Riverbank Post-acute

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

signs were missing and should have been on the wall above the PPE carts, so staff were aware of what precautions to take and what PPE to wear.During an interview on 11/25/25 at 11:10 a.m. with the Assistant Director of Nursing (ADON), the ADON stated isolation or precaution signs should hang above the PPE cart to notify staff what type of PPE is needed and the necessary precautions to take when providing care for the residents.During an interview on 11/25/25 at 1:44 p.m. with the Director of Nursing (DON), the DON stated there needed to be a sign hanging above the PPE carts when residents are on any type of isolation or EBP. The DON stated staff and visitors needed to know what types of precautions to use to keep the residents safe and limit the transmission of infectious disease.During a review of the facility's P&P titled Enhanced Barrier Precautions, dated 8/2022, the P&P indicated, . Enhanced barrier precautions (EBPs) are utilized to prevent the spread of multi-drug resistant organisms (MDROs) to residents . used as an infection prevention and control intervention to reduce the spread of multi-drug resistant organisms (MRDOs) to residents . EBPs employ targeted gown and glove use during high contact resident care activities when contact precautions do not otherwise [NAME] . Examples of high-contact resident care activities . dressing bathing/showering . transferring . providing hygiene . changing linens . changing briefs or assisting with toileting . device care or use . wound care . Signs are posted in the door or wall outside the resident room indicating the type of precautions and PPE required . PPE is available outside of the resident rooms .During a review of a professional reference retrieved from https://www.cdc.gov/long-term-care-facilities/hcp/prevent-mdro/faqs.html titled Definition and scope of Enhanced Barrier Precautions, dated 6/28/24, the reference indicated, . Enhanced Barrier Precautions are

an infection control intervention designed to reduce transmission of multi-drug resistant organisms (MDROs) in nursing homes . Enhanced Barrier Precautions expand the use of gown and gloves beyond anticipated blood and body fluid exposures . use of gown and gloves during high-contact resident care activities that have been demonstrated to result in the transfer of MDROs to hands and clothing of healthcare personnel . Signs are intended to signal to individuals entering the room the specific actions

they should take to protect themselves and the resident. To do this effectively, the sign must contain information about the type of Precautions and the recommended PPE to be worn when caring for the resident.

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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

11/25/2025

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 0882 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

infection control program and its activities in accordance with current federal, state, and local standards, guideline, and regulations. Coordinate the development and monitoring of our facility's established infection prevention and control policies and practices. Plan, develop, organize, implement, evaluate, and director our infection control program. Monitor infection control practices and procedures to ensure that all personnel are implementing our standard operating procedures. Make rounds to nursing units for the purpose of case findings, review of environmental sanitation procedures, and supervision of isolation precautions/practices.

Orient new employees to the importance of infection control policies and procedures. Ensure that all nursing service personnel follow established isolation precautions and aseptic technique to include universal precautions . Make rounds. Monitor medication passes and treatments to ensure that appropriate hand washing techniques are being followed in the handling and administering of drugs, medications, and treatments. Develop and participate in the planning, conducting, and scheduling of timely in-service training classes and educational programs that provide instructions on how to do the job.During a professional reference review titled State Operations Manual [SOM], Appendix PP, dated 7/23/25, the SOM, indicated, .

Infection preventionist . The facility must designate one or more individual(s) as the infection preventionist(s) (IP)(s) who are responsible for the facility's IPCP [infection prevention and control plan]. The IP must . Be qualified by education, training, experience or certification . Work at least part-time at the facility . Have completed specialized training in infection prevention and control. The IP must physically work onsite in the facility. He/she cannot be an off-site consultant or perform the IP work at a separate location .An IP must have obtained specialized IPC [infection prevention and control] training beyond initial professional training or education prior to assuming the role.

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