Riverside Health & Rehab: Dialysis Care Plans Missing - PA
Inspectors arrived on September 9, 2025, responding to a complaint. What they found in the clinical records was straightforward: residents with kidney failure, active orders for dialysis at an outside dialysis center, and care plans that said nothing about any of it.
The first resident, identified in inspection records as R1, had been admitted with a diagnosis of stage 4 chronic kidney disease, severe enough to require dialysis. Orders dated August 15, 2025, confirmed dialysis three times a week. The baseline care plan for R1 had been completed on August 7 and revised as recently as August 25. Neither version included dialysis care or any related interventions.
The second resident, R2, had end stage renal disease, which is kidney failure. Orders dated February 3, 2025, showed the same schedule: dialysis three times a week at an outside center. The baseline care plan, completed the following day on February 4, made no mention of dialysis.
R3 also carried a diagnosis of end stage renal disease. Orders dated September 9, the same day inspectors were walking the halls, called for dialysis three times a week. The baseline care plan had been completed back in November 2024 and revised in August 2025. Dialysis appeared nowhere in it.
A baseline care plan is supposed to capture what a resident needs in the first 48 hours after admission. The facility's own policy, reviewed by inspectors and dated January 13, 2025, said exactly that. For a dialysis patient, the immediate needs are not subtle. Missing a dialysis session carries serious consequences for someone whose kidneys no longer function.
The Director of Nursing, interviewed at approximately 9:00 a.m. on September 9, confirmed that the baseline care plans for all three residents did not accurately reflect their immediate care needs. There was no dispute about what the records showed.
What the inspection report does not answer is how this persisted. R2's care plan had been in place since February, seven months before inspectors arrived. R3's went back to November 2024. The revision dates show staff returned to these documents and updated them. Dialysis, a three-times-a-week medical necessity for each of these residents, was not added.
The deficiency was cited at a level of minimal harm or potential for actual harm. That classification reflects what inspectors could document, not necessarily what the residents experienced over the months their care plans went without this information.
Inspectors cited the violation under Pennsylvania nursing home regulations covering resident care plans and nursing services.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Riverside Health & Rehab Center from 2025-09-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 30, 2026 · Our methodology
RIVERSIDE HEALTH & REHAB CENTER in MCKEESPORT, PA was cited for violations during a health inspection on September 9, 2025.
Inspectors arrived on September 9, 2025, responding to a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.