Riverview Healthcare: Care Plan Failures - RI
A November 2025 complaint inspection found that a licensed practical nurse, identified in records as Staff A, called the wrong provider when Resident ID #1 showed a change in condition. At 2:35 PM, she notified the on-call provider for Resident ID #2, a different patient entirely. Resident ID #1's own physician was never contacted. Staff A acknowledged this during a surveyor interview on November 25.
She also never told Resident ID #1's family representative that their relative had been sent to the hospital.
The Director of Nursing Services and the Administrator, interviewed separately on November 25 and November 26, could not produce any evidence that the facility had consulted the correct physician or notified the family representative at the time of the change in condition.
The facility's explanation to the family, that the resident was fine and eating Chinese food, was wrong. The resident was at the hospital.
CMS cited the deficiency under F0580, rating the level of harm as minimal or potential for actual harm. The violation was cross-referenced with two additional tags related to transfer and discharge procedures and nurse competency.
For the family, the sequence played out in reverse: a hospital called, a family member called back, and a nurse offered reassurance about a resident who wasn't there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Riverview Healthcare Community from 2025-11-28 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 20, 2026 · Our methodology
Riverview Healthcare Community in Coventry, RI was cited for violations during a health inspection on November 28, 2025.
At 2:35 PM, she notified the on-call provider for Resident ID #2, a different patient entirely.
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.