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Complaint Investigation

Riverbank Post-acute

June 5, 2024 · Riverbank, CA · 2649 Topeka Street
Citations 4
CMS Rating 1/5
Beds 99
Provider ID 055084
Healthcare Facility
Riverbank Post-acute
Riverbank, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

RIVERBANK POST-ACUTE in RIVERBANK, CA — inspection on June 5, 2024.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to

During a review of the manufacturer ' s guidelines provided by the facility titled Anti-Wandering Door System, undated, the guidelines indicated, . We recommend that all caregivers receive periodic training in the operation of these systems and that the devices are tested daily . the system is not designed to replace good caregiving practices including, but not limited to .

Direct patient supervision .

Adequate training for staff personnel for fall prevention and elopement .

This device is not a substitute for visual monitoring by a caregiver . To meet industry standards, door bars and wristbands should be tested at regular intervals to assure proper functionality.

Daily testing recommended .

055084 06/05/2024

Riverbank Post-Acute 2649 Topeka Street Riverbank, CA 95367

During an interview on 6/5/24 at 11:58 a.m. with the DON, the DON stated she was unable to locate a policy and procedure regarding the use and testing of exit door alarms and Wander guard door alarms.

During a review of Resident 1's Admission Record (AR-a document containing resident demographic information and medical diagnosis), undated, the AR indicated Resident 1 was admitted to the facility on [DATE]. Resident 1's diagnosis included palliative care (specialized medical care for people with a serious illness), hemiplegia (paralysis on one side of body) and hemiparesis (weakness on one side of body) following cerebral infarction (disrupted blood flow to the brain), chronic subdural hemorrhage (blood slowly leaking in the brain beneath the outermost layer), and cachexia (weakness and wasting of the body due to chronic illness).

During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool used to identify resident cognitive (mental processes such as thinking, reasoning or remembering) and physical function) assessment dated [DATE], indicated Resident 1's Brief Interview for Mental Status (BIMS -assessment of memory and judgment) assessment score was 06 (a score of 13-15 indicates cognitively intact, 08-12 indicates moderately impaired, 00-07 indicates severe impairment).

The BIMS assessment indicated Resident 1 had a severe cognitive impairment.

During a review of Resident 1's Nurses Notes, dated 4/28/24 at 7:14 a.m., the notes indicated, . 0635 [6:35 a. m.] Patient was seen wheeling himself down the street away from the facility. CN [charge nurse] informed and found patient down the street from the facility at 0645 [6:45 a.m.] . CN and another staff member were able to redirect the pt [patient] back to the facility at 0717 [7:17 a.m.] .

055084

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055084 B.

Wing 06/05/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Riverbank Post-Acute 2649 Topeka Street Riverbank, CA 95367

During a review of Resident 1's Admission Record (AR-a document containing resident demographic information and medical diagnosis), undated, the AR indicated Resident 1 was admitted to the facility on [DATE]. Resident 1's diagnosis included palliative care (specialized medical care for people with a serious illness), hemiplegia (paralysis on one side of body) and hemiparesis (weakness on one side of body) following cerebral infarction (disrupted blood flow to the brain), chronic subdural hemorrhage (blood slowly leaking in the brain beneath the outermost layer), and cachexia (weakness and wasting of the body due to chronic illness).

During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool used to identify resident cognitive (mental processes such as thinking, reasoning or remembering) and physical function) assessment dated [DATE], indicated Resident 1's Brief Interview for Mental Status (BIMS -assessment of memory and judgment) assessment score was 06 (a score of 13-15 indicates cognitively intact, 08-12 indicates moderately impaired, 00-07 indicates severe impairment).

The BIMS assessment indicated Resident 1 had a severe cognitive impairment.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

055084

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055084 B.

Wing 06/05/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Riverbank Post-Acute 2649 Topeka Street Riverbank, CA 95367

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in RIVERBANK, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from RIVERBANK POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.