Riverbank Post-acute
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
actions and interventions to try to provide the best interventions for the residents. The IDON stated the CP allowed staff to see what worked and what didn't work, so the interventions could have been revised. The IDON stated she expected staff to follow resident care plans and interventions. The IDON stated if staff did not follow the CPs, there was a risk the staff would not have provided patient centered care, which included what the resident wanted and allowed family to be involved in the resident's care.During a review of the facility policy and procedure titled, Care Plans, Comprehensive Person-Centered, dated3/2022, indicated, .
a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet
the resident's physical, psychosocial and functional needs is developed and implemented for each resident . the comprehensive, person-centered care plan . describes the services that are to be furnished . care plan interventions are chosen only after data gathering, proper sequencing of events, careful consideration of
the relationship between the resident's problem areas and their causes, and relevant clinical decision making . assessments of residents are ongoing and care plans are revised as information about the residents and residents' conditions change . the resident has the right to refuse . medical and nursing treatments. Such refusals are documented in the resident's clinical record in accordance with established policies .
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If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/10/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverbank Post-Acute
2649 Topeka Street Riverbank, CA 95367
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
LVN 1 was unable to find documentation of notification of RP or physician notification of Resident 1's refusal of nail care.During an interview on 9/10/25 at 4:20 p.m. with RN 1, RN 1 stated if a resident was diabetic, the licensed nurse only trimmed the resident's fingernails. RN 1 stated if there was too much nail or disease, or if the resident was a diabetic, the resident needed to see the podiatrist for nail care. RN 1 stated R 1's nails should have been addressed. RN 1 stated if a resident refused care, staff had to respect
the resident's rights, and should have notified the RP and physician, and initiate a care plan for the residents' refusal of nail care.During an interview on 9/12/25 at 11:35 a.m. with the IDON, the IDON stated R 1 had a CP entered on 3/10/25 for non-compliance, with interventions for RP notification and physician notification. The IDON stated the only documented RP notification attempt was on 3/25/22, and no documentation was found for physician notification. The IDON stated there was no current documentation of attempts to call R 1's RP or physician for refusal of care. The IDON stated R 1's refusals and RP and physician notifications should have been documented and followed up on. The IDON stated if it was not documented, then it was not done. The IDON stated if a resident was refusing care, nurses should have called the RP if they had time. The IDON stated if the refusal was not emergent, the nurse should have called the next morning. The IDON stated if the RP and physician were not notified of R 1's refusal of treatment, it was a risk for R 1 to obtain an infection or break down of his toes.During a review of professional reference titled, Improving Communication Among Attending Physicians, Long-Term Care Facilities, Residents, and Residents' Families, dated March-April, 2024, obtained from https://www.jamda.com/article/S1525-8610(04)70066-3/abstract, indicated, . effective bidirectional communication between attending physicians and long-term care facilities is of critical importance to ensure timely, appropriate, and high-quality care that is responsive to resident's needs, values, and preferences . ongoing communication with residents and resident's families is essential to the establishment of mutual trust and respect .
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Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/10/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverbank Post-Acute
2649 Topeka Street Riverbank, CA 95367
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0687
F 0687 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
expectation was for the resident's shower sheets to be completed correctly and for the nurse to follow up on
the marked areas to be reviewed. The IDON stated it was not acceptable to mark the shower sheets dated 9/9/25 no nail care was needed for R 1 and R 4. The IDON stated the charge nurse signed off on the shower sheets and the IDON's expectation was for the nurse to immediately do something about the concern that same day. The IDON stated if a resident did not have their nails trimmed, it was an infection risk for the resident.During a review of the facility P&P titled, Fingernails/Toenails, Care of, dated 2/2018 indicated, . the purposes of this procedure are to clean the nail bed, to keep nails trimmed, and to prevent infections .nail care includes daily cleaning and regular trimming .proper nail care can aid in the prevention of skin problems around the nail bed . trimmed and smooth nails prevent the resident from accidentally scratching and injuring his or her skin .watch for and report any changes in the color of the skin around the nail bed . cracking of the skin between the toes . stop and report to the nurse supervisor if there is evidence of ingrown nails, infections, pain, or if nails are too hard or too thick to cut with ease .documentation . any difficulties in cutting the resident's nails . if the resident refused the treatment, the reasons why and the intervention taken .notify the supervisor if the resident refuses the care .
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RIVERBANK POST-ACUTE in RIVERBANK, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.