Riverbank Post-acute
RIVERBANK POST-ACUTE in RIVERBANK, CA — inspection on July 16, 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
- Develop and implement policies and protocols to prevent and identify:
a. abuse or mistreatment of residents
- Implement measures to address factors that may lead to abusive situations, for example:
- Identify and investigate all possible incidents of abuse, neglect, mistreatment.
- Protect residents from any further harm during investigations.
c. instruct staff regarding appropriate ways to address interpersonal conflicts; and d. help staff understand how cultural, religious and ethnic differences can lead to misunderstanding and conflicts.
055084 07/16/2024
Riverbank Post-Acute 2649 Topeka Street Riverbank, CA 95367
- Within five (5) business days of the incident, the administrator will provide a follow-up investigation
report.
055084 07/16/2024
Riverbank Post-Acute 2649 Topeka Street Riverbank, CA 95367
source is suspected, the suspicion must be reported immediately to the administrator and to other
- The administrator or the individual making the allegation immediately reports his or her suspicion to
a.
The state licensing/certification agency responsible for surveying/licensing the facility; b.
The local/state ombudsman; c.
The resident's representative; e.
Law enforcement officials; f.
The resident's attending physician; and g.
The facility medical director. 3.Immediately is defined as: a. within two hours of an allegation involving abuse or result in serious bodily injury; or b. within 24 hours of an allegation that does not involve abuse or result in serious bodily injury.
- Upon receiving any allegations of abuse, neglect, exploitation, misappropriation of resident property
or injury of unknown source, the administrator is responsible for determining what actions (if any) are needed for the protection of residents.
Follow-Up Report -
- Within five (5) business days of the incident, the administrator will provide a follow-up investigation
report.
During an interview on 6/21/24, at 4 PM, with Resident 1, Resident 1 stated Resident 2 calls him [n-word]. Resident 1 stated that for one example, when Resident 2 turned his music on at 4 AM, he asked Resident 2 to turn it down and Resident 2 responded by saying, Shut up, [n-word]. Resident 1 stated, That's not OK. I pay money to be here, I should not be spoken to like that.
During a concurrent observation and interview on 6/28/24, at 11:40 AM, with Resident 1, his room was observed.
There were 3 residents in the room: Resident 1, Resident 2, and Resident 3. Resident 1 stated Resident 2 verbally insults him with racial epithets almost every day and Resident 2 only insults him, never Resident 3. Resident 2 was observed to be sleeping. Resident 3's bed was between Residents 1 and 2.
During a review of Resident 1's Minimum Data Set (MDS, a comprehensive, standardized assessment tool) dated, 6/7/24, the MDS indicated at question C500 - Brief Interview for Mental Status a score of 15 out of a possible 15, which indicated Resident 1 was cognitively intact.
During an interview on 6/28/24, at 11:43 AM, with Resident 3, Resident 3 stated, I've seen [Resident 2] call [Resident 1] the n-word all the time. He spits all the time, he cusses at [Resident 1] constantly.
During a review of Resident 3's MDS, dated , 4/5/24, the MDS indicated at question C500 - Brief Interview for Mental Status a score of 15 out of a possible 15, which indicated Resident 3 was cognitively intact.
During an interview with Certified Nursing Assistant (CNA) 1, on 6/28/24, at 11:45 AM, CNA 1 stated she was caring for Resident 1, Resident 2, and Resident 3. CNA 1 stated Resident 2 is can be super mean. He's awful with his roommate, he calls [Resident 1] the n-word, spits at him [but doesn't make contact]. I'm here three days a week, and he does this every day I'm here. I guarantee you it happens every day, even on the days I'm not here. A multitude of us CNAs got together and requested a room change. We told the charge nurse [Licensed Vocational Nurse 1, or LVN 1] about this a couple of weeks ago. We told the Social Services lady, the [Social Services Assistant, or SSA].
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 07/16/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Riverbank Post-Acute 2649 Topeka Street Riverbank, CA 95367
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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.