Riverside Village Healthcare Center
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure accurate reconciliation of medications on admission was conducted for one of three sampled residents (Resident 1), when continuous use of oxygen therapy was not reflected in the physician order for a resident admitted on oxygen. This failure has the potential to result in lack of physician oversight, which could negatively affect the resident's current health condition.Findings: On August 12, 2025, at 9 a.m., an unannounced visit to the facility was conducted to investigate quality care issues. A review of Resident 1's admission Record, indicated the resident was admitted to the facility on [DATE REDACTED], with diagnoses which included Encephalopathy (a declining ability to reason, concentrate and memory loss), chronic systolic cardiac failure (the heart weakens and cannot pump adequate blood through the body), ischemic cardiomyopathy (due to damage from lack of oxygen to
the heart muscle), atherosclerotic heart disease (a buildup of plaque that causes the heart blood vessels to narrow), non-rheumatic aortic valve stenosis (heart valve does not open fully and heart must work harder) and difficulty walking. A review of Resident 1's admission Assessment Summary, dated July 10, 2025, at 17:47 (5:47 p.m.), indicated, .admitted to the facility with oxygen 2 lpm (liters per minute) via nasal canula in place.A review of the physician's orders dated July 10, 2025, through July 15, 2025, did not indicate that the resident was oxygen therapy. On August 12, 2025, at 12 p.m., during an interview and record review, the Director of Nursing (DON) confirmed that Resident 1's record lacked any physician order for oxygen upon admission or subsequently. The DON stated the resident used oxygen continuously during her stay, as indicated in the admission summary, and acknowledged that the order should have been included in the admission orders. She stated the licensed nurse should have verified the orders for accuracy and contacted
the physician for the oxygen order at that time.A review of the facility's policy and procedure titled, Reconciliation of Medications on Admission, dated July 2017, indicated, .to ensure medication safety by accurately accounting for resident's medication, routes and dosages upon admission or readmission to the facility. Preparation 1. Gather the information needed to reconcile the medication list .c. admission order sheet .Medications reconciliation reduces medication errors and enhances resident safety by ensuring that
the medications the resident needs and has been taking continue to be administered without interruption, in
the correct dosages and routes, during the admission/transfer process .if a there is a discrepancy.contact
the physician to resolve the discrepancy.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
RIVERSIDE VILLAGE HEALTHCARE CENTER in RIVERSIDE, 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 RIVERSIDE, 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 RIVERSIDE VILLAGE HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.