Riverbank Post-acute
RIVERBANK POST-ACUTE in RIVERBANK, CA — inspection on September 10, 2025.
Found 3 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
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 .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/10/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverbank Post-Acute
2649 Topeka Street Riverbank, CA 95367
SUMMARY STATEMENT OF DEFICIENCIES
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 .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/10/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverbank Post-Acute
2649 Topeka Street Riverbank, CA 95367
SUMMARY STATEMENT OF DEFICIENCIES
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 .
Facility ID: