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: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 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.