Riverside Behavioral Healthcare Center
RIVERSIDE BEHAVIORAL HEALTHCARE CENTER in RIVERSIDE, CA — inspection on August 19, 2025.
Found 1 citation. 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
stated a change in mobility should be a change in condition and the MD should have been made aware;
Director of Nursing (DON).
The DON stated Resident 1 was on monitoring for pain and a post fall
concurrent record review was conducted with the DON.
The DON verbalized that from June 25, 2025, to July 2, 2025, Resident 1 was noted to have made a request for a wheelchair because his mobility status had changed as he requested to use a wheelchair to mobilize because he was afraid to fall again.
The DON reviewed June 18, 2025, and June 11, 2025, weekly notes and verbalized Resident 1 did not need to use a wheelchair and was independent with mobility.
The DON was asked to define a change of condition based on this finding.
The DON stated we did not consider this a change of condition because it was related to his fall on June 6, 2025 and that this was a behavior as it was not that he could not walk but rather he chose not too because of the reasons we are not sure but he was walking before and he was known to have similar behaviors like low participation and refusal of medications. A review of the facility policy and procedure titled, Pain Assessment and Management dated October 2022, indicated, .identify pain in the resident, and to develop interventions that are consistent with the resident's goals and needs and that address the underlying causes of pain.appropriate assessment and treatment of pain, based on professional standards of practice, the comprehensive care plan and the resident's choices related to pain management.recognizing the presence of the pain.addressing the underlying causes of the pain.observe the resident (during rest and movement) for physiologic and behavioral (non-verbal) signs of pain.negative verbalizations.changes in gait, behavior such as resisting care.decreased participation in usual physical and/or social activities.identifying cause of pain.fractures.pain management interventions shall address the underlying causes of the resident's pain. A review of the policy and procedure titled, Change in a Resident's Condition or Status dated May 2017, indicated, .significant change in the resident's physical/emotional/mental condition.refusal of treatment or medications two (2) or more consecutive times.significant change of condition is a major decline or improvement in the resident's status that.will not normally resolve itself without intervention by staff or by implementing standard interventions.impacts more than one area of the resident's health status.
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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.