Riverpoint Crest Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, record review and staff interviews the facility failed to treat 1 of 3 residents in a respectful and dignified manner when Resident #66 was seated in his geriatric wheelchair (a special medical recliner with
a wheeled base designed for older adults and individuals with mobility issues) as Occupational Therapist #1 pulled the wheelchair down the hall with the resident positioned behind her resulting in the resident being unable to see where he was being taken to. A reasonable person has the expectation of being treated with dignity and would not want to be moved via wheelchair in a backwards motion with no ability to view where
they are traveling. Findings included: Resident #66 was admitted to the facility on [DATE REDACTED]. A physician's order written on 08/28/25 revealed an order for Occupational Therapy (OT) to evaluate and treat as indicated. Resident #66's Minimum Data Set 5-day assessment dated [DATE REDACTED] revealed he was severely cognitively impaired. An observation of Resident #66 on 09/15/25 at 11:10 AM revealed the resident was seated in his geriatric wheelchair while Occupational Therapist #1 (OT) pulled the wheelchair down the hall with the resident positioned behind her resulting in the resident being unable to see where he was being taken to by OT #1. An interview was conducted with OT #1 on 09/15/25 at 11:10 AM. OT #1 stated she was not aware that pulling a resident behind her was a dignity issue and that she was pulling the chair because
it was difficult to push. OT #1 turned Resident #66's chair around and proceeded down the hall while she pushed the resident in front of her. An interview was conducted with the Rehabilitation Manager on 09/17/25 at 2:45 PM. The Rehabilitation Manager stated that OT #1 was an agency therapist, and that all staff including agency staff had been in-serviced according to the training for this facility to include treating residents with dignity and respect. She stated just recently the therapy staff were all sub-contracted, but now there was new therapy staff, and they were employed by the facility and the training that was required for this facility was given to the therapists. The Rehabilitation Manager stated OT #1 should have known that pulling a resident from behind while the resident was sitting in a mobility device was a dignity issue.
She stated she would make sure further education was provided. An interview was conducted with the Director of Nursing (DON) on 09/17/25 at 3:00 PM. The DON stated she had some new staff in the therapy department, but that she would have expected for the therapy staff to know that pulling a resident behind them as they walked down a hall was a dignity concern and she would be sure education was done to reinforce this dignity issue.
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:
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
09/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverpoint Crest Nursing and Rehabilitation Center
2600 Old Cherry Point Road New Bern, NC 28563
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-Tag F0553
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0553 during a standard health inspection conducted on 2025-09-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
F-Tag F0554
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-09-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0583
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-09-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0641
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
F-Tag F0656
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0657
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0657 during a complaint investigation conducted on 2025-09-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
F-Tag F0761
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-18.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0880
Federal health inspectors cited Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-18.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 9 deficiencies cited during this inspection of Riverpoint Crest Nursing and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Riverpoint Crest Nursing and Rehabilitation Center in New Bern, NC 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 New Bern, NC, (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 Riverpoint Crest Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.