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River View Post Acute: Seizure Medication Withheld - CA
The gap ran from April 27 through May 21, 2026....
Latest reports, citations, and penalties from CMS data
The gap ran from April 27 through May 21, 2026....
Dietary CC pulled the pork chops from the warmer oven, loaded them into a Robot Coupe food processor, and went back for the gravy....
The other two, Residents 45 and 88, lived on the same hall under the care of the same charge nurse....
The policy listed changing briefs, device care, and wound care as examples of exactly when that gear had to go on....
The facility is the Mildred and Shirley L....
The nurse assigned to that cart said she checked for expired medications every couple of weeks....
The nursing home is disputing the citation....
The resident, identified in inspection records only as Resident 11, had been living at the facility since earlier that year....
His history and physical, dated April 23, 2025, documented the diagnosis....
The dents were not a borderline call....
By the time federal inspectors arrived on June 4, three and a half months had passed....
"Maybe they do not take care of me because they do not like me," she told a federal surveyor who visited her room on the morning of June 2....
The errors involved warfarin, a medication that requires precise dosing....
The physician's order requiring those precautions had been written the day before, on June 2, 2026....
Inspectors pulled the facility's internal schedules and nursing staff census sheets and found that Hope Springs did have adequate coverage on those days....
The error affected one resident out of 26 reviewed for MDS accuracy....
She was wrong, and the facility's own policy said so....
Inspectors watched the whole thing happen....
The inspection of the Hall A cart, conducted at 9:26 a.m....
The nurse worked across all units of the facility....