River Bend Nursing And Rehabilitation
RIVER BEND NURSING AND REHABILITATION in EVANSVILLE, IN — inspection on January 30, 2026.
Found 5 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
3.1-35(a)
155621 01/30/2026
River Bend Nursing and Rehabilitation 3400 Stocker Dr Evansville, IN 47720
During a random observation on 1/27/26 at 9:05 A.M., Resident W was observed lying in bed without oxygen on.
The nebulizer face mask was observed on the floor and lacked a date on the tubing.
Current physician orders lacked documentation of an oxygen order The current clinical record lack documentation of a care plan for oxygen.During an interview on 1/27/26 at 9:30 A.M., Hospice Provider 2 indicated residents on oxygen will have an order for the resident with them but should also have an order with the facility for O2.During an interview on 1/27/26 at 10:30 A.M., Registered Nurse (RN) 4 indicated there should be an order for oxygen for anyone utilizing it.On 1/29/26 at 1:42 P.M., the Administrator provided a current policy Oxygen Administration revised October 2010.
The policy indicated .Verify that there is a physician's order.review the resident's care plan to assess for any special needs of the resident.
Place an Oxygen in Use sign on the outside of the room entrance door.
This citation relates to Intake 2707708. 3.1-47(a)(6)
155621 01/30/2026
River Bend Nursing and Rehabilitation 3400 Stocker Dr Evansville, IN 47720
During an interview on 1/29/26 at 11:46 A.M., The Director of Nursing indicated the night shift nurse obtained A.M. blood sugars for residents, gave blood sugar results to day shift nurse, and day shift nurse gave insulin at breakfast, sometimes it gets missed in documentation.
During an interview on 1/23/26 at 8:27 A.M., Resident Y's responsible party indicated the facility had not invited them to a care conference in the last six to eight months.
On 1/23/26 at 2:23 P.M., Resident Y's clinical record was reviewed.
Resident Y was admitted on [DATE].
Diagnoses included, but were not limited to, congestive heart failure.
The most recent Quarterly Minimum Data Set (MDS) Assessment, dated 12/5/25, indicated Resident Y was severely cognitively impaired and was dependent on staff (staff do all of the work) for eating, toileting, bathing, and transfers.
Resident Y's clinical record lacked quarterly care plan conferences since admission.
Care plan conferences were requested on 1/29/26 at 8:51 A.M.
On 1/29/26 at 10:18 A.M., the social services director provided quarterly care plan conferences on dated 10/28/25 (created on 1/29/26), 6/26/25 (created on 1/29/26), and 5/13/25 (created on 1/29/26). 3.1-50(a)(1) 3.1-50(a)(2)
155621 01/30/2026
River Bend Nursing and Rehabilitation 3400 Stocker Dr Evansville, IN 47720
During an interview on 1/22/2036 at 9:30 A.M., Registered Nurse 8 (RN) indicated there should be no blood on glucometers, and the machines are cleaned in between each use.During an interview on 1/23/26 at 9:50 A.M., RN 11 indicated that she should have worn a gown.During an interview on 1/23/26 at 9:55 A.M., CNA 13 and CNA 12 should have worn gowns also.During an interview on 1/29/26 at 10:27 A.M., with the Infection Preventionist, she indicated if residents are in high contact circumstances, such as tracheostomy, there should be a sign for EBP sign on the door and wear proper PPE.
She also indicated that if gloves were worn, the gloves should be changed when going from dirty to clean.
When asked about cleaning glucometers, she indicated that glucometer should be cleaned after each use.On 1/29/26 at 1:23 P.M., the Administrator provided a policy Handwashing/Hand Hygiene dated October/ 2023.
The policy indicated .hand hygiene is indicated with the following: performing an aseptic task.g. immediately after glove removal.Applying and removing gloves should be performed.Perform hand hygiene before applying non-sterile gloves.On 1/29/26 at 2:04 P.M., the Administrator provided a policy Personal Protective Equipment dated October/2018.
The policy indicated .The type of PPE required for a task is based on. the type of transmission-based precaution.Personal protective equipment provided to our personnel includes but is not necessarily limited to a. gowns. (disposable, cloth, and/or plastic)); gloves (sterile, non-sterile) .On 1/29/26 at 2:44 P.M., the Administrator provided a current, non-dated policy, Assure Glucometer Platinum Policy.
The policy indicated .The meter should be cleaned and disinfected after use on each patient.
This citation relates to Intake 2707708. 3.1-18(b)3.1-18(l)
155621 01/30/2026
River Bend Nursing and Rehabilitation 3400 Stocker Dr Evansville, IN 47720
During an interview on 1/29/26 at 11:20 A.M., the Administrator indicated odors in the facility should be controlled by general routine cleaning and staff should increase cleaning in areas that are prone to odors.
On 1/29/26 at 1:16 P.M., the Administrator provided a policy titled Environmental, dated 5/17, that indicated The facility staff and management shall maximize, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting.
These characteristics include: pleasant, neutral scents; The facility staff and management shall minimize, to the extent possible, the characteristics of the facility that reflect a depersonalized, institutional setting.
These characteristics include: institutional odors This citation relates to intake 2707708. 3.1-19(f)