Inspection Reports for
Riverview Estates Rehab And Senior Living Center
303 Bank Ave, Riverton, NJ, 08077
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
12.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
137% worse than New Jersey average
New Jersey average: 5.2 deficiencies/year
Deficiencies per year
32
24
16
8
0
Occupancy
Latest occupancy rate
73% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Nov 19, 2025
Visit Reason
This document serves as a Notice of Privacy Practices to inform individuals about how their medical information may be used and disclosed by the New Jersey Department of Health and Senior Services and to describe their rights related to this information.
Findings
The notice explains the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, legal duties of the department, and contact information for privacy concerns.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Capacity: 60
Deficiencies: 0
Date: Jan 22, 2025
Visit Reason
A renovation project survey was conducted to inspect newly renovated resident rooms and common areas at Riverview Estates Rehabilitation and Senior Living Center.
Findings
The facility was found to be in compliance with New Jersey Administrative Code 8:39-31.1 (b). The inspection would increase the facility's licensed beds from 60 to 66, but the new rooms may not be occupied until approval by the State of New Jersey Licensing unit is granted.
Report Facts
Licensed beds: 60
Licensed beds: 66
Inspection Report
Complaint Investigation
Census: 48
Deficiencies: 10
Date: Sep 6, 2024
Visit Reason
The inspection was a standard survey conducted on 09/06/2024 to assess compliance with federal and state regulations for long term care facilities, including complaint-related staffing and care issues.
Complaint Details
The inspection included complaint investigations related to staffing shortages and care deficiencies occurring between November 2023 and August 2024, including multiple shifts with deficient CNA staffing and total staff coverage.
Findings
The facility was found not in substantial compliance with multiple regulatory requirements including professional standards for treatment documentation, respiratory care, staffing ratios, medication management, food safety, infection control, and life safety code compliance. Deficiencies included failure to document treatment administration, improper respiratory care and equipment handling, inadequate RN staffing coverage, delayed response to pharmacist medication recommendations, improper medication storage, food safety violations, infection control breaches during wound care, and fire safety code violations related to sprinkler maintenance and corridor door smoke resistance.
Deficiencies (10)
Failure to follow professional standards for documenting treatment administration on the Electronic Treatment Administration Record (TAR) for Resident #15.
Failure to follow physician orders for respiratory care and infection control measures for respiratory equipment for Residents #18 and #5.
Failure to ensure a Registered Nurse worked 7 days a week for at least 8 consecutive hours a day for 2 of 7 weekends reviewed.
Failure to respond timely to pharmacist medication regimen review recommendations for Residents #5 and #50.
Failure to properly label, store, and date medication in accordance with manufacturer recommendations; medication cart contamination and improper storage of lorazepam.
Failure to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness.
Failure to maintain appropriate infection control practices during wound care and implement enhanced barrier precautions for Resident #15.
Failure to maintain fire sprinkler system sprinkler heads in accordance with NFPA standards, including gaps around sprinkler heads and missing escutcheon plates.
Failure to ensure corridor doors resisted the passage of smoke for 7 of 16 doors observed, including doors not latching properly and gaps between door leaves.
Failure to maintain required minimum direct care staff to resident ratios as mandated by the state of New Jersey, including deficiencies in CNA staffing on multiple shifts.
Report Facts
Census: 48
Sample Size: 17
Deficiency counts: 10
Staffing ratios: 6
Staffing ratios: 5
Staffing ratios: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Named in relation to education and audits for treatment documentation, respiratory care, medication regimen review, infection control, and staffing compliance. | |
| Licensed Practical Nurse (LPN #2) | Named in relation to failure to document treatment administration and improper infection control during wound care. | |
| Licensed Practical Nurse (LPN #3) | Interviewed regarding respiratory care practices. | |
| Human Resources/Staffing | Interviewed regarding staffing levels and compliance with minimum staffing requirements. | |
| Food Service Director (FSD) | Named in relation to food safety deficiencies and corrective actions. | |
| Surveyor #1 and Surveyor #2 | Conducted observations and interviews during the inspection. | |
| Maintenance Director | Named in relation to sprinkler system repairs and door adjustments. |
Inspection Report
Routine
Deficiencies: 7
Date: Sep 6, 2024
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in nursing care, respiratory care, staffing, medication management, food safety, and infection control at Riverview Estates Rehab and Senior Living Center.
Findings
The facility was found deficient in multiple areas including failure to properly document wound care treatments, failure to follow physician orders for oxygen use and respiratory equipment infection control, inadequate RN staffing on certain days, delayed response to pharmacist medication regimen recommendations, improper medication storage and labeling, unsafe food handling and storage practices, and failure to implement appropriate infection control practices including enhanced barrier precautions during wound care.
Deficiencies (7)
Failure to follow professional standards for documenting wound care on the Electronic Treatment Administration Record (TAR) for Resident #15.
Failure to follow physician order for PRN oxygen use and failure to implement infection control measures for respiratory equipment for Residents #18 and #5.
Failure to ensure a Registered Nurse worked 7 days a week for at least 8 consecutive hours a day for 2 of 7 weekends reviewed.
Failure to respond timely to consultant pharmacist medication regimen review recommendations for Residents #5 and #50.
Failure to properly label, store, and date medication; presence of medication spills and loose tablets in medication cart; lorazepam liquid not refrigerated as required.
Failure to handle potentially hazardous food and maintain sanitation, including dented cans, exposed frozen food, expired and wilted fresh coriander, and unlabeled/un-dated food in resident pantry.
Failure to ensure appropriate infection control practices during wound care for Resident #15, including not wearing gowns, not changing gloves between wound sites, not performing hand hygiene, and lack of enhanced barrier precaution signage.
Report Facts
Medication Administration Audit Report entries: 8
RN staffing zero days: 2
Brief Interview for Mental Status (BIMS) scores: 2
Brief Interview for Mental Status (BIMS) scores: 11
Brief Interview for Mental Status (BIMS) scores: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2 | Licensed Practical Nurse | Named in infection control deficiency related to wound care for Resident #15 |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding wound care documentation, infection control practices, and pharmacist recommendations |
| Licensed Nursing Home Administrator | Licensed Nursing Home Administrator (LNHA) | Present during interviews regarding infection control and staffing |
| LPN #3 | Licensed Practical Nurse | Interviewed about nebulizer treatment practices |
| LPN/UM | Licensed Practical Nurse/Unit Manager | Interviewed regarding medication cart cleanliness and medication storage |
| Infection Preventionist | Infection Preventionist (IP) | Interviewed regarding enhanced barrier precautions and infection control policies |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed about respiratory equipment storage policy |
Inspection Report
Routine
Deficiencies: 1
Date: Sep 6, 2024
Visit Reason
The inspection was conducted to assess compliance with staffing requirements, specifically to verify that a Registered Nurse (RN) was on duty 7 days a week for at least 8 consecutive hours a day, as required by facility policy and regulations.
Findings
The facility failed to ensure that a Registered Nurse worked 7 days a week for at least 8 consecutive hours a day for 2 of 7 weekends reviewed, with documented absences on 12/9/2023 and 08/31/2024. Interviews and review of staffing reports confirmed these deficiencies.
Deficiencies (1)
Failure to ensure a Registered Nurse worked 7 days a week for at least 8 consecutive hours a day for 2 of 7 weekends reviewed.
Report Facts
Weekends reviewed: 7
Weekends with RN staffing deficiency: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Human Resources/Staffing | Interviewed regarding RN staffing and confirmed RN absence on 08/31/2024 | |
| Licensed Nursing Home Administrator | Interviewed and confirmed RN presence in building daily |
Inspection Report
Abbreviated Survey
Census: 45
Deficiencies: 0
Date: Jan 25, 2024
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations related to COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 6
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jan 25, 2024
Visit Reason
The inspection was conducted as a standard annual survey of Riverview Estates Rehab and Senior Living Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 10
Date: Oct 30, 2023
Visit Reason
Complaint investigation based on multiple complaint numbers to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities.
Complaint Details
Complaint NJ#: 162553; 164144; 168234. The complaint involved multiple issues including unsafe storage of hazardous materials, failure to notify resident representatives, incomplete incident investigations, inadequate care planning, medication errors, pressure ulcer care, unsafe environment, physician oversight, food safety, and infection control.
Findings
The facility was found not in compliance with requirements based on multiple deficiencies including unsafe storage of hazardous materials, failure to notify resident representatives of changes in condition, incomplete investigations of incidents, failure to develop comprehensive care plans timely, inadequate documentation and treatment of pressure ulcers, unsafe environment with unsecured janitor and treatment closets, failure to ensure physician oversight of care, improper food handling and storage, and failure to implement infection control precautions.
Deficiencies (10)
Failure to ensure janitor closets and treatment supply rooms containing hazardous materials were securely locked and free from resident access.
Failure to notify resident representatives of changes in condition for 2 of 17 residents reviewed.
Failure to thoroughly investigate an incident/accident for 1 of 5 residents reviewed.
Failure to develop and implement a comprehensive person-centered care plan in a timely manner for 1 of 17 residents reviewed.
Failure to meet professional standards of quality related to medication administration, care documentation, and discharge orders for multiple residents.
Failure to provide care consistent with professional standards to prevent and treat pressure ulcers for 1 of 1 resident reviewed.
Failure to ensure a safe environment to prevent accidents by securing hazardous materials and chemicals in janitor and treatment closets.
Failure to ensure physician reviewed resident's total program of care, write, sign, and date progress notes and orders for 1 of 13 residents reviewed.
Failure to procure, store, prepare, and serve food in accordance with professional standards for food service safety, including proper storage temperatures, sanitation, and employee hygiene.
Failure to establish and maintain an infection prevention and control program including proper transmission-based precautions and hand hygiene for 1 of 1 resident reviewed.
Report Facts
Census: 50
Sample Size: 15
Unclean knife count: 2
Freezer temperature: 28
Freezer temperature: 5
Missing treatment documentation: 21
Missing treatment documentation: 21
Missing treatment documentation: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN Infection Preventionist | Licensed Practical Nurse/Infection Preventionist | Interviewed regarding infection control and notification procedures for resident #6. |
| Housekeeping Director | Housekeeping Director | Interviewed regarding janitor closet locking procedures and safety. |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding treatment supply room locking and resident safety. |
| FSD | Food Services Director | Interviewed regarding kitchen sanitation, food storage, and freezer temperature issues. |
| LNHA | Licensed Nursing Home Administrator | Interviewed regarding freezer temperature issues and facility safety. |
| Regional DON | Regional Director of Nursing | Interviewed regarding care planning and physician orders. |
| Interim DON | Interim Director of Nursing | Interviewed regarding care planning, incident investigations, and infection control. |
| MD | Medical Director | Interviewed regarding physician oversight and treatment of resident #6. |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding resident #46 care and safety. |
| CNA #1 | Certified Nursing Assistant | Interviewed regarding resident #44 care and janitor closet safety. |
Inspection Report
Life Safety
Capacity: 30
Deficiencies: 6
Date: Oct 30, 2023
Visit Reason
The inspection was a Life Safety Code Survey conducted by the New Jersey Department of Health to assess compliance with fire safety and life safety regulations, including NFPA 101 and related codes.
Findings
The facility was found deficient in multiple areas including exit signage illumination, hazardous area door enclosures, fire alarm system installation, sprinkler system coverage, corridor door openings, and smoke barrier integrity. Corrective actions were planned and completed by 12/4/2023.
Deficiencies (6)
Facility failed to provide two illuminated exit signs to clearly identify the exit access path to reach an exit discharge door.
Failed to ensure fire-rated doors to hazardous areas were separated by smoke resisting partitions; corridor door to medical supply storage room did not self-close.
Failed to provide fire alarm notification by audible and visible signals for the outside enclosed courtyard.
Failed to properly install sprinklers and provide proper fire sprinkler coverage due to missing ceiling tiles in multiple rooms.
Transfer grills were used in corridor doors on resident sleeping units, which is prohibited.
Failed to maintain the integrity of smoke barrier partitions; a 6"x2" penetration with wires was not sealed in a smoke barrier wall.
Report Facts
Resident sleeping rooms: 30
Deficiency completion dates: 6
Penetration size: 6
Transfer grill size: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Educated on multiple deficiencies and corrective actions. | |
| Corporate Maintenance Director (CMD) | Present during observations and confirmed findings. | |
| Administrator | Informed of deficiencies during survey exit. |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Oct 30, 2023
Visit Reason
The inspection was conducted based on complaints regarding failure to notify residents' representatives of changes in condition and failure to develop and implement comprehensive care plans.
Complaint Details
Complaint NJ #: 162553; 164144. The complaint involved failure to notify representatives of changes in condition and failure to develop comprehensive care plans.
Findings
The facility failed to notify representatives of changes in condition for 2 residents, failed to develop timely and comprehensive care plans for 1 resident, failed to consistently document wound treatments, positioning during tube feedings, application of heel booties, discharge orders for hospital transfers, and urinary output documentation. Additionally, the facility failed to timely implement wound care consultant recommendations for pressure ulcers.
Deficiencies (4)
Failure to notify residents' representatives of changes in condition for 2 residents.
Failure to develop a person-centered comprehensive care plan including fall risk, incontinence, tube feeding positioning, dysphagia, skin impairment, and change in condition for 1 resident.
Failure to consistently document wound treatment, positioning during tube feedings, application of heel booties, discharge orders for hospital transfers, and urinary output documentation.
Failure to timely address wound care consultant recommendations for pressure ulcers including delayed initiation of treatments and nutritional interventions.
Report Facts
Missing urinary output documentation: 21
Fall risk assessment scores: 15
Fall risk assessment scores: 19
Morse Fall Scale score: 50
Braden Scale score: 10
Braden Scale score: 9
Wound size: 5.5
Wound size: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA #1) | Interviewed regarding care and PPE use for Resident #6. | |
| Licensed Practical Nurse (LPN #1) | Interviewed regarding care and contact precautions for Resident #6. | |
| Licensed Practical Nurse Infection Preventionist (LPN/IP) | Interviewed regarding infection control and notification procedures for Resident #6. | |
| Certified Nursing Assistant (CNA #2) | Interviewed regarding reporting skin impairments. | |
| Licensed Practical Nurse (LPN #2) | Interviewed regarding notification of representatives for changes in condition. | |
| Regional Director of Nursing (Regional DON) | Interviewed regarding care plan requirements and notification procedures. | |
| Interim Director of Nursing (Interim DON) | Interviewed regarding care plan requirements, documentation, and wound care procedures. | |
| Licensed Practical Nurse (LPN) | Interviewed regarding documentation of urinary output. | |
| Licensed Nursing Home Administrator (LNHA) | Interviewed regarding hospital transfer orders. | |
| Regional Registered Dietician (Regional RD) | Interviewed regarding nutritional assessments and wound care. |
Inspection Report
Routine
Census: 50
Deficiencies: 0
Date: Oct 19, 2023
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 7
Inspection Report
Complaint Investigation
Deficiencies: 9
Date: Oct 19, 2023
Visit Reason
The inspection was conducted based on complaints related to infection control, care planning, accident investigations, and environmental safety concerns.
Complaint Details
Complaint NJ#: 162553 and 168234 related to infection control, care planning, incident investigations, environmental safety, and food safety.
Findings
The facility failed to notify residents' representatives of changes in condition, failed to thoroughly investigate incidents, did not develop timely comprehensive care plans, failed to document treatments and assessments properly, failed to ensure appropriate antibiotic use, failed to maintain a safe environment including locked storage of hazardous materials, failed to maintain proper food safety and sanitation, and failed to implement transmission-based precautions and hand hygiene protocols.
Deficiencies (9)
Failed to notify resident representatives of changes in condition for 2 residents.
Failed to thoroughly investigate incidents including missing witness statements for falls.
Failed to develop and implement comprehensive care plans timely for 1 resident.
Failed to consistently document wound treatment, positioning during tube feedings, application of heel booties, discharge orders, and urinary output.
Failed to conduct neurological evaluations after unwitnessed falls for 2 residents.
Failed to ensure janitor closets and treatment supply rooms were locked and secure to prevent resident access to hazardous chemicals.
Failed to maintain food safety including proper cleaning of equipment, proper storage and freezing of food, and proper use of hairnets.
Failed to ensure physician reviewed lab results and prescribed appropriate antibiotics for 1 resident with ESBL infection.
Failed to implement transmission-based precautions and hand hygiene for a resident with a contagious urinary tract infection.
Report Facts
Deficiencies cited: 9
Freezer temperature: 28
Freezer temperature: 5
Resident census: 17
Resident census: 50
Resident census: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse Infection Preventionist | Discussed infection control failures and antibiotic stewardship for Resident #6. | |
| Licensed Practical Nurse | Interviewed regarding Resident #6's care and infection control. | |
| Certified Nursing Assistant | Interviewed regarding care of Resident #6 and hand hygiene failures in dining room. | |
| Interim Director of Nursing | Interviewed regarding care planning, incident investigations, and infection control. | |
| Regional Director of Nursing | Interviewed regarding care planning and wound care. | |
| Food Services Director | Interviewed regarding kitchen sanitation and food safety. | |
| Maintenance Director | Interviewed regarding freezer temperature issues. | |
| Medical Director | Interviewed regarding antibiotic prescribing and freezer issues. | |
| Housekeeping Director | Interviewed regarding janitor closet security. | |
| Licensed Nursing Home Administrator | Interviewed regarding environmental safety and freezer issues. |
Inspection Report
Deficiencies: 0
Date: Oct 19, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Riverview Estates Rehab and Senior Living Center, summarizing the findings of a regulatory survey completed on 10/19/2023.
Findings
No health deficiencies were found during the survey.
Inspection Report
Complaint Investigation
Census: 46
Deficiencies: 1
Date: Mar 22, 2023
Visit Reason
The inspection was conducted as a complaint survey based on complaints NJ158879, NJ159443, and NJ160977 to determine compliance with regulatory requirements.
Complaint Details
Complaint investigation based on complaints NJ158879, NJ159443, NJ160977. The facility was found deficient in CNA staffing ratios on multiple day shifts, affecting all residents at risk.
Findings
The facility was found not in compliance with New Jersey Administrative Code standards due to deficient CNA staffing ratios on multiple day shifts, failing to meet the minimum staff-to-resident ratio mandated by the State of New Jersey.
Deficiencies (1)
Facility failed to ensure staffing ratios were met to maintain the required minimum staff-to-resident ratio as mandated by the State of New Jersey; deficient in CNA staffing for residents on 8 of 14 day shifts.
Report Facts
Census: 46
Deficient CNA staffing day shifts: 8
Required CNAs per day shift: 5
Actual CNAs on specific days: 2
Actual CNAs on specific days: 3
Actual CNAs on specific days: 4
Inspection Report
Follow-Up
Census: 36
Deficiencies: 1
Date: Aug 11, 2021
Visit Reason
The visit was conducted to assess compliance with New Jersey Administrative Code staffing requirements and to follow up on previously identified deficiencies related to staffing shortages.
Findings
The facility was found not in compliance with staffing ratio requirements for 10 of 42 shifts reviewed, with staffing shortages potentially affecting all residents. The facility conducted a root cause analysis and implemented corrective actions including increasing CNA wages, recruiting efforts, and monitoring staffing levels. A revisit on 9/22/2021 confirmed correction of the cited deficiency.
Deficiencies (1)
Failure to ensure staffing ratios were met for 10 of 42 shifts reviewed, affecting resident care.
Report Facts
Shifts with staffing shortages: 10
Resident census: 36
Staff to resident ratios: 11.3
Staff to resident ratios: 8.5
Staff to resident ratios: 8.8
Staff to resident ratios: 9
Staff to resident ratios: 12
Staff to resident ratios: 11.3
Staff to resident ratios: 11.7
Staff to resident ratios: 12.7
Staff to resident ratios: 11.7
Staff to resident ratios: 8.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Human Resources Director | Mentioned in relation to staffing shortages and corrective actions. | |
| Director of Nursing | Mentioned in relation to staffing shortages and corrective actions. | |
| Administrator | Mentioned in relation to staffing shortages and corrective actions. | |
| Staffing Coordinator | Interviewed about staffing ratios and shortages. |
Inspection Report
Deficiencies: 0
Date: Aug 11, 2021
Visit Reason
The document is a statement of deficiencies and plan of correction for Riverview Estates Rehab and Senior Living Center, summarizing the findings of a regulatory survey completed on 08/11/2021.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 34
Deficiencies: 0
Date: Mar 31, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and recommended COVID-19 practices.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 11
Inspection Report
Routine
Census: 35
Deficiencies: 0
Date: Jan 5, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and recommended practices for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices for COVID-19.
Report Facts
Sample size: 5
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