Riverstreet Manor: Incontinence Care Failures - PA
The resident, identified in inspection records only as Resident B2, cannot perceive the need to toilet. A grievance filed on the resident's behalf on April 22, 2026, documented that staff were not consistently completing incontinence checks.
The documentation backed that up. Nursing records for March 2026 contained 15 separate shifts with nothing written about incontinence care. April's records had 18 blank shifts. When staff did document care, it appeared only once per shift, roughly every eight hours.
The Director of Nursing, interviewed the day of the inspection, acknowledged that Resident B2 should have been checked and changed every two hours. She could not produce any records showing that happened.
The resident had been treated for a urinary tract infection in March 2026, with lab results showing a Pseudomonas bacterial count of 50,000 to 100,000 colony-forming units per milliliter. The full course of antibiotics was administered. But inspectors found no toileting trial, no prompted voiding program, no scheduled toileting intervals, no monitoring records, and no care plan directing staff on how often or how to manage the resident's incontinence going forward.
None of it existed. Not a check-and-change protocol. Not a single documented evaluation of whether any intervention was working.
The inspection was triggered by a complaint. The facility's own policy called for a check-and-change program for residents with severe cognitive impairment. The care plan for Resident B2 contained no individualized instructions for staff on frequency or method. A resident who could not ask for help, could not feel that she needed it, and could not document what was happening to her, was left to depend entirely on a system that had no record of showing up.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Riverstreet Manor from 2026-05-28 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 21, 2026 · Our methodology
RIVERSTREET MANOR in WILKES-BARRE, PA was cited for violations during a health inspection on May 28, 2026.
The resident, identified in inspection records only as Resident B2, cannot perceive the need to toilet.
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.