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Riverview Healthcare Center: Neglect Violations - SD
One resident was observed lying in the same position from 10:08 a.m....
Latest reports, citations, and penalties from CMS data
One resident was observed lying in the same position from 10:08 a.m....
After returning from a February 2025 hospitalization, the resident should have received tacrolimus twice daily: 2 mg each morning at 9 A.M....
The tracking system used to monitor staff certifications was found to be incomplete, with columns for CPR issue dates and expiration dates left blank....
Inspectors documented water temperatures reaching **124 degrees Fahrenheit** in a shower room sink and **123.2 degrees Fahrenheit** in a resident room sink....
Federal surveyors found that weekly audits conducted by nurse managers from February through May 2025 were fundamentally flawed in their design and execution....
## Medical Significance of Dialysis Communication Protocols Proper dialysis care coordination represents a critical component of kidney failure treatment....
In the main kitchen area, investigators found several opened condiment containers without dates, including ketchup and other sauces....
The patient, who has paraplegia, seizure disorder, and dysphagia (difficulty swallowing), was found unresponsive and required a code blue emergency response....
## Medical Consequences of Inadequate Staff Training The absence of proper training creates multiple pathways for compromised resident care and safety....
Despite these critical warning signs, nursing staff failed to contact medical providers or emergency services for nearly 10 hours....
However, documentation revealed a pattern of missed care over several months....
One resident developed new pressure areas on both buttocks after a previous wound had healed in December 2024....
This breakdown in communication represents a critical failure in basic nursing home care protocols....
The resident had an above-knee amputation of his left leg and required a specialized leg rest attachment for his wheelchair due to his medical conditions....
The incident revealed fundamental failures in the facility's safety protocols....
According to facility records, the aide turned the resident onto her side, then completely turned away to retrieve supplies from an overbed table....
Inspectors found multiple documented incidents where residents physically attacked other residents, yet none were reported to state authorities....
## Medical Context: Why Proper Abuse Reporting Matters Failure to report alleged abuse represents one of the most serious violations in nursing home care....
These dangerous bacteria can cause life-threatening infections that are extremely difficult to treat due to their resistance to multiple antibiotics....
Inspectors observed multiple healthcare workers improperly following these critical safety protocols while caring for vulnerable residents....