Riverside Healthcare Center: Skin Care Failures - MI
The September 4 complaint inspection centered on a single resident, identified in records as R102, an incontinent man who had a documented order for Calmoseptine ointment to be applied by a nurse each time he was incontinent. That morning, he soiled himself before breakfast. The aide assigned to him, identified as CNA E, said she intended to check him before the meal but another staff member walked him to the dining room before she got the chance.
The medicated cream never got applied.
When inspectors interviewed RN F at 12:52 PM, she said she was confident the previous shift had applied the Calmoseptine when they got R102 up around 5:30 AM, because that was the process. She did not know he had been incontinent that morning. She also did not know his order specified the cream was to be used as needed for incontinence episodes, not on a standing schedule.
What she did know, and said plainly to inspectors, was that aides had been pulling the ointment from the treatment cart and applying it themselves. That was wrong, she said. Calmoseptine is medicated. Only a nurse should administer it.
The Director of Nursing confirmed both points at 1:15 PM: the cream must come from the treatment cart and must be given by a nurse, and incontinent residents should be checked and changed every two hours.
The gap between those expectations and what actually happened that morning was the inspection. An aide who didn't get to check her resident before breakfast. A nurse who didn't know he'd been incontinent. A medicated treatment applied by people who weren't supposed to be applying it, until the morning it wasn't applied at all.
R102 went to breakfast without his prescribed skin protection. Whether anyone applied it before inspectors arrived, the record does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Riverside Healthcare Center from 2025-09-04 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 22, 2026 · Our methodology
Riverside Healthcare Center in St. Louis, MI was cited for violations during a health inspection on September 4, 2025.
That morning, he soiled himself before breakfast.
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.