The resident required total assistance with basic functions including toileting, bathing and transfers.
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As of the most recent update, the facility has **not submitted a plan of correction** for any of the cited deficiencies.
The incident at Center for Living & Rehabilitation occurred on July 4, 2025, when staff found Resident #1 in bed with the injury to their right lower leg.
A PICC line, inserted directly into a large vein near the heart, requires regular sterile dressing changes to prevent infection.
State inspectors found the facility's systematic failure to follow wound care protocols during a November complaint investigation.
The resident told inspectors he couldn't grab the right bed rail with his contracted hand to roll in bed.
Federal inspectors responding to a complaint found the nursing home failed to properly monitor residents' departures from the building.
The standard is absolute: facilities must develop, implement, and maintain comprehensive abuse prevention programs that leave no resident vulnerable.
Inspectors cited the facility under tag F0759, which covers medication error protocols.
The deficiency applied to one of five abuse investigations the inspectors reviewed.
Inspectors cited Riverview Healthcare Center on East 2nd Avenue for failures that ran across nearly every step of wound care.
Federal regulations establish this threshold as a baseline standard for safe medication management in long-term care facilities.