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Riverbank Post-Acute: Infection Control Signs Missing - CA
Without them, the system breaks down....
Latest reports, citations, and penalties from CMS data
Without them, the system breaks down....
That answer was wrong, and a certified nursing assistant said so out loud to federal inspectors....
Nobody documented who was responsible....
The complaint inspection, which covered 223 S....
That nursing assistant had worked in the field for 20 years....
The Culinary Manager, who was present when inspectors walked back through the findings that afternoon, confirmed the items should have been thrown out....
#569 told the survey team on November 12 that he had officially resigned....
The incident happened in the early morning hours of July 21, 2025....
The violation was cited under infection control standards....
The inspection was complaint-driven, meaning someone had raised a concern serious enough to send surveyors through the door....
The violation was tagged F0882 and assessed as having potential for harm to many residents....
On September 29, 2025, roughly 38 of the facility's 76 residents went without coffee at breakfast....
The resident, identified in inspection records only as R4, was found that afternoon wearing green heel boots on both feet....
The nurse had worked at the facility since April 1994....
The resident at Tweeten Lutheran Health Care Center had moderate cognitive impairment, wandered daily, and wore an elopement alarm....
Emergency Medical Services picked up Resident R223 at approximately 10:13 p.m....
The violation was tagged under F0689, the federal standard governing protection from accident hazards and supervision....
The inspection, completed November 26, 2025, was triggered by a complaint....
The tub contained piles of dirty clothing....
A progress note from September 19, 2025, recorded that R1 was on a civil commitment....