Riverside Nursing And Rehabilitation Center
RIVERSIDE NURSING AND REHABILITATION CENTER in DAYTON, OH — inspection on September 2, 2025.
Found 12 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
Federal health inspectors cited RIVERSIDE NURSING AND REHABILITATION CENTER in DAYTON, OH for a deficiency under regulatory tag F-F0565 during a standard health inspection conducted on 2025-09-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.
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 12 deficiencies cited during this inspection of RIVERSIDE NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
Federal health inspectors cited RIVERSIDE NURSING AND REHABILITATION CENTER in DAYTON, OH for a deficiency under regulatory tag F-F0574 during a standard health inspection conducted on 2025-09-02.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: The resident has the right to receive notices in a format and a language he or she understands.
Scope/Severity Level E: pattern, 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 12 deficiencies cited during this inspection of RIVERSIDE NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
Review of the medical record for Resident #112 revealed an admission date of 02/19/24.
Diagnoses included dementia, anxiety disorder, and cerebrovascular accident.
Review of the MDS assessment dated [DATE] revealed Resident #112 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of nine.
This resident was assessed to require setup with eating, substantial assistance with toileting, bathing, and dressing, and supervision with transfers.
Observation on 08/04/25 at 1:38 P.M. revealed five gashes about 12 inches in length behind the headboard of Resident #112's bed.
Interview on 08/07/25 at 9:10 A.M. with Maintenance Director #499 verified the gashes behind the headboard of Resident #112's bed.
This deficiency represents non-compliance investigated under Complaint Numbers 1259570 and 2573764.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/02/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverside Nursing and Rehabilitation Center
1390 King Tree Drive Dayton, OH 45405
SUMMARY STATEMENT OF DEFICIENCIES
and appeared that they didn't know who each other were. UM/LPN #406 stated the previous Administrator at the time of the incident did not feel it was necessary to complete a SRI for the incident. UM/LPN #406 also stated an incident report was not completed.This deficiency represents non-compliance investigated under Complaint Numbers 1259568 and 1259561.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/02/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverside Nursing and Rehabilitation Center
1390 King Tree Drive Dayton, OH 45405
SUMMARY STATEMENT OF DEFICIENCIES
Administrator at the time of the incident did not feel it was necessary to complete a SRI for the incident.
UM/LPN #406 also stated an incident report was not completed.
This deficiency represents non-compliance investigated under Complaint Numbers 1259568 and 1259561.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/02/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverside Nursing and Rehabilitation Center
1390 King Tree Drive Dayton, OH 45405
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited RIVERSIDE NURSING AND REHABILITATION CENTER in DAYTON, OH for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-09-02.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
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 12 deficiencies cited during this inspection of RIVERSIDE NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
Federal health inspectors cited RIVERSIDE NURSING AND REHABILITATION CENTER in DAYTON, OH for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-02.
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 12 deficiencies cited during this inspection of RIVERSIDE NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
Review of the facility policy titled, Unit Supervision, revealed the policy of the facility was to provide resident centered care that met the psychosocial, physical, and emotional needs and concerns of the residents.
Safety was a primary concern for the residents, staff, and visitors.
The Unit Supervisor was a licensed nurse with the skills and competency to safely and appropriately monitor and delegate tasks to others and perform duties consistent with safe and effective care and treatment of the assigned residents.
Supervision responsibilities were assigned by the DON or designee to provide for the care and treatment of the residents, direct services of on-duty staff, and assume responsibility for a safe environment during the time the nurse was working the shift for the specific unit the nurse was assigned.
This deficiency represents non-compliance investigated under Complaint Numbers 1259562 and 2585469.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/02/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverside Nursing and Rehabilitation Center
1390 King Tree Drive Dayton, OH 45405
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited RIVERSIDE NURSING AND REHABILITATION CENTER in DAYTON, OH for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-09-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
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 12 deficiencies cited during this inspection of RIVERSIDE NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
Federal health inspectors cited RIVERSIDE NURSING AND REHABILITATION CENTER in DAYTON, OH for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-09-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 12 deficiencies cited during this inspection of RIVERSIDE NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
Based on medical record review, Nurse Practitioner (NP) interview, and policy review, the facility failed to administer medication as ordered which resulted in a significant medication error.
This affected one (#02) resident out four residents reviewed for medication administration.
The facility census was 164.
Review of the medical record for Resident #02 revealed an admission date of 02/09/23 with medical diagnoses of right hemiplegia, chronic obstructive pulmonary disease, end stage renal disease, dependence on dialysis, and bipolar disorder.
Review of the medical record for Resident #02 revealed a Minimum Data Set (MDS) assessment, dated 07/07/25, which indicated Resident #02 was cognitively intact and was dependent upon staff for toilet hygiene, showers/bathes, transfers and bed mobility.
Review of the medical record for Resident #02 revealed a physician order dated 11/30/24 for Midodrine (hypotension medication) oral tablet 2.5 milligram (mg) one tablet by mouth every eight hours as needed for hypotension.
Hold if systolic blood pressure (SBP) is greater than 110 and administer if SBP is less than 110.
Review of the medical record for Resident #02 revealed a blood pressure reading on 06/03/25 of 97 (SBP)/50 diastolic blood pressure (DPB) milliliters in mercury (mmHg).
Review of the medical record revealed pre-dialysis assessments on 07/24/25 with a documented blood pressure of 105/78 mmHg, on 07/31/25 with documented blood pressure of 106/64 mmHg, and on 08/05/25 with a documented blood pressure of 104/67 mmHg.
Review of the medical record for Resident #02 revealed the Medication Administration Records (MAR) for June, July and August 2025 did not have documentation to support Midodrine was administered on 06/03/25, 07/24/25, 07/31/25, and 08/05/25.
Interview on 08/07/25 at 10:23 A.M. with NP #800 stated the order was supposed to be entered to administer Midodrine 2.5 mg one tablet every eight hours for hypotension and to hold if SBP is greater than 110 and to administer if SBP less than 110. NP #800 stated Resident #02 should have her blood pressure checked three times per day for the facility to monitor her for possible Midodrine administration. NP #800 also stated the facility staff should have administered Midodrine as ordered prior to dialysis. NP #800 confirmed the facility had not administered Midodrine as ordered on 06/03/25, 07/24/25, 07/31/25, and 08/05/25.
Review of the facility policy titled, Medication Administration, revealed the facility is to provide resident centered care the meets the psychosocial, physician, and emotional needs and concerns of the residents.
The policy continued to state staff are to administer medication only as prescribed by the provider.
This deficiency represents non-compliance investigated under Complaint Number 1259566.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/02/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Riverside Nursing and Rehabilitation Center
1390 King Tree Drive Dayton, OH 45405
SUMMARY STATEMENT OF DEFICIENCIES
Review of the documentation from the employment agency provided to the facility revealed interim NHA #630's date of birth was 10/23/73 and resided in Cincinnati.
Review of the documentation revealed interim NHA #630 had used NHA license number 7258.
Review of documentation from BELTSS revealed NHA #700 had an active license of number 7258, a date of birth of [DATE] and resided in Englewood.
Review of BELTSS documentation revealed interim NHA #630 was registered as an Administrator in Training and did not have an active NHA license.
This deficiency represents non-compliance investigated under Complaint Number 2578224.
Facility ID: