person C administering medications was last certified through Department’s Medication Administration Training but Staff Person A has not completed an Annual Practicum and is not certified.
Resident #3’s eye drop medication label lacked instructions to wait 5 minutes between drops and to avoid touching the bottle tip to eyes.
Resident #3’s medication record dose did not match the medication being administered.
Resident #4’s medication was administered less than 8 hours apart, contrary to prescriber’s directions.
Resident #5’s assessment and support plan did not contain required verbiage regarding safe use of an enabler bar.
Resident #2’s assessment and support plan was documented on the Department’s ASP form instead of the required RASP form.
Report Facts
Residents Served: 37 License Capacity: 90 Staffing Hours: 45 Waking Staff: 34 Current Residents: 2 Box Elder Bugs Count: 20
Inspection Report Complaint Investigation Census: 67 Capacity: 90 Deficiencies: 0 Jan 29, 2024
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 01/29/2024.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related, but no deficiencies were found and the follow-up was not required.
Report Facts
Total Daily Staff: 74 Waking Staff: 56 Resident Support Staff: 0 Residents Served: 67 License Capacity: 90 Current Hospice Residents: 1 Residents 60 Years or Older: 34 Residents with Mobility Need: 7
Inspection Report Annual Inspection Deficiencies: 3 Jan 11, 2024
Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with regulatory requirements in various areas including resident rights, medication administration, and food safety.
Findings
The facility was found deficient in honoring residents' rights to address grievances about food quality, specifically cold food service; failure to implement physician medication orders correctly for two residents; and failure to store and label food properly in the dietary department and a country kitchen.
Severity Breakdown
Level of Harm - Potential for minimal harm: 1 Level of Harm - Minimal harm or potential for actual harm: 2
Deficiencies (3)
DescriptionSeverity
Facility failed to address grievances voiced by the resident group regarding food often being served cold.Level of Harm - Potential for minimal harm
Facility failed to ensure physicians' orders were implemented for two residents, administering medications outside established blood pressure parameters.Level of Harm - Minimal harm or potential for actual harm
Facility failed to store food in a sanitary manner, including unlabeled and expired food items in dietary and country kitchen areas.Level of Harm - Minimal harm or potential for actual harm
Report Facts
Residents affected: 5 Residents affected: 2 Medication administrations outside parameters: 9 Medication administrations outside parameters: 6 Expired food item date: Dec 5, 2022
Employees Mentioned
NameTitleContext
Director of NursingConfirmed medications were administered outside established blood pressure parameters for Residents 26 and 83
FSD (Food Service Director)Confirmed items should have been labeled and dated, and expired items removed
Inspection Report Complaint Investigation Census: 67 Capacity: 90 Deficiencies: 0 Oct 23, 2023
Visit Reason
The inspection was conducted as a complaint and incident investigation at Riverton Enhanced Senior Living on 10/23/2023 and 10/24/2023.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Complaint Details
The inspection was complaint-related and included incident investigation; no deficiencies or citations were found.
Report Facts
Residents Served: 67 License Capacity: 90 Current Hospice Residents: 1 Residents Age 60 or Older: 34 Residents with Mobility Need: 7
Inspection Report Complaint Investigation Census: 30 Capacity: 90 Deficiencies: 1 Jul 18, 2023
Visit Reason
The inspection was conducted as a complaint investigation to review compliance with regulatory requirements at Riverton Enhanced Senior Living.
Findings
The facility was found to have a deficiency related to scheduling staff trained to administer medications during overnight shifts, leaving no qualified staff available from 11pm to 7am. A plan of correction was directed and subsequently implemented.
Complaint Details
The visit was complaint-related as indicated by the inspection information section. The submitted plan of correction was fully implemented as of 08/30/2023.
Deficiencies (1)
Description
The home did not schedule a staff member trained to pass medications from 11pm-7am, leaving no staff available to pass medications if needed.
Report Facts
License Capacity: 90 Residents Served: 30 Current Residents in Hospice: 1 Residents Age 60 or Older: 30 Residents with Mobility Need: 5 Total Daily Staff: 35 Waking Staff: 26
Inspection Report Deficiencies: 1 May 23, 2023
Visit Reason
The inspection was conducted to evaluate the facility's response to acute changes in a resident's medical condition and compliance with nursing services regulations.
Findings
The facility failed to respond in a timely manner to an acute change in medical condition for one of three sampled residents, resulting in a three-hour delay before emergency services were contacted and the resident was transported to the hospital.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 1
Deficiencies (1)
DescriptionSeverity
Failure to respond in a timely manner to acute changes in a resident's medical condition.Level of Harm - Minimal harm or potential for actual harm
Report Facts
Time delay: 3 Blood pressure: 184 Blood pressure: 119
Inspection Report Complaint Investigation Census: 42 Capacity: 90 Deficiencies: 0 Mar 2, 2023
Visit Reason
The inspection was conducted as a result of an incident, with an unannounced partial inspection on 03/02/2023.
Findings
No regulatory citations or deficiencies were identified during this inspection.
Complaint Details
The inspection was incident-related and unannounced; no deficiencies were found, indicating no substantiated complaints.
Report Facts
Residents Served: 42 License Capacity: 90 Total Daily Staff: 49 Waking Staff: 37
Inspection Report Renewal Census: 32 Capacity: 90 Deficiencies: 8 Jan 24, 2023
Visit Reason
The inspection was conducted as a renewal and complaint review of the Riverton Enhanced Senior Living facility to verify compliance with licensing requirements and the implementation of the submitted plan of correction.
Findings
The inspection found multiple deficiencies related to resident record confidentiality, annual medical evaluations, medication management including prescription accuracy and labeling, medication storage procedures, medication record accuracy, adherence to prescriber's orders, and support plan documentation. The facility submitted and implemented plans of correction for all deficiencies.
Deficiencies (8)
Description
Resident Privacy coding was attached to the licensing inspection summary and was accessible to the public.
Resident #1’s most recent medical evaluation was not completed as required annually.
The home had medications for Resident #2 that were not currently prescribed.
Medication labels for Residents #2 and #3 did not match current medication orders.
The home used a 'house' glucometer for blood sugar measurements, which is not allowed.
Resident #4's medication record had blood sugar readings not found in the glucometer, indicating inaccurate medication records.
Resident #4 did not receive required sliding scale insulin based on blood sugar readings; Resident #5 received medication despite blood pressure parameters indicating it should have been held.
Resident #6's support plan was incomplete in the Behavioral/Cognitive Needs section.
Report Facts
License Capacity: 90 Residents Served: 32 Total Daily Staff: 39 Waking Staff: 29 Current Residents: 1 Residents Age 60 or Older: 32 Residents with Mobility Need: 7
Inspection Report Follow-Up Census: 29 Capacity: 90 Deficiencies: 4 Dec 13, 2022
Visit Reason
The inspection was conducted as a partial, unannounced visit due to a complaint and incident.
Findings
The submitted plan of correction was found to be fully implemented. Deficiencies involved medication management and failure to complete an annual support plan for a resident, all of which were corrected with staff education and updated documentation.
Complaint Details
The inspection was complaint-related and included incident investigation. The plan of correction was accepted and fully implemented.
Deficiencies (4)
Description
A medication was found in the medication cart without a current prescription for resident #1.
Medication for resident #2 was not found in the medication cart and was not administered as ordered on certain dates.
The home did not follow prescriber's orders for medication administration and cream application for residents #1 and #2.
The home did not complete an annual support plan for resident #2.
Report Facts
License Capacity: 90 Residents Served: 29 Total Daily Staff: 37 Waking Staff: 28
Inspection Report Complaint Investigation Census: 26 Capacity: 90 Deficiencies: 10 May 6, 2022
Visit Reason
The inspection was conducted as a complaint and monitoring review of Riverton Enhanced Senior Living to assess compliance with regulatory requirements.
Findings
Multiple deficiencies were identified including missing charges for bed hold in resident contracts, inoperable bathroom ventilation, missing exit signs, incomplete medical evaluations, inadequate first aid kit contents, medication storage and documentation issues, and incomplete resident records. All deficiencies had plans of correction accepted and were implemented by 02/28/2023.
Complaint Details
The visit was complaint-related and monitoring in nature, with the complaint reason explicitly stated. The submitted plan of correction was fully implemented as of 02/28/2023.
Deficiencies (10)
Description
Resident-home contract did not include charges for holding a bed during an absence.
Resident room bathroom lacks operable window or ventilation fan; ventilation fan was inoperable.
No exit sign over the dining room exit door in a home serving 26 residents.
Resident #1's medical evaluation did not include height or health status.
First aid kit in the home's bus used to transport residents lacked tweezers, mouth shield, or eye shield.
Resident #3 had 3 pills missing from medication package without documentation of dispensing.
Medication tech took a verbal order for insulin without a written order or registered nurse on duty to receive verbal orders.
Resident #1's medication administration record did not include the number of units dispensed.
Resident #1's support plan did not indicate level of supervision, mobility, and medication needs.
Resident #1 and #2's records did not include identifying marks.
Report Facts
Residents served: 26 Total licensed capacity: 90 Staff total daily: 27 Waking staff: 20 Deficiency counts: 10
Employees Mentioned
NameTitleContext
Billing ManagerResponsible for adding charges for bed hold
Maintenance DirectorResponsible for replacing ventilation fans
Director of WellnessResponsible for ongoing compliance related to medical evaluations, medication administration, and staff education
AdministratorResponsible for yearly audits and overall compliance

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