Inspection Reports for
Riverways Manor
403 WATERCRESS RD, VAN BUREN, MO, 63965-9100
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
8.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
78% occupied
Based on a September 2024 inspection.
Occupancy rate over time
Inspection Report
Routine
Census: 47
Deficiencies: 7
Date: Sep 27, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, medication administration, resident assessments, catheter care, infection control, and safety measures in a nursing home.
Findings
The facility was found deficient in multiple areas including failure to ensure resident dignity and privacy, inaccurate resident assessments, medication administration delays and omissions, improper catheter care, inadequate infection control practices, and lack of proper assessment and care planning for wheelchair seatbelt use.
Deficiencies (7)
Failure to ensure staff treated residents with dignity and respect by leaving one resident exposed to the public.
Failure to issue Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to residents prior to discharge from skilled services.
Failure to document accurate Minimum Data Set (MDS) assessments for residents.
Failure to follow physician's orders and ensure timely medication administration for multiple residents.
Failure to assess, care plan, and monitor efficacy for the use of a wheelchair seatbelt for one resident.
Failure to ensure urinary indwelling catheter drainage bags were kept off the floor for two residents.
Failure to maintain infection control practices during disinfection of glucometer and catheter care.
Report Facts
Residents affected: 47
Missed medication doses: 13
Missed g-tube feedings: 3
Missed residual checks: 4
Missed g-tube flushes: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA G | Certified Nursing Assistant | Named in dignity and catheter care findings |
| CNA F | Certified Nursing Assistant | Named in dignity and wheelchair seatbelt findings |
| Director of Nursing | Director of Nursing (DON) | Named in dignity, MDS accuracy, medication administration, catheter care, and seatbelt assessment findings |
| LPN C | Licensed Practical Nurse | Named in medication administration, glucometer disinfection, and catheter care findings |
| RN A | Registered Nurse | Named in medication administration and glucometer disinfection findings |
| Administrator | Facility Administrator | Named in dignity, SNF ABN, MDS accuracy, medication administration, catheter care, and seatbelt assessment findings |
Inspection Report
Complaint Investigation
Census: 39
Deficiencies: 3
Date: Jun 28, 2023
Visit Reason
The inspection was conducted due to complaints regarding the facility's failure to provide an appropriate facility-initiated discharge notice, discharge plan, and reassessment of a resident's status after hospital discharge, as well as refusal to allow the resident to return to the facility.
Complaint Details
Complaint investigation involved Resident #1 who was discharged from the facility to an acute care hospital due to suicidal behavior. The facility sent an emergency discharge notice but did not have documentation supporting the discharge or reassessment. The resident was not allowed to return to the facility after hospital discharge and remained in the ER for over five days awaiting placement. The resident's legal guardian and hospital staff confirmed the facility's refusal to readmit the resident.
Findings
The facility failed to provide an appropriate discharge notice and plan prior to discharging Resident #1, did not reassess the resident after hospital discharge, and refused to allow the resident to return to the facility. Documentation from the physician regarding the discharge and resident safety was lacking. The resident remained in the hospital ER for over five days due to the facility's refusal to readmit him/her.
Deficiencies (3)
Failed to provide an appropriate facility-initiated discharge notice and discharge plan prior to discharge.
Failed to reassess resident's status after hospital discharge.
Refused to allow resident to return to the facility after hospital discharge without proper documentation or reassessment.
Report Facts
Facility census: 39
Days resident boarded in ER: 5
Appeal timeframe: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding Resident #1's discharge and status |
| Administrator | Administrator | Interviewed regarding emergency discharge and refusal to readmit Resident #1 |
| Manager for Care Coordination | Manager for Care Coordination | Hospital staff interviewed regarding Resident #1's status and placement |
| Public Administrator/Guardian | Resident's Public Administrator/Guardian | Interviewed regarding lack of discharge paperwork and placement issues |
Inspection Report
Routine
Census: 46
Deficiencies: 12
Date: Apr 6, 2023
Visit Reason
The inspection was conducted as a routine regulatory survey of Riverways Manor nursing home to assess compliance with federal regulations regarding resident rights, care, safety, and facility operations.
Findings
The facility was found deficient in multiple areas including inconsistent documentation of residents' code status, failure to provide timely Medicare non-coverage notices, unsafe and unclean environment conditions, incomplete resident assessments and Minimum Data Set (MDS) submissions, inadequate discharge planning and summaries, improper care and labeling of enteral feeding tubes, unsanitary kitchen conditions, and unsecured handrails in hallways.
Deficiencies (12)
Failed to ensure consistent documentation of code status for residents #30 and #48.
Failed to provide Notice of Medicare Non-Coverage and Skilled Nursing Facility Advanced Beneficiary Notice timely for residents #1 and #38.
Failed to provide a safe, clean, comfortable and homelike environment; multiple maintenance and cleanliness issues observed.
Failed to send timely notice of transfer or discharge to the Office of the State Long-Term Care Ombudsman for residents #13, #30, #35, and #37.
Failed to complete a significant change Minimum Data Set (MDS) assessment for resident #48 after hospice election.
Failed to complete a quarterly MDS assessment within required timeframe for resident #12.
Failed to complete and transmit MDS tracking records timely for residents #4, #18, #19, and #46.
Failed to ensure discharge planning process addressed resident goals and needs for resident #50.
Failed to complete a comprehensive discharge summary for resident #50.
Failed to ensure proper care and labeling of enteral feeding tubes for resident #8.
Failed to store and distribute food under sanitary conditions; multiple sanitation and labeling issues in kitchen and food storage areas.
Failed to ensure handrails on Red, Blue and Therapy Halls were properly maintained and securely attached.
Report Facts
Residents affected: 2
Residents affected: 2
Residents affected: 46
Residents affected: 4
Residents affected: 1
Residents affected: 1
Residents affected: 4
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 46
Residents affected: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) C | Licensed Practical Nurse | Named in enteral feeding labeling and care deficiency |
| Director of Nursing (DON) | Director of Nursing | Named in multiple findings including code status, discharge planning, and enteral feeding care |
| Administrator | Administrator | Named in multiple findings including code status, Medicare notices, discharge planning, and kitchen sanitation |
| Maintenance Supervisor (MS) | Maintenance Supervisor | Named in maintenance and repair reporting deficiencies |
| Licensed Practical Nurse (LPN) G | Licensed Practical Nurse | Interviewed regarding code status documentation |
| Housekeeper A | Housekeeper | Interviewed regarding maintenance reporting |
| Certified Nursing Assistant (CNA) B | Certified Nursing Assistant | Interviewed regarding maintenance reporting |
| Dietary Manager | Dietary Manager | Interviewed regarding kitchen sanitation |
| Dish Aide E | Dish Aide | Interviewed regarding kitchen sanitation |
| Kitchen Aide F | Kitchen Aide | Interviewed regarding kitchen sanitation |
| MDS Coordinator | MDS Coordinator | Named in MDS assessment and tracking deficiencies |
Inspection Report
Routine
Census: 42
Deficiencies: 4
Date: Sep 25, 2020
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident transfers, assessments, care planning, and nurse staffing documentation at Riverways Manor nursing home.
Findings
The facility was found deficient in documenting resident preparation for hospital transfers, completing accurate Minimum Data Set assessments, updating comprehensive care plans with specific interventions, and posting accurate daily nurse staffing information accessible to residents and visitors.
Deficiencies (4)
Failed to document preparation and orientation for transfer to the hospital for one resident.
Failed to document a complete and accurate Minimum Data Set (MDS) and accurately identify the type of assessment for one resident.
Failed to revise and update the comprehensive care plan with specific interventions for one resident.
Failed to post nurse updated and accurate staffing data accessible to residents and visitors on a daily basis.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 42
Census: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding transfer documentation and care plan deficiencies | |
| Administrator | Interviewed regarding MDS assessment and nurse staffing posting deficiencies |
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