Riverside Manor Nrsg & Rehab Ctr
RIVERSIDE MANOR NRSG & REHAB CTR in NEWCOMERSTOWN, OH — inspection on April 24, 2026.
Found 1 citation. 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
because she was not aware of staff not following recommendation from therapy until today.
The DON
reached out to therapy on 04/20/26 and the staff started utilizing the Sara Steady for transfers
and 12:57 P.M. with CNA #104 confirmed she was one of the CNA's that was transferring Resident #1 on 04/12/26 that resulted in Resident #1's right arm fracture.
The CNA confirmed the resident had a history of not bending her legs or help pushing up during transfers and she felt it was a safety issue, but the resident wanted to remain independent.
The CNA reported herself and CNA #105 were transferring Resident #1 from her wheelchair to recliner on 04/12/26 using the under-arm technique (one aide on each side of the resident with their arm hooked under the residents arm) and the resident's feet started sliding and the resident started to panic and became dead weight requiring the staff to apply pressure on the residents arms to hold her up.
They heard a pop sound and knew it wasn't good.
The resident was in pain and couldn't move her arm.
They got the resident to the recliner safely and CNA #105 went to get the nurse, and she stayed with the resident.
The CNA confirmed they were not utilizing a gait belt because neither one had a gait belt and there was not one in the room.
The CNA confirmed she was unaware that therapy recommended a Sara Steady or sit to stand lift for transfers on 04/10/26.
The CNA reviewed the physical therapy note dated 04/10/26 with the surveyor and confirmed the therapist had recommended a mechanical lift for transfers.
The CNA confirmed staff should follow therapy recommendations and a gait belt should be utilized for all transfers.
The CNA confirmed she was provided one on one training on using gait belt with all transfers.
Interview on 04/24/26 at 11:52 A.M. with Physical Therapy Assistant (PTA)/Rehabilitation Director #107 confirmed on 04/10/26 the Physical Therapist (PT) had evaluated Resident #1.
The PTA originally reported Resident #1 was a two person assist with gait belt; however, she would print the PT's notes for the surveyor to review.
After reviewing the PT notes dated 04/10/26 with the PTA, the PTA confirmed the resident should have been utilizing a Sara Steady or sit to stand lift with transfers and not two person assist with gait belt.
The PTA confirmed she was not aware of the PT's recommendation on 04/10/26 until today.
The PTA confirmed staff should have been utilizing a gait belt as well with all transfers and Resident #1's arm fracture could have potentially been prevented if staff were utilizing a gait belt during the transfer on 04/12/26.
The PTA reported she had provided an in-service on gait belts with transfers last week because of the incident involving Resident #1.The facility did not have a policy on transfers.This deficiency represents non-compliance investigated under Complaint Number 2984910.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.