Inspection Reports for
Riverview Nursing Center
10303 STATE RD C, MOKANE, MO, 65059-1211
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
62% occupied
Based on a May 2025 inspection.
Occupancy rate over time
Inspection Report
Routine
Census: 37
Deficiencies: 2
Date: May 21, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident financial management and medication storage and labeling at Riverview Nursing Center.
Findings
The facility failed to prevent commingling of residents' personal funds with operating funds and did not refund resident funds within the required 30-day timeframe after discharge. Additionally, expired insulin vials were stored with current medications, and loose pills were found in medication carts, indicating lapses in medication storage and labeling practices.
Deficiencies (2)
Failed to prevent commingling of 13 residents' personal funds with facility operating funds.
Failed to store medications safely; expired insulin vials were stored with current medications and medications were loose in one medication cart.
Report Facts
Residents affected: 13
Facility census: 37
Amount held in operating account: 23907.83
Loose pills found: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager (BOM) | Discussed lack of training and responsibility for refunding resident funds | |
| Recovery Specialist | Responsible for ensuring claims are paid and resident refunds are issued | |
| Director of Banking Services | Responsible for cutting refund checks upon request | |
| Administrator | Reviewed accounts receivable aging report and acknowledged delays in refunds | |
| Regional Director of Operations | Oversight of refund process and awareness of delays | |
| Director of Nursing (DON) | Discussed medication storage and insulin vial expiration oversight | |
| Licensed Practical Nurse (LPN) C | Acknowledged failure to check insulin vial open dates | |
| Assistant Director of Nursing (ADON) | Responsible for ensuring medication safety and insulin date checks | |
| Certified Medication Technician (CMT) D | Medication cart observed with loose pills |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
The inspection was conducted as an annual survey of Riverview Nursing Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 34
Deficiencies: 1
Date: Mar 13, 2024
Visit Reason
The inspection was conducted due to allegations of misappropriation of money from a resident's checking account by a Certified Nursing Aide (CNA A). The visit aimed to investigate the suspected financial exploitation and related policy violations.
Complaint Details
The complaint investigation substantiated that CNA A misappropriated resident funds by stealing checks and cashing them without authorization. The local sheriff charged CNA A and spouse with financial exploitation and related crimes. The facility took corrective actions including staff in-service and termination of CNA A.
Findings
The facility failed to prevent the misappropriation of money from one resident's checking account by CNA A, who stole checks and had them cashed without authorization. The facility conducted an investigation, suspended and terminated CNA A, and reported the incident to law enforcement. The local sheriff charged CNA A and CNA A's spouse with multiple financial crimes involving approximately $4,195.00.
Deficiencies (1)
Failure to protect resident from wrongful use of belongings or money due to CNA stealing checks and unauthorized cashing.
Report Facts
Residents Affected: 4
Resident Census: 34
Amount misappropriated: 4195
Amount stolen from facility: 4000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA A | Certified Nursing Aide | Named in misappropriation of resident funds and termination for policy violation |
| Business Office Manager | Business Office Manager | Reported CNA A admitted to stealing resident funds and facility money |
| Administrator | Administrator | Notified of non-compliance and reported arrest to DHSS |
| Director of Nursing | Director of Nursing | Provided information on investigation and policy enforcement |
| Social Service Director | Social Service Director | Involved in investigation and reporting of stolen checks |
Inspection Report
Complaint Investigation
Census: 33
Deficiencies: 4
Date: Jul 13, 2023
Visit Reason
The inspection was conducted due to a complaint regarding failure of facility staff to document administration of physician-ordered medications and treatments for four residents.
Complaint Details
The complaint investigation found that staff failed to document medication administration and treatments for four residents, with multiple missed documentation dates on MAR and TAR. Interviews with nursing staff, Certified Medication Aides, the Director of Nursing, and the administrator confirmed that holes in MAR or TAR indicate missed or unsigned medication or treatment administration.
Findings
The facility failed to meet professional standards as staff did not document medication administration or treatments in the Medication Administration Record (MAR) or Treatment Administration Record (TAR) for four residents on multiple occasions, indicating incomplete or missing documentation of care.
Deficiencies (4)
Failure to document administration of Cephalexin, Aspirin, Lisinopril, Paroxetine, and Foley catheter care for Resident #1 as ordered.
Failure to document administration of Methocarbamol, wet to dry dressings, Foley catheter care, nephrostomy tube care, colostomy care, and stump dressing for Resident #2 as ordered.
Failure to document administration of multiple medications including Lisinopril, Quetiapine, Carvedilol, Gabapentin, Memantine, Atorvastatin, Donepezil, health shakes, Foley catheter care, and wound care treatments for Resident #3 as ordered.
Failure to document administration of Lidocaine patch and Foley catheter care for Resident #4 as ordered.
Report Facts
Residents affected: 4
Facility census: 33
Missed medication/treatment dates: 20
Inspection Report
Deficiencies: 0
Date: Jul 13, 2023
Visit Reason
The inspection was conducted as a regulatory survey of Riverview Nursing Center to assess compliance with health and safety standards.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Census: 35
Deficiencies: 9
Date: Jan 27, 2023
Visit Reason
Routine inspection of Riverview Nursing Center to assess compliance with regulatory requirements including resident rights, safety, infection control, staff training, food service, and COVID-19 vaccination status.
Findings
The facility was found deficient in multiple areas including improper management of resident funds, unsafe and unsanitary environmental conditions, unsafe storage of hazardous chemicals, improper use of mechanical lifts and wheelchairs, failure to provide oxygen as ordered, nurse aides not certified within required timeframe, inadequate meal alternatives, improper food storage and handling, failure to follow infection control procedures, and incomplete COVID-19 staff vaccination compliance.
Deficiencies (9)
Facility staff failed to keep eight residents from going into negative trust account balances and failed to maintain written authorization to manage funds for two residents.
Facility staff failed to maintain resident rooms, common areas, and building structure in a safe, clean, and homelike environment.
Facility staff failed to ensure hazardous chemicals were stored safely and failed to provide safe mechanical lift transfers and wheelchair propulsion.
Facility staff failed to provide oxygen as ordered by the physician for one resident.
Facility staff failed to ensure five nurse aides completed training within four months of employment.
Facility staff failed to provide alternative meals accommodating resident preferences beyond peanut butter and jelly sandwiches.
Facility staff failed to store food properly, failed to perform hand hygiene adequately, failed to allow sanitized dishes to air dry, and failed to wear hair restraints in food service areas.
Facility staff failed to follow infection control procedures including hand hygiene and glove use during resident care.
Facility staff failed to ensure 100% of staff were fully vaccinated for COVID-19 or had approved exemptions/delays.
Report Facts
Facility census: 35
Total staff: 58
Staff without second COVID-19 vaccine dose: 2
Staff fully vaccinated percentage: 96.6
Residents affected by fund mismanagement: 8
Nurse aides without completed training: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| NA H | Nurse Aide | Named in nurse aide training deficiency and improper mechanical lift use |
| NA J | Nurse Aide | Named in nurse aide training deficiency and improper mechanical lift use |
| NA M | Nurse Aide | Named in nurse aide training deficiency |
| NA N | Nurse Aide | Named in nurse aide training deficiency |
| NA O | Nurse Aide | Named in nurse aide training deficiency |
| CNA F | Certified Nursing Assistant | Named in improper mechanical lift use and wheelchair propulsion |
| LPN C | Licensed Practical Nurse | Named in infection control and mechanical lift use interviews |
| RN L | Registered Nurse | Named in infection control deficiency observation |
| Dietary Manager | Dietary Manager | Named in food storage, hand hygiene, and hair restraint deficiencies |
| Administrator | Facility Administrator | Named in multiple interviews regarding deficiencies and COVID-19 vaccination monitoring |
| Director of Nursing | Director of Nursing | Named in interviews regarding infection control, mechanical lift use, and nurse aide training |
| Infection Preventionist | Infection Preventionist | Named in interviews regarding infection control and facility safety |
| Business Office Manager | Business Office Manager | Named in resident funds management deficiency |
| Housekeeping Regional Director | Housekeeping Regional Director | Named in environmental cleanliness deficiency |
| Maintenance Director | Maintenance Director | Named in building maintenance and chemical storage deficiencies |
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